{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T22:24:49Z","timestamp":1783463089950,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ACR Open Rheumatology"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Social determinants of health (SDOH), such as race, education, and income, tend to be considered individually, without recognizing the interaction between factors. Our objective was to understand how SDOH interact to inform outcomes for Canadians living with arthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross\u2010sectional study using data from the Canadian Longitudinal Study on Aging and guided by the Campbell and Cochrane Equity Methods Group's PROGRESS\u2010Plus (place of residence; race, culture, ethnicity, language; occupation; gender, sex; religion; education; socioeconomic status; and social capital; plus: personal characteristics associated with discrimination, features of relationships, and time\u2010dependent relationships) framework on SDOH. We used latent class analysis to identify distinct groups of people living with arthritis based on SDOH characterizations. We then conducted logistic regression to evaluate associations between group membership and (1) general health, (2) mental health, (3) satisfaction with life, (4) pain or discomfort, (5) limitations in activity, and (6) mood disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 9,811 respondents in the Canadian Longitudinal Study on Aging, 2,505 reported that they are living with arthritis. Participants with arthritis were primarily living in urban centers (sample weighted 85%), female (54%), identified as women (54%), White (94%), Catholic or Christian (70%), making above $100,000 Canadian dollars (58%), married (80%), and between 45 and 54 years (61%). Through latent class analysis, we developed a five\u2010class model. With respect to social capital, having more social support availability tended to be predictive of class membership. Within all five classes, those who had a higher income, were married, and had high levels of social support consistently had better outcomes overall.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The interaction between SDOH, particularly social support, income, and marital status, is associated with health outcomes for people living with arthritis. To improve delivery of equitable and high\u2010quality care, an appropriate consideration of unmet social needs is required, as well as considering health outcomes through the lens of intersectionality for people living with arthritis in Canada.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acr2.90038","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:58:27Z","timestamp":1777503507000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intersecting Social Identities and Health in Arthritis: A Latent Class Analysis of the Canadian Longitudinal Study on Aging"],"prefix":"10.1002","volume":"8","author":[{"given":"Megan M.","family":"Thomas","sequence":"first","affiliation":[{"name":"The University of British Columbia  Vancouver British Columbia Canada"},{"name":"Arthritis Research Canada  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4526-278X","authenticated-orcid":false,"given":"Eric C.","family":"Sayre","sequence":"additional","affiliation":[{"name":"British Columbia Centre on Substance Use  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Harrison","sequence":"additional","affiliation":[{"name":"The University of British Columbia  Vancouver British Columbia Canada"},{"name":"Arthritis Research Canada  Vancouver British Columbia Canada"},{"name":"Centre for Advancing Health Outcomes  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3761-237X","authenticated-orcid":false,"given":"Cheryl","family":"Barnabe","sequence":"additional","affiliation":[{"name":"Arthritis Research Canada  Vancouver British Columbia Canada"},{"name":"University of Calgary  Calgary Alberta Canada"},{"name":"McCaig Institute for Bone and Joint Health  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlene E.","family":"Ronquillo","sequence":"additional","affiliation":[{"name":"The University of British Columbia Okanagan  Kelowna British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5526-663X","authenticated-orcid":false,"given":"J. Antonio","family":"Avina\u2010Zubieta","sequence":"additional","affiliation":[{"name":"The University of British Columbia  Vancouver British Columbia Canada"},{"name":"Arthritis Research Canada  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Samson","sequence":"additional","affiliation":[{"name":"Canadian Arthritis Patient Alliance  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Kuluva","sequence":"additional","affiliation":[{"name":"Creaky Joints  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Trehan","sequence":"additional","affiliation":[{"name":"University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikki","family":"Bhatti","sequence":"additional","affiliation":[{"name":"Arthritis Research Canada  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2205-2683","authenticated-orcid":false,"given":"Mary A.","family":"De Vera","sequence":"additional","affiliation":[{"name":"The University of British Columbia  Vancouver British Columbia Canada"},{"name":"Arthritis Research Canada  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"The State of Arthritis in Canada.2023. chrome\u2010extension:\/\/efaidnbmnnnibpcajpcglclefindmkahttps:\/\/arthritis.ca\/wp-content\/uploads\/2025\/09\/Arthritis-Canada-Report-Card_Final_Oct5.pdf"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2013.92"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2009.08.006"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2020.102528"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.2217\/ahe.12.43"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1515\/jom-2022-0162"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.25174"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.08.005"},{"key":"e_1_2_6_10_1","volume-title":"Population Projections: Canada, Provinces and Territories, 2023 to 2073","author":"Canada S.","year":"2024"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S071498081500029X"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0714980809990055"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0095798420930932"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-psych-051920-013658"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0714980814000385"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e3282f3ad89"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105304045381"},{"issue":"1","key":"e_1_2_6_18_1","first-page":"27","article-title":"Social support and quality of life in patients with rheumatoid arthritis in Greece","volume":"33","author":"Pitsilka DA","year":"2015","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/ar2083"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.22609"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2005.037077"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20656"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2018.11.009"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-016-3623-z"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2018-213625"}],"container-title":["ACR Open Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr2.90038","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/acr2.90038","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr2.90038","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T21:57:54Z","timestamp":1783461474000},"score":1,"resource":{"primary":{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/10.1002\/acr2.90038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,29]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/acr2.90038"],"URL":"https:\/\/doi.org\/10.1002\/acr2.90038","archive":["Portico"],"relation":{},"ISSN":["2578-5745","2578-5745"],"issn-type":[{"value":"2578-5745","type":"print"},{"value":"2578-5745","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,29]]},"assertion":[{"value":"2026-01-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e90038"}}