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Cited by 51Systemic Lupus Erythematosus ResearchHealth disparities and outcomesPublic Health and Social Inequalities

Strategies for reducing excess morbidity and mortality in blacks with systemic lupus erythematosus

Liang, Matthew H., Partridge, Alison J., Daltroy, Lawren H., Straaton, Karin V., Galper, Sharon R., Holman, Halsted R.·1991·Arthritis & Rheumatism
DOI 10.1002/art.1780340918
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Abstract

The epidemiology of systemic lupus erythematosus suggests that the excess morbidity and mortality in blacks with the disease is related to lower socioeconomic status. Poverty and factors associated with poverty are powerful predictors of poor outcome in a variety of chronic diseases, and lupus appears to be no exception. A body of studies in other illnesses suggests ways to neutralize, at least partially, the disadvantages of lower socioeconomic status, even though the root causes of poverty may be insurmountable. These include improving access to quality health care; targeting educational programs to promote recognition and understanding of the disease and the comorbid conditions that affect outcome; implementing programs to improve self-monitoring and adherence to medical regimens; developing opportunities to facilitate homemaking, childrearing, and working outside the home; and applying psychosocial interventions to enhance self-confidence and social support. Improved access to quality health care may actually lead to a decrease in health care costs.

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  • Differences in ethnicity between the SARD-BDB and Toronto cohorts may impact results such as incidence, prevalence, and mortality rates.

    “Such differences between two groups of patients may also impact results such as the incidence, prevalence and mortality rates (76–79).”

    From Autoantibodies in Systemic Lupus Erythematosus Target Mitochondrial RNA (2019) · cites this paper as [76]

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Authors
Liang, M. H., Partridge, A. J., Daltroy, L. H., Straaton, K. V., Galper, S. R., & Holman, H. R.
Affiliations
Brigham and Women's Hospital (US)
Corresponding author
Liang, Matthew H.
ORCID
Liang, Matthew H.
Venue
Arthritis & Rheumatism
Publisher
Wiley
Published
1991-10-07
Volume
34
Issue
9
Pages
1187-1196
ISSN
  • 0004-3591 (ISSN-L)
  • 1529-0131
DOI
10.1002/art.1780340918
OpenAlex
W2165735394
Cited by
51
References
100
Citations by year
2024: 2 · 2021: 1 · 2020: 2 · 2019: 1 · 2017: 2 · 2016: 1 · 2015: 2 · 2012: 2
FWCI
1.03
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 5177 d)
Locations
  • Arthritis & Rheumatism (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5p60ar020610-19)
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR-120614, AR-20610, P60AR036308, AR-36308)
Topics
  • Health Sciences › Medicine › Rheumatology › Systemic Lupus Erythematosus Research
  • Social Sciences › Health › Health disparities and outcomes
  • Social Sciences › Health › Public Health and Social Inequalities
Keywords
systemic lupus erythematosus, racial disparities, Black patients, socioeconomic status, poverty, excess morbidity, mortality, health care access, patient education, medication adherence, self-monitoring, psychosocial interventions, social support, comorbidities, health care costs
MeSH terms
Black or African American, Humans, Lupus Erythematosus, Systemic, Social Class

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