Perceptions of racism in healthcare among patients with systemic lupus erythematosus: a cross-sectional study

BackgroundRacial disparities in the clinical outcomes of systemic lupus erythematosus (SLE) exist. Perceived racial discrimination may contribute to disparities in health.ObjectivesTo determine if perceived racism in healthcare differs by race among patients with SLE and to evaluate its contribution...

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Bibliographic Details
Published in:Lupus science & medicine 2015-08, Vol.2 (1), p.e000110-e000110
Main Authors: Vina, Ernest R, Hausmann, Leslie R M, Utset, Tammy O, Masi, Christopher M, Liang, Kimberly P, Kwoh, C Kent
Format: Article
Language:English
Subjects:
Epidemiology and Outcomes
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Summary:BackgroundRacial disparities in the clinical outcomes of systemic lupus erythematosus (SLE) exist. Perceived racial discrimination may contribute to disparities in health.ObjectivesTo determine if perceived racism in healthcare differs by race among patients with SLE and to evaluate its contribution to racial disparities in SLE-related outcomes.Methods163 African–American (AA) and 180 white (WH) patients with SLE were enrolled. Structured interviews and chart reviews were done to determine perceptions of racism, SLE-related outcomes (Systemic Lupus International Collaborating Clinics (SLICC) Damage Index, SLE Disease Activity, Center for Epidemiologic Studies-Depression (CES-D)), and other variables that may affect perceptions of racism. Serial hierarchical multivariable logistic regression models were conducted. Race-stratified analyses were also performed.Results56.0% of AA patients compared with 32.8% of WH patients had high perceptions of discrimination in healthcare (p
ISSN:2053-8790
2053-8790
DOI:10.1136/lupus-2015-000110