Lupus & antiphospholipid syndrome

Sociodemographic profiles and organ damage accural in the Black Women’s Experience Living with Lupus study

LupusPublished Prospective cohort study

Authors' conclusion

Black/African American women with fewer socioeconomic resources and uncontrolled SLE are at greatest risk for increasing disease severity over time.

Study context

Population
Black/African American women with systemic lupus erythematosus (SLE) living in Atlanta, GA, enrolled in the BeWELL Study (May 2015 to April 2017)
Participants
438 women
Exposure
Sociodemographic profiles vs Higher SES with Controlled SLE
Outcome
Timing and degree of new organ damage accrual
Follow-up
2 years
Methodological detailslatent profile analysis, proportional hazard and Poisson regression models
  • Latent profile analysis
  • Proportional hazard and Poisson regression models

Main finding

As reported in the abstract

New organ damage (proportional hazard models)
Each group vs higher SES with Controlled SLEHazard ratio (95% CI)
Older/Lower SES with Uncontrolled SLE
2.41(1.39–4.19)
Younger/Lower SES with Uncontrolled SLE
1.56(0.92–2.67)
Participants with new organ damage during follow-up
≈42%

Observational data: associations, not effects.

Further findings

OutcomeB (95% CI)
Degree of organ damage accrual (Poisson regression) · 2 yearsOlder/Lower SES with Uncontrolled SLE vs Higher SES with Controlled SLE · SE = 0.240.98 (0.52–1.44)
Degree of organ damage accrual (Poisson regression) · 2 yearsYounger/Lower SES with Uncontrolled SLE vs Higher SES with Controlled SLE · SE = 0.230.72 (0.27–1.17)

Original publication

Sociodemographic profiles and organ damage accural in the Black Women’s Experience Living with Lupus study. Lupus. Published 4 December 2023. doi:10.1177/09612033231218923

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