Sociodemographic Indicators of Social Position and Self-care Maintenance in Adults with Heart Failure

Foster Osei Baah, Jesse Chittams, Beverly Carlson, Kristen A. Sethares, Marguerite Daus, Debra K. Moser and Barbara Riegel

Clinical Nursing Research, 2021, vol. 30, issue 6, 847-854

Abstract: Social determinants of health (SDH) are known to influence health. Adequate self-care maintenance improves heart failure (HF) outcomes. However, the relationship between self-care maintenance and SDH remains unclear. Explore the relationship between sociodemographic indicators of social position and self-care maintenance in adults with HF. This was a secondary analysis of data from a cross-sectional descriptive study of 543 adults with HF. Participants completed the Self-Care of HF Index and a sociodemographic survey. We used multiple regression with backward elimination to determine which SDH variables were determinants of self-care maintenance. Marital status ( p  = .02) and race ( p  = .02) were significant determinants of self-care maintenance. Education ( p  = .06) was highest in Whites (35.6%). These variables explained only 3.8% of the variance in self-care maintenance. Race, education, and marital status were associated with HF self-care maintenance. SDH is complex and cannot be explained with simple sociodemographic characteristics.

Keywords: social determinants of health; social position; heart failure; self-care (search for similar items in EconPapers)
Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:30:y:2021:i:6:p:847-854

DOI: 10.1177/1054773821995593

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