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

Ernest R. Vina, Leslie R M Hausmann, Tammy O. Utset, Christopher M. Masi, Kimberly P. Liang, Chian K Kwoh

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12 Scopus citations


Background: Racial disparities in the clinical outcomes of systemic lupus erythematosus (SLE) exist. Perceived racial discrimination may contribute to disparities in health. Objectives: To determine if perceived racism in healthcare differs by race among patients with SLE and to evaluate its contribution to racial disparities in SLErelated outcomes. Methods: 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. Results: 56.0% of AA patients compared with 32.8% of WH patients had high perceptions of discrimination in healthcare ( p

Original languageEnglish (US)
Article numbere000110
JournalLupus Science and Medicine
Issue number1
StatePublished - Jun 1 2015


ASJC Scopus subject areas

  • Medicine(all)
  • Immunology

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