Racial disparities in access to cardiac rehabilitation

Patricia C. Gregory, Thomas A. Laveist, Crystal Simpson

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: This study sought to assess the association between race and referral to cardiac rehabilitation programs. DESIGN: A total of 1933 cardiac patients enrolled in the Cardiac Access Study (n = 9275) who met the criteria selection of the American College of Cardiology Guidelines of eligibility for cardiac rehabilitation were evaluated to determine factors associated with accessing cardiac rehabilitation programs. Referral to a cardiac rehabilitation program among eligible participants was the outcome of interest. Potential factors associated with referral were entered into a logistic regression analysis to determine factors associated with referral. RESULTS: Whites were more likely to be referred for cardiac rehabilitation than were blacks (crude odds ratio [OR] = 2.52; 95% confidence interval [CI] = 1.75-3.63). After controlling for age, education, socioeconomic status, and insurance, race was still independently associated with referral for cardiac rehabilitation (OR = 1.81; 95% CI = 1.22-2.68). CONCLUSION: Among those patients who were eligible for cardiac rehabilitation, race is independently associated with the likelihood of referral for cardiac rehabilitation. The decreased utilization of such services in this population could lead to further disparity in cardiac outcomes. Future studies should address ways to eliminate this disparity and increase referral to such services.

Original languageEnglish (US)
Pages (from-to)705-710
Number of pages6
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume85
Issue number9
DOIs
StatePublished - Sep 2006

Fingerprint

Referral and Consultation
Odds Ratio
Confidence Intervals
Cardiac Rehabilitation
Insurance
Social Class
Patient Selection
Logistic Models
Regression Analysis
Guidelines
Education
Population

Keywords

  • Cardiac
  • Disparity
  • Race
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions(all)
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Racial disparities in access to cardiac rehabilitation. / Gregory, Patricia C.; Laveist, Thomas A.; Simpson, Crystal.

In: American Journal of Physical Medicine and Rehabilitation, Vol. 85, No. 9, 09.2006, p. 705-710.

Research output: Contribution to journalArticle

Gregory, Patricia C. ; Laveist, Thomas A. ; Simpson, Crystal. / Racial disparities in access to cardiac rehabilitation. In: American Journal of Physical Medicine and Rehabilitation. 2006 ; Vol. 85, No. 9. pp. 705-710.
@article{8c8d1e7542d943c5a61cc38e7b23b609,
title = "Racial disparities in access to cardiac rehabilitation",
abstract = "OBJECTIVE: This study sought to assess the association between race and referral to cardiac rehabilitation programs. DESIGN: A total of 1933 cardiac patients enrolled in the Cardiac Access Study (n = 9275) who met the criteria selection of the American College of Cardiology Guidelines of eligibility for cardiac rehabilitation were evaluated to determine factors associated with accessing cardiac rehabilitation programs. Referral to a cardiac rehabilitation program among eligible participants was the outcome of interest. Potential factors associated with referral were entered into a logistic regression analysis to determine factors associated with referral. RESULTS: Whites were more likely to be referred for cardiac rehabilitation than were blacks (crude odds ratio [OR] = 2.52; 95{\%} confidence interval [CI] = 1.75-3.63). After controlling for age, education, socioeconomic status, and insurance, race was still independently associated with referral for cardiac rehabilitation (OR = 1.81; 95{\%} CI = 1.22-2.68). CONCLUSION: Among those patients who were eligible for cardiac rehabilitation, race is independently associated with the likelihood of referral for cardiac rehabilitation. The decreased utilization of such services in this population could lead to further disparity in cardiac outcomes. Future studies should address ways to eliminate this disparity and increase referral to such services.",
keywords = "Cardiac, Disparity, Race, Rehabilitation",
author = "Gregory, {Patricia C.} and Laveist, {Thomas A.} and Crystal Simpson",
year = "2006",
month = "9",
doi = "10.1097/01.phm.0000233181.34999.3d",
language = "English (US)",
volume = "85",
pages = "705--710",
journal = "American Journal of Physical Medicine and Rehabilitation",
issn = "0894-9115",
publisher = "Lippincott Williams and Wilkins",
number = "9",

}

TY - JOUR

T1 - Racial disparities in access to cardiac rehabilitation

AU - Gregory, Patricia C.

AU - Laveist, Thomas A.

AU - Simpson, Crystal

PY - 2006/9

Y1 - 2006/9

N2 - OBJECTIVE: This study sought to assess the association between race and referral to cardiac rehabilitation programs. DESIGN: A total of 1933 cardiac patients enrolled in the Cardiac Access Study (n = 9275) who met the criteria selection of the American College of Cardiology Guidelines of eligibility for cardiac rehabilitation were evaluated to determine factors associated with accessing cardiac rehabilitation programs. Referral to a cardiac rehabilitation program among eligible participants was the outcome of interest. Potential factors associated with referral were entered into a logistic regression analysis to determine factors associated with referral. RESULTS: Whites were more likely to be referred for cardiac rehabilitation than were blacks (crude odds ratio [OR] = 2.52; 95% confidence interval [CI] = 1.75-3.63). After controlling for age, education, socioeconomic status, and insurance, race was still independently associated with referral for cardiac rehabilitation (OR = 1.81; 95% CI = 1.22-2.68). CONCLUSION: Among those patients who were eligible for cardiac rehabilitation, race is independently associated with the likelihood of referral for cardiac rehabilitation. The decreased utilization of such services in this population could lead to further disparity in cardiac outcomes. Future studies should address ways to eliminate this disparity and increase referral to such services.

AB - OBJECTIVE: This study sought to assess the association between race and referral to cardiac rehabilitation programs. DESIGN: A total of 1933 cardiac patients enrolled in the Cardiac Access Study (n = 9275) who met the criteria selection of the American College of Cardiology Guidelines of eligibility for cardiac rehabilitation were evaluated to determine factors associated with accessing cardiac rehabilitation programs. Referral to a cardiac rehabilitation program among eligible participants was the outcome of interest. Potential factors associated with referral were entered into a logistic regression analysis to determine factors associated with referral. RESULTS: Whites were more likely to be referred for cardiac rehabilitation than were blacks (crude odds ratio [OR] = 2.52; 95% confidence interval [CI] = 1.75-3.63). After controlling for age, education, socioeconomic status, and insurance, race was still independently associated with referral for cardiac rehabilitation (OR = 1.81; 95% CI = 1.22-2.68). CONCLUSION: Among those patients who were eligible for cardiac rehabilitation, race is independently associated with the likelihood of referral for cardiac rehabilitation. The decreased utilization of such services in this population could lead to further disparity in cardiac outcomes. Future studies should address ways to eliminate this disparity and increase referral to such services.

KW - Cardiac

KW - Disparity

KW - Race

KW - Rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=33747748232&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33747748232&partnerID=8YFLogxK

U2 - 10.1097/01.phm.0000233181.34999.3d

DO - 10.1097/01.phm.0000233181.34999.3d

M3 - Article

C2 - 16924182

AN - SCOPUS:33747748232

VL - 85

SP - 705

EP - 710

JO - American Journal of Physical Medicine and Rehabilitation

JF - American Journal of Physical Medicine and Rehabilitation

SN - 0894-9115

IS - 9

ER -