Lupus & antiphospholipid syndrome

Association of Ultraviolet B Radiation and Risk of Systemic Lupus Erythematosus Among Women in the Nurses’ Health Studies

Arthritis Care Res (Hoboken)Published Prospective cohort study

Main finding · Overall SLEResult — go to the resultHazard ratio 1.28 95% CI 0.96–1.70

Authors' conclusion

Cumulative UV exposure was not associated with SLE risk. Higher UV exposure, however, was associated with increased risk of malar rash at presentation.

Study context

Population
US female nurses in the Nurses' Health Study (enrolled 1976) and Nurses' Health Study (NHS) II (enrolled 1989), followed 1976 through 2014 (NHS)/2015 (NHS II)6,054,665 person-years
Exposure
Tertiles of time-varying cumulative average ambient ultraviolet (UV) exposure
Outcome
Incident systemic lupus erythematosus (SLE) by ACR classification criteria, confirmed by medical record review
Methodological detailstime-varying cumulative average UV exposure, Cox models, adjusted for confounders
  • Time-varying cumulative average UV exposure
  • Cox models
  • Adjusted for confounders

Main finding

Overall SLE

Hazard ratio

1.28

95% CI 0.96–1.70

Highest UV tertilevs Lowest UV tertile
HR 1.28 (95% CI 0.96–1.70)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Malar rash1.62 (1.04–2.52)

Original publication

Association of Ultraviolet B Radiation and Risk of Systemic Lupus Erythematosus Among Women in the Nurses’ Health Studies. Arthritis Care Res (Hoboken). Published 23 February 2023. doi:10.1002/acr.24974

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