The Effect of Travel Burden on Depression and Anxiety in African American Women Living with Systemic Lupus

The United States has a deficit of rheumatology specialists. This leads to an increased burden in accessing care for patients requiring specialized care. Given that most rheumatologists are located in urban centers at large hospitals, many lupus patients must travel long distances for routine appoin...

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Autores principales:	Ashley A. White, Brittany L. Smalls, Aissatou Ba, Trevor D. Faith, Viswanathan Ramakrishnan, Hetlena Johnson, Jillian Rose, Clara L. Dismuke-Greer, Jim C. Oates, Leonard E. Egede, Edith M. Williams
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	systemic lupus erythematosus (SLE) PHQ-8 GAD-8 anxiety depression Medicine R
Acceso en línea:	https://doaj.org/article/26a35a71eae348168fc10c44a5b0aa69
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spelling	oai:doaj.org-article:26a35a71eae348168fc10c44a5b0aa692021-11-25T17:45:15ZThe Effect of Travel Burden on Depression and Anxiety in African American Women Living with Systemic Lupus10.3390/healthcare91115072227-9032https://doaj.org/article/26a35a71eae348168fc10c44a5b0aa692021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1507https://doaj.org/toc/2227-9032The United States has a deficit of rheumatology specialists. This leads to an increased burden in accessing care for patients requiring specialized care. Given that most rheumatologists are located in urban centers at large hospitals, many lupus patients must travel long distances for routine appointments. The present work aims to determine whether travel burden is associated with increased levels of depression and anxiety among these patients. Data for this study were collected from baseline visits of patients participating in a lupus study at MUSC. A travel/economic burden survey was assessed as well as the 8-item Patient Health Questionnaire (PHQ-8) and the 7-item Generalized Anxiety Disorder (GAD-7) survey as measures of depression and anxiety, respectively. Linear regression models were used to assess the relationship between travel burden and depression and anxiety. Frequency of healthcare visits was significantly associated with increased depression (β = 1.3, <i>p</i> = 0.02). Significant relationships were identified between anxiety and requiring time off from work for healthcare appointments (β = 4, <i>p</i> = 0.02), and anxiety and perceived difficulty in traveling to primary care providers (β = 3.1, <i>p</i> = 0.04). Results from this study provide evidence that travel burden can have an effect on lupus patients’ anxiety and depression levels.Ashley A. WhiteBrittany L. SmallsAissatou BaTrevor D. FaithViswanathan RamakrishnanHetlena JohnsonJillian RoseClara L. Dismuke-GreerJim C. OatesLeonard E. EgedeEdith M. WilliamsMDPI AGarticlesystemic lupus erythematosus (SLE)PHQ-8GAD-8anxietydepressionMedicineRENHealthcare, Vol 9, Iss 1507, p 1507 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	systemic lupus erythematosus (SLE) PHQ-8 GAD-8 anxiety depression Medicine R
spellingShingle	systemic lupus erythematosus (SLE) PHQ-8 GAD-8 anxiety depression Medicine R Ashley A. White Brittany L. Smalls Aissatou Ba Trevor D. Faith Viswanathan Ramakrishnan Hetlena Johnson Jillian Rose Clara L. Dismuke-Greer Jim C. Oates Leonard E. Egede Edith M. Williams The Effect of Travel Burden on Depression and Anxiety in African American Women Living with Systemic Lupus
description	The United States has a deficit of rheumatology specialists. This leads to an increased burden in accessing care for patients requiring specialized care. Given that most rheumatologists are located in urban centers at large hospitals, many lupus patients must travel long distances for routine appointments. The present work aims to determine whether travel burden is associated with increased levels of depression and anxiety among these patients. Data for this study were collected from baseline visits of patients participating in a lupus study at MUSC. A travel/economic burden survey was assessed as well as the 8-item Patient Health Questionnaire (PHQ-8) and the 7-item Generalized Anxiety Disorder (GAD-7) survey as measures of depression and anxiety, respectively. Linear regression models were used to assess the relationship between travel burden and depression and anxiety. Frequency of healthcare visits was significantly associated with increased depression (β = 1.3, <i>p</i> = 0.02). Significant relationships were identified between anxiety and requiring time off from work for healthcare appointments (β = 4, <i>p</i> = 0.02), and anxiety and perceived difficulty in traveling to primary care providers (β = 3.1, <i>p</i> = 0.04). Results from this study provide evidence that travel burden can have an effect on lupus patients’ anxiety and depression levels.
format	article
author	Ashley A. White Brittany L. Smalls Aissatou Ba Trevor D. Faith Viswanathan Ramakrishnan Hetlena Johnson Jillian Rose Clara L. Dismuke-Greer Jim C. Oates Leonard E. Egede Edith M. Williams
author_facet	Ashley A. White Brittany L. Smalls Aissatou Ba Trevor D. Faith Viswanathan Ramakrishnan Hetlena Johnson Jillian Rose Clara L. Dismuke-Greer Jim C. Oates Leonard E. Egede Edith M. Williams
author_sort	Ashley A. White
title	The Effect of Travel Burden on Depression and Anxiety in African American Women Living with Systemic Lupus
title_short	The Effect of Travel Burden on Depression and Anxiety in African American Women Living with Systemic Lupus
title_full	The Effect of Travel Burden on Depression and Anxiety in African American Women Living with Systemic Lupus
title_fullStr	The Effect of Travel Burden on Depression and Anxiety in African American Women Living with Systemic Lupus
title_full_unstemmed	The Effect of Travel Burden on Depression and Anxiety in African American Women Living with Systemic Lupus
title_sort	effect of travel burden on depression and anxiety in african american women living with systemic lupus
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/26a35a71eae348168fc10c44a5b0aa69
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The Effect of Travel Burden on Depression and Anxiety in African American Women Living with Systemic Lupus

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