Trupin L et al. - Individual socioeconomic status (SES) is associated with physical and mental health outcomes in persons with systemic lupus erythematosus (SLE). Low neighborhood SES contributes independently to high levels of depressive symptoms. Methods
Aim was to determine if neighborhood SES is independently related to physical and mental health outcomes in SLE
Data derived from the first 3 waves of the Lupus Outcomes Study, a telephone survey of 957 pts with confirmed SLE diagnoses, recruited from clinical and non-clinical sources
Residential addresses were geocoded to U.S. Census block groups
Outcome measures included the SLAQ score, a self-reported assessment of SLE symptoms; the Medical Outcomes Study SF-36 Health Survey physical functioning score; and CES-D score of ≥19 points
Multivariate analyses adjusted for race/ethnicity and other demographic and health-related covariates
Results
Lower individual SES, measured by education, household income, or poverty status, was associated with all outcomes
In models that did not include individual SES, low neighborhood SES was also associated with poor outcomes
After adjustment for individual SES, demographic, and health-related covariates, only CES-D ≥19 remained associated with neighborhood SES: 47% vs 35%
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