Illness intrusiveness explains race-related quality-of-life differences among women with systemic lupus erythematosus

Lupus. 2000;9(7):534-41. doi: 10.1177/096120330000900710.

Abstract

Our objective was to investigate whether quality of life in systemic lupus erythematosus (SLE) differs across ethnoracial groups and to identify factors that may explain race-related differences. Self-administered questionnaire data from 335 White, 40 Black, and 30 Asian women with SLE were obtained from a multi-center database. Measures assessed illness intrusiveness, psychological well-being, depressive symptoms, musculoskeletal pain, and learned helplessness. Extent of SLE disease activity was indexed by self-reported functional-system involvement. Educational attainment was indicated by number of years in school. Principal-components analysis reduced the four psychosocial measures to a single factor score. This represented psychosocial well-being In path analysis. Psychosocial well-being differed significantly across the three groups, with Whites reporting the highest, and Blacks the lowest, levels. Path analysis indicated that illness intrusiveness accounted for this race-related difference. Although disease activity was significantly associated with psychosocial well-being, it did not differ across ethnoracial groups. Illness intrusiveness and educational attainment emerged as independent mediators of the race-related difference in psychosocial well-being. We conclude that race-related quality-of-life differences exist among women with SLE and are mediated independently by illness intrusiveness and educational attainment.

Publication types

  • Comparative Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Asia / ethnology
  • Attitude to Health*
  • Black People
  • Canada
  • Databases as Topic
  • Educational Status
  • Ethnicity
  • Female
  • Health Status Indicators
  • Health Status*
  • Helplessness, Learned
  • Humans
  • Longitudinal Studies
  • Lupus Erythematosus, Systemic / physiopathology
  • Lupus Erythematosus, Systemic / psychology*
  • Mental Health
  • Pain
  • Quality of Life*
  • Racial Groups*
  • Social Adjustment
  • White People