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

Author

Listed:
  • Turner-Musa, Jocelyn
  • Leidner, David
  • Simmens, Samuel
  • Reiss, David
  • Kimmel, Paul L
  • Holder, Barbara

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

Suggested Citation

  • Turner-Musa, Jocelyn & Leidner, David & Simmens, Samuel & Reiss, David & Kimmel, Paul L & Holder, Barbara, 1999. "Family structure and patient survival in an African-American end-stage renal disease population: a preliminary investigation," Social Science & Medicine, Elsevier, vol. 48(10), pages 1333-1340, May.
    • Handle: RePEc:eee:socmed:v:48:y:1999:i:10:p:1333-1340
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