1. Epilepsy Behav. 2010 Nov;19(3):232-8. doi: 10.1016/j.yebeh.2010.08.020. Epub 2010
Sep 29.

Socioeconomic status and self-management in epilepsy: comparison of diverse
clinical populations in Houston, Texas.

Begley CE(1), Shegog R, Iyagba B, Chen V, Talluri K, Dubinsky S, Newmark M,
Ojukwu N, Friedman D.

Author information: 
(1)School of Public Health, University of Texas Health Science Center at Houston,
Houston, TX 77225, USA. charles.e.begley@uth.tmc.edu

We compared the scores on self-management and associated psychosocial scales of
patients with epilepsy at two clinics in Houston, TX, USA, to determine if there 
were systematic differences associated with socioeconomic status (SES). Patients 
of low SES reported higher scores on overall, information, and safety management 
(P<0.03) and no differences on medication, seizure, and lifestyle management. The
two groups were similar with respect to the pattern of high and low scores.
Reported levels of self-efficacy, depression, social support, stigma, desire for 
control, and outcome expectations were higher for those of high SES (P<0.01).
Knowledge of epilepsy and satisfaction with care were lower (P<0.01). Again, the 
patterns of high and low scores were similar. Tests of association between
psychosocial factors and self-management revealed that people with higher levels 
of self-efficacy and social support also reported higher self-management (P<0.01)
regardless of demographics, seizure frequency, and SES (P<0.05). These findings
provide little support for SES-related disparities in self-management and suggest
that the focus of strategies to improve self-management may be similar across
diverse populations.

Copyright © 2010 Elsevier Inc. All rights reserved.

DOI: 10.1016/j.yebeh.2010.08.020 
PMID: 20884301  [Indexed for MEDLINE]