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

Lupus Science & Medicine
Ernest R VinaC K Kwoh

Abstract

Racial disparities in the clinical outcomes of systemic lupus erythematosus (SLE) exist. Perceived racial discrimination may contribute to disparities in health. To 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. 163 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. 56.0% of AA patients compared with 32.8% of WH patients had high perceptions of discrimination in healthcare (p<0.001). This difference remained (OR 4.75 (95% CI 2.41 to 8.68)) after adjustment for background, identity and healthcare experiences. Female gender (p=0.012) and lower trust in physicians (p<0.001) were also associated with high perceived racism. The odds of having greater disease damage...Continue Reading

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Citations

Jul 26, 2019·Behavioral Medicine·Wizdom PowellGiselle Corbie-Smith
Feb 3, 2020·Journal of Clinical Psychology in Medical Settings·Mickeal PughJoseph Tan
Aug 10, 2018·Journal of General Internal Medicine·Héctor E Alcalá, Daniel M Cook
Apr 2, 2020·Journal of Health Psychology·Evelyn A HunterDavid H Chae
Jul 16, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Rodman E TurpinJessica N Fish

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