Structural Inequity and Socioeconomic Status Link to Osteoporosis Diagnosis in a Population-Based Cohort of Middle-Older-Age Americans.
Socioeconomic status (SES) is an important social determinant of health inequities that has been linked to chronic conditions, including osteoporosis, but research tends to focus on socioeconomic disadvantage rather than how socioeconomic advantage may facilitate these inequities. This study account...
| Publicado en: | Inquiry (00469580) pp. 1 - 15 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Sage Publications Inc.
2/15/2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=hlh&AN=161894803&site=ehost-live header: @attributes: shortDbName: hlh uiTerm: 161894803 longDbName: Humanities International Complete uiTag: AN controlInfo: bkinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: 2/15/2023 pid: 344 pub: Sage Publications Inc. artinfo: ui: 161894803 10.1177/00469580231155719 ppf: 1 ppct: 14 formats: tig: atl: Structural Inequity and Socioeconomic Status Link to Osteoporosis Diagnosis in a Population-Based Cohort of Middle-Older-Age Americans. aug: au: Gough Courtney, Margaret Roberts, Josephine Godde, Kanya affil: University of La Verne, La Verne, CA, USA su: Osteoporosis diagnosis Diversity & inclusion policies Social determinants of health Age distribution Osteoporosis Risk assessment Social classes Research funding Descriptive statistics Logistic regression analysis Bone density Health equity Data analysis software Longitudinal method African Americans Disease risk factors Middle age United States sug: subj: United States Osteoporosis diagnosis Diversity & inclusion policies Social determinants of health Age distribution Osteoporosis Risk assessment Social classes Research funding Descriptive statistics Logistic regression analysis Bone density Health equity Data analysis software Longitudinal method African Americans Disease risk factors Middle age keyword: bone mineral density childhood adversity health inequalities income osteoporosis socioeconomic disparities in health socioeconomic status structural inequities ab: Socioeconomic status (SES) is an important social determinant of health inequities that has been linked to chronic conditions, including osteoporosis, but research tends to focus on socioeconomic disadvantage rather than how socioeconomic advantage may facilitate these inequities. This study accounts for structural inequities and assesses the relationship between early-life and later-life SES, and risk of osteoporosis diagnosis. Data come from the nationally representative, population-based cohort Health and Retirement Study and include individuals ages 50 to 90. The outcome variable is osteoporosis diagnosis. Logistic regression models of the relationship between SES and osteoporosis diagnosis are estimated, accounting for demographic, health, and childhood variables. Higher levels of childhood and adult SES link to lower odds of osteoporosis diagnosis. Structural inequities in income and underdiagnosis of osteoporosis among persons identifying as Black/African American were detected. Accounting for bone density scan access, inequities in osteoporosis diagnosis appear to stem from barriers to accessing health care due to financial constraints. The important role of SES and evidence of structural inequities leading to underdiagnosis suggest the critical importance of clinicians receiving Diversity, Equity, and Inclusion training to reduce health inequities. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y dt: @attributes: year: 2023 holdings: @attributes: islocal: N |
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