Wierenga, Kelly L.Dekker, Rebecca L.Lennie, Terry A.Chung, Misook L.Dracup, Kathleen2020-06-122020-06-122017-04Wierenga, K. L., Dekker, R. L., Lennie, T. A., Chung, M. L., & Dracup, K. (2017). African American race is associated with poorer outcomes in heart failure patients. Western journal of nursing research, 39(4), 524-538. https://doi.org/10.1177/0193945916661277https://hdl.handle.net/1805/22955Health care disparities associated with African American race may influence event-free survival in patients with heart failure (HF). A secondary data analysis included 863 outpatients enrolled in a multicenter HF registry. Cox regression was used to determine whether African American race was associated with shorter HF event-free survival after controlling for covariates. The multivariable-adjusted hazard ratios (95% confidence intervals [CI]) of older age (1.03, 95% CI = [1.01, 1.04]), New York Heart Association (NYHA) functional class (1.73, 95% CI = [1.29, 2.31]), depressive symptoms (1.05, 95% CI = [1.02, 1.07]), and African American race (1.64, 95% CI = [1.01, 2.68]) were predictors of shorter event-free survival (all ps < .05). Comparisons showed that NYHA functional class was predictive of shorter event-free survival in Caucasians (1.81, 95% CI = [1.33, 2.46]) but not in African Americans (1.24, 95% CI = [.40, 3.81]). African Americans with HF experienced a disparate risk of shorter event-free survival not explained by a variety of risk factors.enhealth disparitiesheart failureraceArticle