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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

Author

Listed:
  • Housey, M.
  • De Guire, P.
  • Lyon-Callo, S.
  • Wang, L.
  • Marder, W.
  • McCune, W.J.
  • Helmick, C.G.
  • Gordon, C.
  • Dhar, J.P.
  • Leisen, J.
  • Somers, E.C.

Abstract

Objectives: We assessed the burden of systemic lupus erythematosus (SLE) among Arab and Chaldean Americans residing in southeast Michigan. Methods: For those meeting SLE criteria from the Michigan Lupus Epidemiology and Surveillance Registry, we determined Arab or Chaldean ethnicity by links with demographic data from birth certificates and with a database of Arab and Chaldean names. We compared prevalence and incidence of SLE for Arab and Chaldean Americans with estimates for non-Arab and non-Chaldean American Whites and Blacks. Results: We classified 54 individuals with SLE as Arab and Chaldean Americans. The age-adjusted incidence and prevalence estimates for Arab and Chaldean Americans were 7.6 and 62.6 per 100 000, respectively. Arab and Chaldean Americans had a 2.1-fold excess SLE incidence compared with non-Arab and non-Chaldean American Whites. Arab and Chaldean American women had both significantly higher incidence rates (5.0-fold increase) and prevalence estimates (7.4-fold increase) than did Arab and Chaldean American men. Conclusions: 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.

Suggested Citation

  • Housey, M. & De Guire, P. & Lyon-Callo, S. & Wang, L. & Marder, W. & McCune, W.J. & Helmick, C.G. & Gordon, C. & Dhar, J.P. & Leisen, J. & Somers, E.C., 2015. "Incidence and prevalence of systemic lupus erythematosus among Arab and Chaldean Americans in Southeastern Michigan: The Michigan lupus epidemiology and surveillance program," American Journal of Public Health, American Public Health Association, vol. 105(5), pages 74-79.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302423_1
    DOI: 10.2105/AJPH.2014.302423
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