Choosing to End African American Health Disparities in Patients With Systemic Lupus Erythematosus
Rattachement africain : us, bb, kr, Afrique du Sud. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Systemic lupus erythematosus (SLE) is three times more common and its manifestations are more severe in African American women compared to women of other races. It is not clear whether this is due to genetic differences or factors related to the physical or social environments, differences in health care, or a combination of these factors. Health disparities in patients with SLE between African American patients and persons of other races have been reported since the 1960s and are correlated with measures of lower socioeconomic status. Risk factors for these disparities have been demonstrated, but whether their mitigation improves outcomes for African American patients has not been tested except in self-efficacy. In 2002, the first true US population-based study of patients with SLE with death certificate records was conducted, which demonstrated a wide disparity between the number of African American women and White women dying from SLE. Five years ago, another study showed that SLE mortality rates in the United States had improved but that the African American patient mortality disparity persisted. Between 2014 and 2021, one study demonstrated racism's deleterious effects in patients with SLE. Racism may have been the unmeasured confounder, the proverbial "elephant in the room"-unnamed and unstudied. The etymology of "risk factor" has evolved from environmental risk factors to social determinants to now include structural injustice/structural racism. Racism in the United States has a centuries-long existence and is deeply ingrained in US society, making its detection and resolution difficult. However, racism being man made means Man can choose to change the it. Health disparities in patients with SLE should be addressed by viewing health care as a basic human right. We offer a conceptual framework and goals for both individual and national actions.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Choosing to End African American Health Disparities in Patients With Systemic Lupus Erythematosus
- Date Crossref
- 19/05/2024
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Brigham and Women's Hospital and Immunity pays non établi dans la noticeÉtablissement de santé
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VA Boston Healthcare System pays non établi dans la noticeÉtablissement de santé
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University of the West Indies pays non établi dans la noticeUniversité ou école supérieure
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Allegheny General Hospital pays non établi dans la noticeÉtablissement de santé
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Korea Research Institute of Bioscience and Biotechnology pays non établi dans la noticeStructure de recherche
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Chris Hani Baragwanath Hospital Afrique du Sud (code pays fourni par la source)Établissement de santé
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and Harvard T. H. Chan School of Public Health Boston Massachusetts Brigham and Women's Hospital pays non établi dans la noticeUniversité ou école supérieure
and Immunity — Brigham and Women's Hospital, VA Boston Healthcare System et University of Massachusetts Amherst, avec 9 autres affiliations. Pays d’affiliation : Afrique du Sud.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.