Ethnic Differences in Quality of Life in Persons With Heart Failure

Barbara Riegel, Debra K. Moser, Mary Kay Rayens, Beverly Carlson, Susan J. Pressler, Martha Shively, Nancy M. Albert, Rochelle R. Armola, Lorraine Evangelista, Cheryl Westlake, Kristen Sethares

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Background: Chronic illness burdens some groups more than others. In studies of ethnic/racial groups with chronic illness, some investigators have found differences in health-related quality of life (HRQL), whereas others have not. Few such comparisons have been performed in persons with heart failure. The purpose of this study was to compare HRQL in non-Hispanic white, black, and Hispanic adults with heart failure. Methods: Data for this longitudinal comparative study were obtained from eight sites in the Southwest, Southeast, Northwest, Northeast, and Midwest United States. Enrollment and 3- and 6-month data on 1212 patients were used in this analysis. Propensity scores were used to adjust for sociodemographic and clinical differences among the ethnic/racial groups. Health-related quality of life was measured using the Minnesota Living with Heart Failure Questionnaire. Results: Significant ethnic/racial effects were demonstrated, with more favorable Minnesota Living with Heart Failure Questionnaire total scores post-baseline for Hispanic patients compared with both black and white patients, even after adjusting for baseline scores, age, gender, education, severity of illness, and care setting (acute vs. chronic), and estimating the treatment effect (intervention vs. usual care). The models based on the physical and emotional subscale scores were similar, with post hoc comparisons indicating more positive outcomes for Hispanic patients than non-Hispanic white patients. Conclusion: Cultural differences in the interpretation of and response to chronic illness may explain why HRQL improves more over time in Hispanic patients with heart failure compared with white and black patients.

Original languageEnglish (US)
Pages (from-to)41-47
Number of pages7
JournalJournal of Cardiac Failure
Volume14
Issue number1
DOIs
StatePublished - Feb 1 2008
Externally publishedYes

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Heart Failure
Quality of Life
Hispanic Americans
Chronic Disease
Ethnic Groups
Propensity Score
Longitudinal Studies
Research Personnel
Education
hydroquinone
Surveys and Questionnaires

Keywords

  • Culture
  • ethnicity
  • heart failure
  • hispanic
  • propensity analysis
  • quality of life
  • race

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Riegel, B., Moser, D. K., Rayens, M. K., Carlson, B., Pressler, S. J., Shively, M., ... Sethares, K. (2008). Ethnic Differences in Quality of Life in Persons With Heart Failure. Journal of Cardiac Failure, 14(1), 41-47. https://doi.org/10.1016/j.cardfail.2007.09.008

Ethnic Differences in Quality of Life in Persons With Heart Failure. / Riegel, Barbara; Moser, Debra K.; Rayens, Mary Kay; Carlson, Beverly; Pressler, Susan J.; Shively, Martha; Albert, Nancy M.; Armola, Rochelle R.; Evangelista, Lorraine; Westlake, Cheryl; Sethares, Kristen.

In: Journal of Cardiac Failure, Vol. 14, No. 1, 01.02.2008, p. 41-47.

Research output: Contribution to journalArticle

Riegel, B, Moser, DK, Rayens, MK, Carlson, B, Pressler, SJ, Shively, M, Albert, NM, Armola, RR, Evangelista, L, Westlake, C & Sethares, K 2008, 'Ethnic Differences in Quality of Life in Persons With Heart Failure', Journal of Cardiac Failure, vol. 14, no. 1, pp. 41-47. https://doi.org/10.1016/j.cardfail.2007.09.008
Riegel B, Moser DK, Rayens MK, Carlson B, Pressler SJ, Shively M et al. Ethnic Differences in Quality of Life in Persons With Heart Failure. Journal of Cardiac Failure. 2008 Feb 1;14(1):41-47. https://doi.org/10.1016/j.cardfail.2007.09.008
Riegel, Barbara ; Moser, Debra K. ; Rayens, Mary Kay ; Carlson, Beverly ; Pressler, Susan J. ; Shively, Martha ; Albert, Nancy M. ; Armola, Rochelle R. ; Evangelista, Lorraine ; Westlake, Cheryl ; Sethares, Kristen. / Ethnic Differences in Quality of Life in Persons With Heart Failure. In: Journal of Cardiac Failure. 2008 ; Vol. 14, No. 1. pp. 41-47.
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