Addressing health disparities as a function of ethnicity in systemic lupus erythematosus patients

Author:

González Luis A1ORCID,Ugarte-Gil Manuel F23ORCID,Pons-Estel Guillermo J4ORCID,Durán-Barragán Sergio56,Toloza Sergio7,Burgos Paula I8,Bertoli Ana9,Borgia R Ezequiel1011,Alarcón Graciela S1213ORCID

Affiliation:

1. Division of Rheumatology, Department of Internal Medicine, School of Medicine, Universidad de Antioquia, Medellin, Antioquia, Colombia.

2. Rheumatology, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Perú

3. Grupo Peruano de Estudio de Enfermedades Autoimmunes Sistémicas. Universidad Científica Del Sur, Lima, Perú

4. Grupo Oroño - Centro Regional de Enfermedades Autoinmunes y Reumáticas (GO-CREAR), Rosario, Argentina

5. Clínica de Investigación en Reumatología y Obesidad S.C, Guadalajara, Jalisco, México

6. Instituto de Investigación en Reumatología y Del Sistema Musculoesquelético, Departamento de Clínicas Médicas, Universidad de Guadalajara, Guadalajara, Jalisco, México

7. Department of Medicine, Rheumatology Unit, Hospital San Juan Bautista, San Fernando del Valle de Catamarca, Catamarca, Argentina

8. Department of Clinical Immunology and Rheumatology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile

9. Sevicio de Reumatología, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Argentina

10. Department of Pediatrics, Division of Allergy, Immunology and Rheumatology, College of Medicine, University of Florida, Gainesville, FL, USA

11. Department of Health Outcomes and Biomedical Informatics, College of Medicine University of Florida, Gainesville, FL, USA

12. Division of Clinical Immunology and Rheumatology, Department of Medicine, The University of Alabama at Birmingham, Heersink School of Medicine, Birmingham, AL, USA

13. Department of Medicine, School of Medicine, Universidad Peruana Cayetano, Heredia, Lima, Perú

Abstract

Systemic lupus erythematosus (SLE) is an autoimmune disorder with significant health disparities, as it disproportionately and more severely affects vulnerable and disadvantaged population groups in the United States and around the world, that is, women, ethnic minorities, individuals living in poverty, less educated, and lacking medical insurance. Both, genetic and non-genetic factors, contribute to these disparities. To overcome these health disparities and reduce poor outcomes among disadvantaged SLE populations, interventions on non-genetic amendable factors, especially on social health determinants, are necessary.

Publisher

SAGE Publications

Subject

Rheumatology

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