Sarcoidosis severity and socioeconomic status

Rabin, David L.; Richardson, Marian; Stein, Susan; Yeager, Henry

doi:10.1183/09031936.01.00056201

Cited by 46 publications

(30 citation statements)

References 15 publications

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“…Furthermore, patients with private health insurance were more likely to report no limitations, while, at the same time, they more often indicated that they were limited in particular kinds of activity. With regard to social limitations, patients with private insurance were again more likely to report no limitations [60]. Thus, in general, patients with a high socioeconomic status reported a better health status.…”

Section: Health Status In Sarcoidosismentioning

confidence: 81%

Fatigue, quality of life and health status in sarcoidosis

Vries

2005

Sarcoidosis

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Section: Health Status In Sarcoidosismentioning

confidence: 81%

Fatigue, quality of life and health status in sarcoidosis

Vries

2005

Sarcoidosis

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“…It was observed that a lower SES and no or public insurance were associated with worse health status and more severe dyspnea. More advanced radiographic stage was associated with lower income, and forced vital capacity impairment with less education [55]. Patients who had incomes less than $20,000 a year were 3.5 times more likely to have Stage 3-4 disease than patients with an income greater than $50,000 a year.…”

Section: Sarcoidosismentioning

confidence: 84%

“…Studies analyzing sarcoidosis in relationship to SES have been outlines in Table 5. In the first study to look at disease severity in correlation with SES was Rabin et al [55]. It was observed that a lower SES and no or public insurance were associated with worse health status and more severe dyspnea.…”

Section: Sarcoidosismentioning

confidence: 99%

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Socioeconomic Status and Its Relationship to Chronic Respiratory Disease

Sahni

Talwar

Khanijo

et al. 2017

Advances in Respiratory Medicine

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Socioeconomic status (SES) is defined as an individual's social or economic standing, and is a measure of an individual's or family's social or economic position or rank in a social group. It is a composite of several measures including income, education, occupation, location of residence or housing. Studies have found a lower SES has been linked to disproportionate access to health care in many diseases. There is emerging data in pulmonary diseases such as COPD, asthma, cystic fibrosis, pulmonary hypertension and other chronic respiratory conditions that allude to a similar observation noted in other chronic diseases. In the setting of COPD, SES has an inverse relationship with COPD prevalence, mortality, health utilization costs and HRQoL. Asthma and cystic fibrosis show an increased severity and hospitalizations in relationship to a lower SES. Similar observations were seen in sarcoidosis, PHTN and obstructive sleep apnea. There remains a limited data on non-CF bronchiectasis and interstitial lung diseases. Population SES may be gauged by various measures such as education, occupation, marital status but no value is more indicative than income. Currently guidelines and management algorithms do not factor the effect of SES in the disease process. Despite the great amount of data available, a standardized method must be created to include SES in the prognostic calculations and management of chronic pulmonary diseases.

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“…Blacks are more likely to be of low SES and to be insured less well. Cross-sectional studies of ambulatory sarcoidosis patients showed education, income and/or public health insurance to be related to disease severity [4]. Among Black patients, municipal hospital ambulatory sarcoidosis patients had more severe illness than university hospital sarcoidosis patients [5].…”

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confidence: 99%

Sarcoidosis: social predictors of severity at presentation

et al. 2004

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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 ol8-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.

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Sarcoidosis severity and socioeconomic status

Cited by 46 publications

References 15 publications

Fatigue, quality of life and health status in sarcoidosis

Fatigue, quality of life and health status in sarcoidosis

Socioeconomic Status and Its Relationship to Chronic Respiratory Disease

Sarcoidosis: social predictors of severity at presentation

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