Key result
Sociodemographic indicators including marital status (p=0.02) and race (p=0.02) were significant determinants of heart failure self-care maintenance, explaining 3.8% of the variance.
Why the study?
Adequate self-care maintenance improves heart failure outcomes, but the relationship between self-care maintenance and social determinants of health remains unclear.
What is the relationship between sociodemographic indicators of social position and self-care maintenance in adults with heart failure?
Cross-Sectional (n=543)
What is the relationship between sociodemographic indicators of social position and self-care maintenance in adults with heart failure?
Sociodemographic characteristics such as race and marital status are associated with heart failure self-care maintenance, but explain very little of the overall variance, highlighting the complexity of social determinants of health.
Race and marital status may flag HF self-care risk; cross-sectional data leaves open causal pathways and intervention targets.
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.
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Baah et al. (2021) conducted a cross-sectional in Heart Failure (n=543). Sociodemographic indicators of social position was evaluated on Self-care maintenance. Sociodemographic indicators including marital status (p=0.02) and race (p=0.02) were significant determinants of heart failure self-care maintenance, explaining 3.8% of the variance.
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