Socioeconomic status and organ damage in Mexican systemic lupus erythematosus women

The objective of this cross-sectional study was to determine relationships between socioeconomic status and organ damage in Mexican systemic lupus erythematosus (SLE) patients. Demographic and clinical variables were assessed. Socioeconomic status was evaluated using the Graffar method and monthly h...

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Veröffentlicht in:Lupus 2015-10, Vol.24 (11), p.1227-1232
Hauptverfasser: Mendoza-Pinto, C, Méndez-Martínez, S, Soto-Santillán, P, Galindo Herrera, J, Pérez-Contreras, I, Macías-Díaz, S, Taboada-Cole, A, García-Carrasco, M
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container_end_page 1232
container_issue 11
container_start_page 1227
container_title Lupus
container_volume 24
creator Mendoza-Pinto, C
Méndez-Martínez, S
Soto-Santillán, P
Galindo Herrera, J
Pérez-Contreras, I
Macías-Díaz, S
Taboada-Cole, A
García-Carrasco, M
description The objective of this cross-sectional study was to determine relationships between socioeconomic status and organ damage in Mexican systemic lupus erythematosus (SLE) patients. Demographic and clinical variables were assessed. Socioeconomic status was evaluated using the Graffar method and monthly household income. Lupus activity and organ damage were measured using the SLE disease activity scale, validated for the Mexican population (Mex-SLEDAI), and the Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) scale. The 143 Mexican female SLE patients included (mean age 40.1 ± 8.9 years, mean disease duration 8.9 ± 6.3 years) had a mean monthly household income of $ 407.2 ± 326.5. According to the Graffar index, 18.9%, 52.5%, and 28.7% had high/medium-high, medium, and medium-low/low socioeconomic status, respectively. Organ damage was observed in 61 patients (42.7%). Patients with organ damage had lower monthly household incomes ($241.4 ± 152.4 vs. $354.8 ± 288.3) and were more frequently unemployed (57.3% vs. 35.3%; p = 0.01) than those without. Low monthly income was not associated with lupus activity or self-reported health status. In the adjusted multivariate analysis, low monthly income ( 
doi_str_mv 10.1177/0961203315591621
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Demographic and clinical variables were assessed. Socioeconomic status was evaluated using the Graffar method and monthly household income. Lupus activity and organ damage were measured using the SLE disease activity scale, validated for the Mexican population (Mex-SLEDAI), and the Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) scale. The 143 Mexican female SLE patients included (mean age 40.1 ± 8.9 years, mean disease duration 8.9 ± 6.3 years) had a mean monthly household income of $ 407.2 ± 326.5. According to the Graffar index, 18.9%, 52.5%, and 28.7% had high/medium-high, medium, and medium-low/low socioeconomic status, respectively. Organ damage was observed in 61 patients (42.7%). Patients with organ damage had lower monthly household incomes ($241.4 ± 152.4 vs. $354.8 ± 288.3) and were more frequently unemployed (57.3% vs. 35.3%; p = 0.01) than those without. Low monthly income was not associated with lupus activity or self-reported health status. In the adjusted multivariate analysis, low monthly income ( &lt; $300) was associated with organ damage. In conclusion, low income may be associated with organ damage in Mexican SLE patients.</description><identifier>ISSN: 0961-2033</identifier><identifier>EISSN: 1477-0962</identifier><identifier>DOI: 10.1177/0961203315591621</identifier><identifier>PMID: 26085596</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Cross-Sectional Studies ; Disease ; Ethnicity ; Family income ; Female ; Health Status ; Hospitals ; Humans ; Immunology ; Lupus ; Lupus Erythematosus, Discoid - economics ; Lupus Erythematosus, Discoid - pathology ; Lupus Erythematosus, Systemic - economics ; Lupus Erythematosus, Systemic - pathology ; Mexico ; Middle Aged ; Mortality ; Multiple Organ Failure - economics ; Multiple Organ Failure - pathology ; Multivariate Analysis ; Population ; Questionnaires ; Rheumatology ; Severity of Illness Index ; Social Class ; Socioeconomic factors ; Women's Health ; Womens health</subject><ispartof>Lupus, 2015-10, Vol.24 (11), p.1227-1232</ispartof><rights>The Author(s) 2015</rights><rights>The Author(s) 2015.