Disparities in Childhood-Onset Lupus

Rheum Dis Clin North Am. 2020 Nov;46(4):661-672. doi: 10.1016/j.rdc.2020.07.007. Epub 2020 Sep 9.

Abstract

Disparities in prevalence, disease severity, physical and mental morbidity, and mortality exist in childhood-onset systemic lupus (cSLE) that lead to worse outcomes in children with systemic lupus erythematosus from socially disadvantaged backgrounds. Important gaps exist in knowledge regarding many individual race/ethnicities across the globe, the interaction between race/ethnicity and poverty, and drivers for identified disparities. Large cSLE registries will facilitate investigating disparities in groups of patients that have yet to be identified. Social-ecological models can inform approaches to investigate, monitor, and address disparities in cSLE.

Keywords: Access; Disparities; Ethnicity; Geographic; Lupus; Pediatric; Race; Socioeconomic.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Age of Onset
  • Child
  • Health Status Disparities*
  • Humans
  • Lupus Erythematosus, Systemic* / epidemiology
  • Lupus Erythematosus, Systemic* / ethnology
  • Poverty
  • Racial Groups
  • Vulnerable Populations* / ethnology