Document Detail


Education, zip code-based annualized household income, and health outcomes in patients with systemic lupus erythematosus.
MedLine Citation:
PMID:  20360192     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the association of socioeconomic status [SES; education and zip code-based annual household income (Z-AHI)] and ethnicity with health-related quality of life (HRQOL) among patients with systemic lupus erythematosus (SLE). METHODS: Data on 211 subjects from a cross-sectional study (LupusPRO) using the Medical Outcomes Study Short Form-36 questionnaire to evaluate physical health scores (PCS) and mental health scores were used to obtain education and zip code. The 2000 US Census was used to obtain each zip code's median annual household income. RESULTS: Education and Z-AHI correlated with PCS (education standardized beta = 0.17, 95% CI 0.47, 3.65, p = 0.01, r(2) = 0.03; Z-AHI standardized beta = 0.15, 95% CI 0.57, 8.30, p = 0.02, r(2) = 0.02) on regression analysis. Z-AHI was linked to PCS, independent of education. Ethnicity was associated with PCS through disease activity and SES. CONCLUSION: SES is associated with HRQOL in SLE. Z-AHI and education are equally predictive surrogates of SES; however, Z-AHI, independent of education, was predictive of HRQOL. Z-AHI has less subject bias and is easily obtainable, therefore its use for future HRQOL studies is suggested.
Authors:
Meenakshi Jolly; Rachel A Mikolaitis; Najia Shakoor; Louis F Fogg; Joel A Block
Publication Detail:
Type:  Journal Article     Date:  2010-04-01
Journal Detail:
Title:  The Journal of rheumatology     Volume:  37     ISSN:  0315-162X     ISO Abbreviation:  J. Rheumatol.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-02     Completed Date:  2010-07-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501984     Medline TA:  J Rheumatol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  1150-7     Citation Subset:  IM    
Affiliation:
Rush Lupus Clinic, Rush University Medical Center, 1725 West Harrison Street, Suite 1017, Chicago, IL 60612, USA. Meenakshi_Jolly@rush.ed
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MeSH Terms
Descriptor/Qualifier:
Adult
Demography*
Educational Status
Female
Health Status*
Humans
Income / statistics & numerical data*
Lupus Erythematosus, Systemic / epidemiology*,  physiopathology,  psychology
Male
Quality of Life*
Severity of Illness Index
Sickness Impact Profile
Social Environment
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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