Ethnicity and Race Variations in Receipt of Surgery among Veterans with and without Depression
| dc.contributor.author | Copeland, Laurel A. | |
| dc.contributor.author | Zeber, John E. | |
| dc.contributor.author | Pugh, Mary Jo | |
| dc.contributor.author | Phillips, Karon L. | |
| dc.contributor.author | Lawrence, Valerie A. | |
| dc.date.accessioned | 2020-07-07T17:12:56Z | |
| dc.date.available | 2020-07-07T17:12:56Z | |
| dc.date.issued | 2011-10-12 | |
| dc.description.abstract | To examine equity in one aspect of care provision in the Veterans Health Administration, this study analyzed factors associated with receipt of coronary artery bypass graft (CABG), vascular, hip/knee, or digestive system surgeries during FY2006–2009. A random sample of patients ((N = 317, 072) included 9% with depression, 17% African-American patients, 5% Hispanics, and 5% women. In the four-year followup, 18,334 patients (6%) experienced surgery: 3,109 hip/knee, 3,755 digestive, 1,899 CABG, and 11,330 vascular operations. Patients with preexisting depression were less likely to have surgery than nondepressed patients (4% versus 6%). In covariate-adjusted analyses, minority patients were slightly less likely to receive vascular operations compared to white patients ((Hispanic OR = 0.88, P<.01 ; African-American OR = 0.93, P<.01 ) but more likely to undergo digestive system procedures. Some race-/ethnicity-related disparities of care for cardiovascular disease may persist for veterans using the VHA. | en_US |
| dc.description.sponsorship | This work was supported by the Veterans Health Administration Health Services Research and Development Service (HSR&D) Grant no. IIR-09-335 (“STOPP”) Copeland-PI, and Veterans Health Administration VISN 17 Grant no. XVA-66-016 (“POSSE”) Zeber-PI, with additional support from Central Texas Veterans Health Care System (Temple, Tex), Scott & White Healthcare (Temple, Tex), VERDICT Research at the South Texas Veterans Health Care System, and the University of Texas Health Science Center at San Antonio (San Antonio, Tex). The views expressed in this paper are those of the author(s) and do not necessarily represent the views of the Department of Veterans Affairs. The study was conducted at the Center for Applied Health Research, jointly supported by Central Texas Veterans Health Care System and by Scott & White Healthcare, Temple, Texas. | en_US |
| dc.description.uri | https://www.hindawi.com/journals/drt/2011/370962/ | en_US |
| dc.format.extent | 10 pages | en_US |
| dc.genre | journal articles | en_US |
| dc.identifier | doi:10.13016/m2xt6g-lud2 | |
| dc.identifier.citation | Laurel A. Copeland et al., Ethnicity and Race Variations in Receipt of Surgery among Veterans with and without Depression, Depression Research and Treatment, Volume 2011, https://doi.org/10.1155/2011/370962 | en_US |
| dc.identifier.uri | https://doi.org/10.1155/2011/370962 | |
| dc.identifier.uri | http://hdl.handle.net/11603/19078 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Hindawi | en_US |
| dc.relation.isAvailableAt | The University of Maryland, Baltimore County (UMBC) | |
| dc.relation.ispartof | UMBC Sociology and Anthropology Department Collection | |
| dc.rights | This item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author. | |
| dc.rights | Attribution 3.0 Unported | * |
| dc.rights.uri | https://creativecommons.org/licenses/by/3.0/ | * |
| dc.title | Ethnicity and Race Variations in Receipt of Surgery among Veterans with and without Depression | en_US |
| dc.type | Text | en_US |