Self-assessed global quality of life: A comparison between African-American and white older patients with arthritis

Said A. Ibrahim, Christopher J. Burant, L. A. Siminoff, E. P. Stoller, Chian K Kwoh

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Quality of life (QOL) perceptions influence patient decisions and preferences for care and, more importantly, physicians may render recommendations based on their impressions of the patient's QOL. QOL is perceived differently by different ethnic groups. This may have implications for understanding ethnic disparities in medical procedure utilization such as joint replacement for osteoarthritis. In a study of 596 elderly male patients with moderate to severe symptomatic knee/hip osteoarthritis, we examined how African-American and white patients rate their overall QOL. We adjusted their responses for important demographic, clinical, and psychosocial potential confounders. African-American (44%) and white (56%) patients in this study were comparable, except that African-Americans reported lower socioeconomic status compared with whites. After adjusting for all other study covariates, African-American ethnicity (B= -0.121, P = 0.004) was negatively correlated with overall QOL ratings. How ethnic variations in perceptions of QOL impact observed ethnic disparity in the utilization of joint replacement therapy needs further investigation.

Original languageEnglish (US)
Pages (from-to)512-517
Number of pages6
JournalJournal of Clinical Epidemiology
Volume55
Issue number5
DOIs
StatePublished - 2002
Externally publishedYes

Fingerprint

African Americans
Arthritis
Quality of Life
Replacement Arthroplasties
Hip Osteoarthritis
Patient Preference
Knee Osteoarthritis
Ethnic Groups
Social Class
Osteoarthritis
Demography
Physicians

Keywords

  • Ethnic disparity
  • Ethnicity
  • Joint replacement
  • Older patients
  • Osteoathritis
  • Quality of life

ASJC Scopus subject areas

  • Medicine(all)
  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Self-assessed global quality of life : A comparison between African-American and white older patients with arthritis. / Ibrahim, Said A.; Burant, Christopher J.; Siminoff, L. A.; Stoller, E. P.; Kwoh, Chian K.

In: Journal of Clinical Epidemiology, Vol. 55, No. 5, 2002, p. 512-517.

Research output: Contribution to journalArticle

Ibrahim, Said A. ; Burant, Christopher J. ; Siminoff, L. A. ; Stoller, E. P. ; Kwoh, Chian K. / Self-assessed global quality of life : A comparison between African-American and white older patients with arthritis. In: Journal of Clinical Epidemiology. 2002 ; Vol. 55, No. 5. pp. 512-517.
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