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Poverty, neighborhoods, persistent stress, and systemic lupus erythematosus outcomes: A qualitative study of the patients' perspective

Arthritis Care & Research Feb 08, 2019

Yelin E, et al. - From 2003 to 2015, researchers analyzed 723 candidates to describe the perspective of people with systemic lupus erythematosus (SLE) concerning the role of poverty, neighborhood, and chronic stress in SLE outcomes. They found that impoverished individuals more often had to contend with food, medical care, and house uncertainty on a daily basis and, therefore, relegate management of SLE to disease flares only. Participants with greater economic security reported that neighborhood did not help or hinder dealing with SLE, because they relied on networks not tied to neighborhoods to deal with SLE. In addition, exposure to crime in neighborhood acted as stress determinant that prompted worse disease activity.

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