Incidence and prevalence of systemic lupus erythematosus among Arab and Chaldean Americans in Southeastern Michigan: The Michigan lupus epidemiology and surveillance program

M. Housey, P. De Guire, S. Lyon-Callo, L. Wang, W. Marder, W.J. McCune, C.G. Helmick, C. Gordon, J.P. Dhar, J. Leisen and E.C. Somers

American Journal of Public Health, 2015, vol. 105, issue 5, e74-e79

Abstract: Objectives: We assessed the burden of systemic lupus erythematosus (SLE) among Arab and Chaldean Americans residing in southeast Michigan. Methods: For those meeting SLE criteria from the Michigan Lupus Epidemiology and Surveillance Registry, we determined Arab or Chaldean ethnicity by links with demographic data from birth certificates and with a database of Arab and Chaldean names. We compared prevalence and incidence of SLE for Arab and Chaldean Americans with estimates for non-Arab and non-Chaldean American Whites and Blacks. Results: We classified 54 individuals with SLE as Arab and Chaldean Americans. The age-adjusted incidence and prevalence estimates for Arab and Chaldean Americans were 7.6 and 62.6 per 100 000, respectively. Arab and Chaldean Americans had a 2.1-fold excess SLE incidence compared with non-Arab and non-Chaldean American Whites. Arab and Chaldean American women had both significantly higher incidence rates (5.0-fold increase) and prevalence estimates (7.4-fold increase) than did Arab and Chaldean American men. Conclusions: Recognizing that Arab and Chaldean Americans experience different disease burdens from Whites is a first step toward earlier diagnosis and designing targeted interventions. Better methods of assigning ethnicity would improve research in this population.

Keywords: adult; Arab; epidemiology; ethnology; female; health survey; human; incidence; male; Michigan; middle aged; prevalence; socioeconomics; systemic lupus erythematosus, Adult; Arabs; Female; Humans; Incidence; Lupus Erythematosus, Systemic; Male; Michigan; Middle Aged; Prevalence; Public Health Surveillance; Socioeconomic Factors (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302423_1

DOI: 10.2105/AJPH.2014.302423

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