Date of Conferral

2023

Degree

Ph.D.

School

Public Health

Advisor

Gudeta D. Fufaa

Abstract

Individuals on dialysis often face challenges with the management of their health, resulting in low health-related quality of life (HRQOL), but the extent of this impact has not been fully examined. The purpose of this quantitative cross-sectional study was, having accounted for relevant demographic variables such as age, gender, family history, employment status, to examine the effects of length of time for treatment and type of dialysis on HRQOL in African American end-stage renal disease (ESRD) patients. This study was guided by the socioecological model. Secondary data from 2016 to 2021 was obtained from the Chronic Renal Insufficiency Cohort (CRIC) database, a prospective cohort study of renal disease which was conducted from 2003 to 2022. This study consisted of 5112 participants. The targeted group was African American dialysis patients age 21-74. The results of the multiple linear regression modeling using data from the CRICS revealed no significant linear relationship between HRQOL and length of time on dialysis, type of dialysis, and demographic variables such as age, gender, and family history. Only employment status showed a statistically significant linear relationship with HRQOL. The implications for positive social change are that the length of time on dialysis and type of dialysis treatment should not be used to predict HRQOL but employment status can be considered an important measure for promoting HRQOL among African American ESRD patients.

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