A study evaluated racial disparities in health perception, health literacy, and barriers to care among patients with adult spinal deformity (ASD). Using the NIH All of Us survey database, researchers analyzed data from 9,271 adults categorized as non-Hispanic White (NHW), non-Hispanic Black (NHB), and Hispanic or Latino (HL). Results indicated that NHW patients had higher education levels, income, employment rates, and home ownership. HL patients reported the most extreme fatigue, while NHB patients experienced higher levels of pain. NHW patients were more likely to complete daily activities, whereas HL patients had poorer self-perceptions of health and the lowest health literacy. NHW patients expressed less concern about affording care but often delayed prescriptions to save money. NHB patients faced more transportation issues, while HL patients encountered difficulties related to childcare and time off work. The findings highlight significant racial disparities in health self-perception, literacy, and access to care among ASD patients.
Intersection of race and ethnicity with perceptions of health status and literacy in adult patients with spinal deformity: insights from the all of us research program
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