hh.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
The Effect of Socioeconomic Class and Immigrant Status on Disease Activity in Rheumatoid Arthritis: Data from BARFOT, a Multi-Centre Study of Early RA
Research and Development Centre, Spenshult Rheumatology Hospital, Oskarström, Sweden.
Department of Rheumatology, IKVL, Lund University, Lund, Sweden & Research & Development Centre, Spenshult Rheumatology Hospital, Oskarström, Sweden.ORCID iD: 0000-0002-6294-538X
Karlskrona Central Hospital, Karlskrona, Sweden; Department of Rheumatology, IKVL, Lund University, Lund, Sweden & Research and Development Centre, Spenshult Rheumatology Hospital, Oskarström, Sweden.
2013 (English)In: Open Rheumatology Journal, ISSN 1874-3129, Vol. 7, 105-11 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: There have been no reports on the effect of immigrant status and socioeconomic status on outcome in rheumatoid arthritis (RA) in Sweden.

METHODS: Between 1992 and 2006, 2,800 patients were included in the BARFOT study on early RA in Sweden. Disease Activity Score 28 joints (DAS28), Health Assessment Questionnaire (HAQ), treatment and European League Against Rheumatism (EULAR) response criteria were registered. In 2010, 1,430 patients completed a questionnaire enquiring about demographics and lifestyle factors.

RESULTS: One hundred and thirty-nine of the 1,430 patients (9.7%) were immigrants. At baseline immigrants had higher mean HAQ (1.2 vs 0.97 for non-immigrants, p=0.001), DAS28 (5.6 vs 5.2, p=0.000), visual analog scale (VAS) pain (56 mm vs 45 mm, p=0.000), VAS global health (53 mm vs 44 mm, p=0.000) and tender joint count (TJC) (10 vs 8, p=0.000). These differences persisted for up to 2 years of follow-up (for HAQ, for up to 8 years of follow-up). Immigrant status did not have any effect on swollen joint count (SJC), ESR, CRP or EULAR response. Socioeconomic class did not have any effect on treatment or outcome.

CONCLUSIONS: Immigrants scored worse in pain, function and TJC for up to 2 years of follow-up, but they did not differ from non-immigrants in objective measures of inflammation or EULAR outcome. This could be due to different perceptions of health and pain and/or the stress of immigration. Socioeconomic class had no effect on treatment or outcome, and this could be due to the relatively egalitarian society in Sweden.

Place, publisher, year, edition, pages
Bussum: Bentham Open , 2013. Vol. 7, 105-11 p.
Keyword [en]
Rheumatoid arthritis, socioeconomic class, immigrants, epidemiology
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-25087DOI: 10.2174/1874312901307010105PubMedID: 24358069Scopus ID: 2-s2.0-84896861959OAI: oai:DiVA.org:hh-25087DiVA: diva2:712838
Available from: 2014-04-16 Created: 2014-04-16 Last updated: 2015-02-18Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedScopus

Search in DiVA

By author/editor
Bergman, Stefan
In the same journal
Open Rheumatology Journal
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 98 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf