Discrimination and cumulative disease damage among African American women with systemic lupus erythematosus

D.H. Chae, C.M. Drenkard, T.T. Lewis and S.S. Lim

American Journal of Public Health, 2015, vol. 105, issue 10, 2099-2107

Abstract: Objectives. We examined associations between unfair treatment, attributions of unfair treatment to racial discrimination, and cumulative disease damage among African American women with systemic lupus erythematosus (SLE). Methods. We used multivariable regression models to examine SLE damage among 578 African American women in metropolitan Atlanta, Georgia, recruited to the Georgians Organized Against Lupus cohort. Results. When we controlled for demographic, socioeconomic, and healthrelated covariates, reporting any unfair treatment was associated with greater SLE damage compared with reporting no unfair treatment (b = 0.55; 95% confidence interval = 0.14, 0.97). In general, unfair treatment attributed to nonracial factors was more strongly associated with SLE damage than was unfair treatment attributed to racial discrimination, although the difference was not statistically significant. Conclusions. Unfair treatment may contribute to worse disease outcomes among African American women with SLE. Unfair treatment attributed to nonracial causes may have a more pronounced negative effect on SLE damage. Future research may further examine possible differences in the effect of unfair treatment by attribution.

Keywords: adult; African American; aged; ethnology; female; Georgia; human; middle aged; prejudice; psychology; questionnaire; register; risk factor; systemic lupus erythematosus, Adult; African Americans; Aged; Female; Georgia; Humans; Lupus Erythematosus, Systemic; Middle Aged; Prejudice; Registries; Risk Factors; Surveys and Questionnaires (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302727_0

DOI: 10.2105/AJPH.2015.302727

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