{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:18:53Z","timestamp":1786976333585,"version":"build-2736575974"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR000130"],"award-info":[{"award-number":["UL1TR000130"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR001855"],"award-info":[{"award-number":["UL1TR001855"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Systemic lupus erythematosus (SLE) and inflammatory arthritis disproportionately affect reproductive\u2010age Hispanic women, who experience more severe disease and worse outcomes. Certain factors may contribute to disparities in reproductive health counseling. This survey\u2010based study examined the association between reproductive health counseling and contraceptive use, considering a variety of demographics and teratogenic medication use in a predominantly Hispanic population in urban Los Angeles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      An anonymous survey, based on the 2020 American College of Rheumatology Reproductive Health Guideline, was administered to 304 female patients of childbearing age with SLE, rheumatoid arthritis (RA), or juvenile idiopathic arthritis (JIA). Analyses included two\u2010sample\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, Pearson's chi\u2010square test, multivariable logistic regression, and Fisher's exact tests, with significance set at\n                      <jats:italic>P<\/jats:italic>\n                      \u22640.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 304 patients, English speakers were significantly more likely to receive contraception counseling than Spanish speakers (odds ratio [OR] 3.36; 95% confidence interval [CI] 1.52\u20137.40;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.01). Older age was associated with lower odds of receiving counseling (OR 0.95; 95% CI 0.91\u20130.98;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.01). Among those on teratogenic medications not desiring pregnancy, contraception counseling was linked to higher odds of using long\u2010acting reversible contraception (OR 5.12; 95% CI 1.26\u201320.71;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.02). Younger patients, those with SLE (vs RA or JIA), and English speakers had higher odds of perceiving their physician as knowledgeable about reproductive health (all\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Reproductive health counseling was inadequate for Spanish\u2010speaking and older patients. However, reproductive health counseling was positively associated with effective contraception use among patients on teratogenic medications. Clinicians should be aware of these disparities and the potential benefit of counseling to improve highly effective contraception use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acr.25677","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T13:27:43Z","timestamp":1761658063000},"page":"639-646","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Disparities and Reproductive Health in Rheumatic Diseases: Deficits in Counseling and Contraception Use in an Urban Female Hispanic Population in Los Angeles"],"prefix":"10.1002","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1459-7376","authenticated-orcid":false,"given":"Eaman","family":"Alhassan","sequence":"first","affiliation":[{"name":"Keck School of Medicine University of Southern California  Los Angeles"},{"name":"University of Pittsburgh Medical Center  Pittsburgh Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Kobashigawa","sequence":"additional","affiliation":[{"name":"Keck School of Medicine University of Southern California  Los Angeles"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Ramos","sequence":"additional","affiliation":[{"name":"University of Southern California  Los Angeles"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Rodman","sequence":"additional","affiliation":[{"name":"University of Southern California  Los Angeles"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6172-9474","authenticated-orcid":false,"given":"Leanna","family":"Wise","sequence":"additional","affiliation":[{"name":"Keck School of Medicine University of Southern California  Los Angeles"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,1]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-021-00332-8"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2023.152193"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22847"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.23263"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-013-2773-5"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.5114\/reum.2021.108356"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0000000000000638"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzl069"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-023-01587-5"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12958-021-00875-1"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24803"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1506575"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.09.027"},{"key":"e_1_2_7_15_1","unstructured":"New estimates highlight differences in growth between the U.S. Hispanic and non\u2010Hispanic populations. United States Census Bureau. June 27 2024. Accessed April 1 2025.https:\/\/www.census.gov\/newsroom\/press\u2010releases\/2024\/population\u2010estimates\u2010characteristics.html"},{"key":"e_1_2_7_16_1","unstructured":"FreyWH.Census shows America's post\u20102020 population is driven by diversity especially among the young. July24 2024. Accessed April 1 2025.https:\/\/www.brookings.edu\/articles\/census\u2010shows\u2010americas\u2010post\u20102020\u2010population\u2010is\u2010driven\u2010by\u2010diversity\u2010especially\u2010among\u2010the\u2010young\/?utm_campaign=Metro%20Update&utm_medium=email&utm_content=318370993&utm_source=hs_email"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.41191"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.14423\/SMJ.0000000000001680"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2006.00629.x"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077558705275416"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-017-3983-4"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.42756"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-023-06033-2"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13075-020-2139-9"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.23730"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1759720X221080375"},{"issue":"2","key":"e_1_2_7_27_1","first-page":"359","article-title":"Outcomes of prospectively followed pregnancies in rheumatoid arthritis: a multicenter study from Romania","volume":"13","author":"Bobirc\u0103 A","year":"2023","journal-title":"Life (Basel)"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-022-06436-0"},{"issue":"9","key":"e_1_2_7_29_1","article-title":"Rheum for improvement: contraception counseling and adherence in patients with lupus and rheumatoid arthritis on teratogenic medications [abstract]","volume":"76","author":"Kompa K","year":"2024","journal-title":"Arthritis Rheumatol"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24803"},{"issue":"9","key":"e_1_2_7_31_1","article-title":"Improving age disparities in contraceptive counseling in women with lupus: a quality improvement initiative","volume":"76","author":"Weisleder H","year":"2024","journal-title":"Arthritis Rheumatol"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/lupus-2022-000823"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-020-04679-1"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kez087"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2025.103742"}],"container-title":["Arthritis Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr.25677","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/acr.25677","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr.25677","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T06:16:25Z","timestamp":1777788985000},"score":1,"resource":{"primary":{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/10.1002\/acr.25677"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,1]]},"references-count":34,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/acr.25677"],"URL":"https:\/\/doi.org\/10.1002\/acr.25677","archive":["Portico"],"relation":{},"ISSN":["2151-464X","2151-4658"],"issn-type":[{"value":"2151-464X","type":"print"},{"value":"2151-4658","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,1]]},"assertion":[{"value":"2025-04-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}