Format

Send to

Choose Destination
Soc Sci Med. 1999 May;48(10):1333-40.

Family structure and patient survival in an African-American end-stage renal disease population: a preliminary investigation.

Author information

1
Department of Mental Hygiene, School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA. jturner@jhsph.edu

Abstract

Few studies have examined the influence of the family on the course of chronic illness in African-Americans. We explore the relationship between family structure, defined as marital status and household composition, and patient survival. Patient gender was examined as a possible moderator in this relationship. Using data from a survey of 476 African-American end-stage renal disease (ESRD) patients, a significant association between household composition and patient survival was found. Results from Cox proportional hazards model, controlling for patient age, indicated that patients who live in 'complex' households (i.e. those with a partner and/or others) are at greater risk for shortened survival as compared to those who live alone or with a spouse/partner (p < 0.05). When we examined whether patient gender moderates this relationship, female patients who live in these households were found to be at 2 times greater risk for shortened survival (p < 0.01) than female patients who live alone or with their spouse/ partner only. Family structure was not significantly associated with survival in male patients. Discussion and implications of findings are addressed.

PMID:
10369434
DOI:
10.1016/s0277-9536(98)00437-7
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center