Sarcoidosis: social predictors of severity at presentation
| Autor: | David L. Rabin, X. Huang, M.A. Judson, D.T. Lackland, Henry Yeager, B. Thompson, J. Steimel, C. Rose, G.L. Knatterud, K.M. Brown |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Systemic disease Pediatrics medicine.medical_specialty Sarcoidosis macromolecular substances Disease Severity of Illness Index Health Services Accessibility Pulmonary function testing Severity of illness medicine Humans Prospective Studies Prospective cohort study Socioeconomic status Demography business.industry Racial Groups Case-control study Middle Aged medicine.disease Socioeconomic Factors Case-Control Studies District of Columbia Female business |
| Zdroj: | European Respiratory Journal. 24:601-608 |
| ISSN: | 1399-3003 0903-1936 |
| DOI: | 10.1183/09031936.04.00070503 |
| Popis: | To determine relationships among social predictors and sarcoidosis severity at presentation, demographic characteristics, socioeconomic status, and barriers to care, A Case-Control Etiologic Study of Sarcoidosis (ACCESS) was set up. Patients self-reported themselves to be Black or White and were tissue-confirmed incident cases aged > or =l8-yrs-old (n=696) who had received uniform assessment procedures within one of 10 medical centres and were studied using standardised questionnaires and physical, radiographical, and pulmonary function tests. Severity was measured by objective disease indicators, subjective measures of dyspnoea and short form-36 subindices. The results of the study showed that lower income, the absence of private or Medicare health insurance, and other barriers to care were associated with sarcoidosis severity at presentation, as were race, sex, and age. Blacks were more likely to have severe disease by objective measures, while women were more likely than males to report subjective measures of severity. Older individuals were more likely to have severe disease by both measures. In conclusion, it was found that low income and other financial barriers to care are significantly associated with sarcoidosis severity at presentation even after adjusting for demographic characteristics of race, sex, and age. |
| Databáze: | OpenAIRE |
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