The relation between satisfaction with appearance and race and ethnicity: A National Institute on Disability,Independent Living,and Rehabilitation Research burn model system study |
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| Institution: | 1. VA Puget Sound Health Care System Mental Health, 1660 S Columbian Way, Seattle, WA 98108, USA;2. University of Washington, Department of Rehabilitation Medicine, 9th Avenue Box 359612, Seattle, WA 98104, USA;3. University of Texas Southwestern Medical Center, Department of Psychiatry, 5323 Harry Hines Blvd., Dallas, TX 75390, USA;4. University of Washington Department of Surgery, 325 9th Avenue; Box 359796, Seattle, WA 98104, USA;1. Department of Emergency Medicine, Kibuye Hope Hospital, BP 73 Gitega, Burundi;2. Department of Emergency Medicine, Los Angeles County + University of Southern California Medical Center, 1200 State St, Rm 1011, Los Angeles, CA 90033, United States;3. Clinique Medicale Tabarane, Nyabikere, Karusi, Burundi;1. College of Medicine and Public Health, Flinders University, GPO Box 2100, SA, 5001, Australia;2. The George Institute for Global Health Australia, UNSW, PO Box M201, Missenden Rd, NSW, 2050, Australia;1. College of Medicine and Public Health, Flinders University, GPO Box 2100, SA, 5001, Australia;2. The George Institute for Global Health Australia, UNSW, PO Box M201, Missenden Rd, NSW, 2050, Australia;1. The George Institute for Global Health Australia, UNSW, PO Box M201, Missenden Rd, NSW, 2050, Australia;2. Graduate School of Health, University of Technology Sydney, PO Box 123, Broadway, NSW, 2007, Australia;1. The George Institute for Global Health Australia, UNSW, PO Box M201, Missenden Rd, NSW, 2050, Australia;2. School of Population Health, Faculty of Medicine, UNSW, Sydney, 2052, Australia;1. Plastic Surgery Department, Royal Manchester Children’s Hospital, Oxford Road, Manchester M13 9WL, United Kingdom;2. Manchester University NHS Foundation Trust, United Kingdom;1. State Adult Burn Unit, Fiona Stanley Hospital, 11 Warren Drive, Murdoch, Western Australia, 6150, Australia;2. Burn Injury Research Unit, University of Western Australia, Perth, Western Australia, 6009, Australia;1. School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004, Australia;2. Emergency and Trauma Centre, Alfred Hospital, 55 Commercial Road, Melbourne, Victoria, 3004, Australia;1. School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004, Australia;2. Health Data Research UK, Swansea UniversityMedical School, Swansea University, Singleton Park, Swansea, Wales, United Kingdom |
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| Abstract: | Research supports that people of color in the U.S. have poorer outcomes after burn injury compared to White individuals. The current study sought to explore burn health disparities by testing the relationship between racial and ethnic minority status, a proxy for systemic discrimination due to race and ethnicity, with two key constructs linked to functional outcomes, satisfaction with appearance and social community integration. Participants included 1318 burn survivors from the Burn Model System National Database (mean age = 40.2, SD = 12.7). Participants completed measures of satisfaction with appearance and social community integration at baseline, 6-, 12-, and 24-months after burn injury. Linear regressions revealed that racial and ethnic minority status significantly related to lower satisfaction with appearance and social community integration compared to White individuals at all time points. In addition, satisfaction with appearance continued to significantly relate to greater social community integration even while accounting for race and ethnicity, age, sex, burn size, and physical disability at 6-, 12-, and 24-month time points. Overall, the study supports that racial and ethnic minority burn survivors report greater dissatisfaction with their appearance and lower social community reintegration after burn injury. |
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| Keywords: | Satisfaction with appearance Community integration Race Ethnicity Burn injury |
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