The Impact of Everyday Discrimination on Systemic Lupus Erythematous Disease Activity and Mental Health Outcomes

K.R.K. Benson, MD, Department of Medicine, University of California San Francisco, San Francisco, California, USA.
A. Becerril, MD, Department of Medicine, University of California San Francisco, San Francisco, California, USA.
J. Park, ScM, Division of Rheumatology, University of California San Francisco, San Francisco, California, USA.
L. Plantinga, PhD, Division of Rheumatology, University of California San Francisco, San Francisco, California, USA.
J. Yazdany, MD, MPH, Division of Rheumatology, University of California San Francisco, San Francisco, California, USA.
M. Dall'Era, MD, Division of Rheumatology, University of California San Francisco, San Francisco, California, USA.
P.P. Katz, PhD, Division of Rheumatology, University of California San Francisco, San Francisco, California, USA.

Contributions: KRKB: conceptualization, methodology, project administration, writing original draft, and writing review and editing; AB: conceptualization, writing original draft, and writing review and editing; JP: data curation, formal analysis, methodology, and writing review and editing; LP: formal analysis, methodology, and writing review and editing; JY: conceptualization, methodology, funding acquisition, project administration, supervision, and writing review and editing; MD: conceptualization and writing review and editing, PPK: conceptualization, formal analysis, methodology, funding acquisition, project administration, supervision, writing original draft, and writing review and editing.
Funding: California Lupus Epidemiology Study (CLUES) is supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) under Grant number U01DP06701 as part of a financial assistance award totaling $4,400,000, with 100 percent funded by CDC/HHS; and by CDC grant U48DP006374.
Disclaimer: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the CDC.
Competing Interests: Authors have no conflicts of interests to disclose.
Statement of ethics and patient consent: All participants provided informed consent for inclusion in this study. Study procedures were reviewed and approved by UCSF Institutional Review Board (approval number 14-14429).

Corresponding Author: Patricia P. Katz, PhD, Professor of Medicine and Health Policy, University of California San Francisco, Rheumatology, Box 1275, 2540 23rd Street, Room 4511, San Francisco, CA 94143-1275. patti.katz{at}ucsf.edu