Incidence and Prevalence of Systemic Lupus Erythematosus Among Arab and Chaldean Americans in Southeastern Michigan: The Michigan Lupus Epidemiology and Surveillance Program

Housey, Michelle; DeGuire, Peter; Lyon-Callo, Sarah; Wang, Lu; Marder, Wendy; McCune, W. Joseph; Helmick, Charles G.; Gordon, Caroline; Dhar, J. Patricia; Leisen, James; Somers, Emily C.

doi:10.2105/ajph.2014.302423

Cited by 32 publications

(21 citation statements)

References 16 publications

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“…While variation in these characteristics might have helped explain differences in disability outcomes relative to native-born Arabs, it would have done little to alter the fact that there was considerable variability among foreign-born Arabs in the first place. The strengths of this study, however, include the use of nationally representative data, which allow us to overcome bias associated with data based on Arab surnames (Bergmans et al, 2014, Housey et al, 2015). Further, we capitalize on the ability to disaggregate the foreign-born into immigrant arrival cohorts.…”

Section: Discussionmentioning

confidence: 99%

Disparities in functional disability among Arab Americans by nativity, immigrant arrival cohort, and country of birth

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Ajrouch

West

2019

SSM - Population Health

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This study contributes to a growing literature that documents the importance of arrival cohort and country of birth for differentiating the health of U.S. immigrants. We use nationally-representative data from nine years of the American Community Survey (2008–2016) to examine if an immigrant health advantage exists among Arab Americans ages 40+ (n = 49,867) and test if differences among the foreign-born vary by arrival cohort (pre-1991, 1991–2000, and 2001+). Results from multivariate logistic regression models find that foreign-born Arab Americans have higher odds of physical and self-care disability, and this varies by immigrant arrival cohort. The post-2001 cohort had the highest odds of both disabilities, while the earlier two cohorts did not differ from the native-born after adjustments for covariates. Compositional differences in birthplace, particularly the large influx of immigrants from Iraq in the most recent cohort, explained these differences. Political instabilities globally have contributed to a growing number of U.S. immigrants with vulnerabilities that might be overlooked when arrival cohorts are not considered.

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Section: Discussionmentioning

confidence: 99%

Disparities in functional disability among Arab Americans by nativity, immigrant arrival cohort, and country of birth

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Ajrouch

West

2019

SSM - Population Health

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“…Other than the recently published data from the Michigan Lupus Epidemiology and Surveillance Registry (8) which described a 2.1-fold higher incidence of SLE among Arab-Americans compared to non-Arab Caucasians and African Americans (8), little was known about the epidemiology of SLE among the Arab population worldwide or in the Middle East. Al Dhanhani et al (9) studied the incidence and prevalence of SLE in the United Arab Emirates.…”

Section: Lupus Worldwidementioning

confidence: 99%

Epidemiology of systemic lupus erythematosus: an update

Stojan

Petri²

2018

Current Opinion in Rheumatology

297

189

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“…There is reason to believe, however, that Arab Americans living in ethnic enclaves differ from those living outside of them [3]. Very few population-based studies [4–7] allow the examination of the potential bias that may occur when categorizing Arab Americans as non-Hispanic Whites in health studies outside of Michigan due to difficulties in identifying Arab Americans.…”

Section: Introductionmentioning

confidence: 99%

Differences in health behaviors and health outcomes among non-Hispanic Whites and Arab Americans in a population-based survey in California

2019

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Background Few population-based studies of Arab American health behaviors and outcomes exist outside of Michigan. We aimed to provide prevalence estimates of health behaviors and outcomes for Arab Americans and compare them to non-Hispanic Whites in California. Methods We used data from the 2003–2016 California Health Interview Surveys. We determined Arab American ethnicity using an algorithm that considered place of birth of the respondent or parent and use of Arabic language at home. Survey-weighted frequencies, chi-squared statistics, and logistic regression analyses were used to compare Arab Americans and non-Hispanic Whites on socioeconomic indicators, health behaviors and health outcomes. Multivariable models were adjusted for age, education level, and insurance status. Results Arab Americans had higher prevalence of no insurance, living below the federal poverty level, and home ownership than non-Hispanic Whites despite high levels of education and low unemployment prevalence. Arab Americans had reduced odds of alcohol consumption (OR: 0.33, 95% CI: 0.24, 0.45), binge drinking (OR: 0.28, 95% CI: 0.19, 0.40), and suicidal ideation (OR: 0.41, 0.25, 0.66) when compared to non-Hispanic Whites in multivariable models. Arab Americans had decreased odds of hypertension (OR: 0.64, 95% CI: 0.50, 0.83) and increased odds of diabetes (OR: 2.03, 95% CI: 1.23, 3.34) when compared to non-Hispanic Whites in multivariable models. Conclusions Arab Americans in California participate in less risky health behaviors and have better health outcomes than non-Hispanic Whites, except with regards to diabetes. Future work aiming to understand the health of Arab Americans should allow for self-identification and less reliance on country of origin and language use at home for sample selection.

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Incidence and Prevalence of Systemic Lupus Erythematosus Among Arab and Chaldean Americans in Southeastern Michigan: The Michigan Lupus Epidemiology and Surveillance Program

Abstract: Recognizing that Arab and Chaldean Americans experience different disease burdens from Whites is a first step toward earlier diagnosis and designing targeted interventions. Better methods of assigning ethnicity would improve research in this population.

Cited by 32 publications

References 16 publications

Disparities in functional disability among Arab Americans by nativity, immigrant arrival cohort, and country of birth

Disparities in functional disability among Arab Americans by nativity, immigrant arrival cohort, and country of birth

Epidemiology of systemic lupus erythematosus: an update

Differences in health behaviors and health outcomes among non-Hispanic Whites and Arab Americans in a population-based survey in California

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