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-eb08b72bc63e68cc7280898b85d6e75802527fd30d133763988cb8946dbefac13</citedby><cites>FETCH-LOGICAL-c365t-eb08b72bc63e68cc7280898b85d6e75802527fd30d133763988cb8946dbefac13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0961203315591621$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0961203315591621$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26085596$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mendoza-Pinto, C</creatorcontrib><creatorcontrib>Méndez-Martínez, S</creatorcontrib><creatorcontrib>Soto-Santillán, P</creatorcontrib><creatorcontrib>Galindo Herrera, J</creatorcontrib><creatorcontrib>Pérez-Contreras, I</creatorcontrib><creatorcontrib>Macías-Díaz, S</creatorcontrib><creatorcontrib>Taboada-Cole, A</creatorcontrib><creatorcontrib>García-Carrasco, M</creatorcontrib><title>Socioeconomic status and organ damage in Mexican systemic lupus erythematosus women</title><title>Lupus</title><addtitle>Lupus</addtitle><description>The objective of this cross-sectional study was to determine relationships between socioeconomic status and organ damage in Mexican systemic lupus erythematosus (SLE) patients. Demographic and clinical variables were assessed. Socioeconomic status was evaluated using the Graffar method and monthly household income. Lupus activity and organ damage were measured using the SLE disease activity scale, validated for the Mexican population (Mex-SLEDAI), and the Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) scale. The 143 Mexican female SLE patients included (mean age 40.1 ± 8.9 years, mean disease duration 8.9 ± 6.3 years) had a mean monthly household income of $ 407.2 ± 326.5. According to the Graffar index, 18.9%, 52.5%, and 28.7% had high/medium-high, medium, and medium-low/low socioeconomic status, respectively. Organ damage was observed in 61 patients (42.7%). Patients with organ damage had lower monthly household incomes ($241.4 ± 152.4 vs. $354.8 ± 288.3) and were more frequently unemployed (57.3% vs. 35.3%; p = 0.01) than those without. Low monthly income was not associated with lupus activity or self-reported health status. In the adjusted multivariate analysis, low monthly income ( &lt; $300) was associated with organ damage. 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Demographic and clinical variables were assessed. Socioeconomic status was evaluated using the Graffar method and monthly household income. Lupus activity and organ damage were measured using the SLE disease activity scale, validated for the Mexican population (Mex-SLEDAI), and the Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) scale. The 143 Mexican female SLE patients included (mean age 40.1 ± 8.9 years, mean disease duration 8.9 ± 6.3 years) had a mean monthly household income of $ 407.2 ± 326.5. According to the Graffar index, 18.9%, 52.5%, and 28.7% had high/medium-high, medium, and medium-low/low socioeconomic status, respectively. Organ damage was observed in 61 patients (42.7%). Patients with organ damage had lower monthly household incomes ($241.4 ± 152.4 vs. $354.8 ± 288.3) and were more frequently unemployed (57.3% vs. 35.3%; p = 0.01) than those without. Low monthly income was not associated with lupus activity or self-reported health status. In the adjusted multivariate analysis, low monthly income ( &lt; $300) was associated with organ damage. In conclusion, low income may be associated with organ damage in Mexican SLE patients.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>26085596</pmid><doi>10.1177/0961203315591621</doi><tpages>6</tpages></addata></record>
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subjects Adult
Cross-Sectional Studies
Disease
Ethnicity
Family income
Female
Health Status
Hospitals
Humans
Immunology
Lupus
Lupus Erythematosus, Discoid - economics
Lupus Erythematosus, Discoid - pathology
Lupus Erythematosus, Systemic - economics
Lupus Erythematosus, Systemic - pathology
Mexico
Middle Aged
Mortality
Multiple Organ Failure - economics
Multiple Organ Failure - pathology
Multivariate Analysis
Population
Questionnaires
Rheumatology
Severity of Illness Index
Social Class
Socioeconomic factors
Women's Health
Womens health
title Socioeconomic status and organ damage in Mexican systemic lupus erythematosus women
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