Cultural and quality-of-life considerations when administering corticosteroids as a therapeutic strategy for African American women living with systemic lupus erythematosus

This study investigated the association among corticosteroids, emotional health, physical health, and work/regular activities of daily living in an ethnically diverse sample of women with systemic lupus erythematosus. A secondary analysis of data from the Medical University of South Carolina Lupus D...

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Bibliographic Details
Published in:Patient preference and adherence 2018-01, Vol.12, p.1007-1014
Main Authors: Applyrs, Dorcey L, Williams, Edith M, Faith, Trevor D, Kamen, Diane L, Vazques, Elizabeth, Jurkowski, Janine M
Format: Article
Language:English
Subjects:
Activities of daily living
African American
African American women
African Americans
Comparative analysis
Corticosteroid drugs
corticosteroids
Diseases
Glucocorticoids
Lupus
Lupus erythematosus
Medical schools
Mental health
Original Research
quality of life
Social aspects
Social support
Steroids (Organic compounds)
Systemic lupus erythematosus
Women
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Summary:This study investigated the association among corticosteroids, emotional health, physical health, and work/regular activities of daily living in an ethnically diverse sample of women with systemic lupus erythematosus. A secondary analysis of data from the Medical University of South Carolina Lupus Database was conducted between confirmed cases of lupus (n = 224) and controls (n = 60). The sample comprised 57 Caucasian Americans, 141 Gullah African Americans (a subpopulation of African Americans from the Sea Islands of South Carolina and Georgia), and 86 non-Gullah African Americans. Emotional health outcomes were better for women with systemic lupus erythematosus compared with controls. High emotional health scores may be influenced by cultural factors such as masking emotion, disease-coping mechanisms, religion, and strong familial and social support. Although a significant association was not detected between emotional health and work/regular activities of daily living, relationships were significant after adjusting for corticosteroid use. These findings suggest corticosteroid use does influence the strength of the association between emotional health and work/regular activities of daily living.
ISSN:1177-889X
1177-889X
DOI:10.2147/PPA.S156457