TY - JOUR
T1 - An ecological approach to understanding and addressing health inequities of systemic lupus erythematosus
AU - Reid, Mallet R.
AU - Danguecan, Ashley N.
AU - Colindres, Isabella
AU - Witherspoon, Denasja
AU - Rubinstein, Tamar B.
AU - Drenkard, Cristina
AU - Knight, Andrea M.
AU - Cunningham, Natoshia R.
N1 - Publisher Copyright:
© The Author(s) 2023.
PY - 2023/4
Y1 - 2023/4
N2 - Systemic Lupus Erythematosus (SLE) is a complex chronic autoimmune disease disproportionally afflicting women and, in particular, American Indian/Alaska Native, Black, and Hispanic women. These groups of women have significantly worse SLE-related health outcomes which are partially attributable to their exposure to marginalizing and interconnecting social issues like racism, sexism, economic inequality, and more. Although these groups of women have higher rates of SLE and though it is well known that they are at risk of exposure to marginalizing social phenomena, relatively little SLE literature explicitly links and addresses the relationship between marginalizing social issues and poor SLE-health outcomes among these women. Therefore, we developed a community-engaged partnership with two childhood-SLE diagnosed women of color to identify their perspectives on which systemic issues impacted on their SLE health-related outcomes. Afterward, we used Cochrane guidelines to conduct a rapid review associated with these identified issues and original SLE research. Then, we adapted an ecological model to illustrate the connection between systems issues and SLE health outcomes. Finally, we provided recommendations for ways to research and clinically mitigate SLE health inequities.
AB - Systemic Lupus Erythematosus (SLE) is a complex chronic autoimmune disease disproportionally afflicting women and, in particular, American Indian/Alaska Native, Black, and Hispanic women. These groups of women have significantly worse SLE-related health outcomes which are partially attributable to their exposure to marginalizing and interconnecting social issues like racism, sexism, economic inequality, and more. Although these groups of women have higher rates of SLE and though it is well known that they are at risk of exposure to marginalizing social phenomena, relatively little SLE literature explicitly links and addresses the relationship between marginalizing social issues and poor SLE-health outcomes among these women. Therefore, we developed a community-engaged partnership with two childhood-SLE diagnosed women of color to identify their perspectives on which systemic issues impacted on their SLE health-related outcomes. Afterward, we used Cochrane guidelines to conduct a rapid review associated with these identified issues and original SLE research. Then, we adapted an ecological model to illustrate the connection between systems issues and SLE health outcomes. Finally, we provided recommendations for ways to research and clinically mitigate SLE health inequities.
KW - Systemic lupus erythematous
KW - community engagement
KW - ecological
KW - health inequities
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U2 - 10.1177/09612033231164637
DO - 10.1177/09612033231164637
M3 - Review article
C2 - 36922154
AN - SCOPUS:85150985306
SN - 0961-2033
VL - 32
SP - 612
EP - 624
JO - Lupus
JF - Lupus
IS - 5
ER -