{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T06:42:29Z","timestamp":1787726549013,"version":"build-2784847793"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006483","name":"AbbVie","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006483","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis &amp; Rheumatology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The study objective was to evaluate the association of neighborhood deprivation and structural barriers with disease burden in racial and ethnic subsets of patients with psoriatic arthritis (PsA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with PsA in the Rheumatology Informatics System for Effectiveness registry of the American College of Rheumatology with reported race, region, and three or more years of follow\u2010up were evaluated. Demographic factors, disease activity measures, social deprivation defined by the area deprivation index, and therapeutic agents were stratified by race. Subgroup analyses were conducted to examine demographic and clinical characteristics across residential areas graded by the Home Owners\u2019 Loan Corporation (HOLC), from \u201cbest\u201d (HOLC 1\u2014predominantly White residents) to \u201chazardous\u201d (HOLC 4 or redlined\u2014predominantly Black residents) based on investment risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The cohort included 21,429 predominantly female (57.7%) and obese (56.1% body mass index &gt;30) patients with PsA, with median age of 55 (12.8) years. High social deprivation was prevalent among Black patients (25.7 % vs 2.3% Asian, 12.5% White, and 17.3% other), as was high disease activity (HDA; 40.2% vs 25.8% Asian, 29.6% White, and 33.5% other). Approximately 7% of patients with PsA lived in HOLC\u2010graded districts. Smoking, obesity, high social deprivation, federal insurance, and HDA were more prevalent in patients in HOLC 4 areas compared to HOLC 1 areas. HOLC 4 patients also had longer median [interquartile range] periods of HDA (105.0 [0\u2013690] person\u2010days) and fewer days in remission (1.0 [0\u20135,457] person\u2010days).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In the United States, Black patients with PsA have prevalent HDA and high social deprivation. Additionally, the enduring effects of structural racism appear to negatively influence PsA disease characteristics of patients living in historically redlined areas.<\/jats:p>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"graphic\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/art43397-gra-0001-m.png\">\n                          <jats:alt-text>image<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/art.43397","type":"journal-article","created":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T06:19:27Z","timestamp":1758867567000},"page":"644-653","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The Influence of Race, Ethnicity and Historical Redlining on Psoriatic Disease Burden and Clinical Outcomes"],"prefix":"10.1002","volume":"78","author":[{"given":"Sharon","family":"Dowell","sequence":"first","affiliation":[{"name":"Northeast Arkansas Baptist Memorial Hospital  Jonesboro"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7645-2538","authenticated-orcid":false,"given":"Brittany","family":"Banbury","sequence":"additional","affiliation":[{"name":"Mount Sinai Beth Israel  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Washington Veterans Affairs Medical Center  Washington DC"},{"name":"Georgetown University  Washington DC"},{"name":"Keck School of Medicine\u2010Los Angeles General Medical Center  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1811-6602","authenticated-orcid":false,"given":"Emily E.","family":"Holladay","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fenglong","family":"Xie","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham"},{"name":"Foundation for Advancing Science, Technology, Education, and Research  Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingyi","family":"Zhang","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace C.","family":"Wright","sequence":"additional","affiliation":[{"name":"Association of Women in Rheumatology  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey R.","family":"Curtis","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham"},{"name":"Foundation for Advancing Science, Technology, Education, and Research  Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail S.","family":"Kerr","sequence":"additional","affiliation":[{"name":"Washington Veterans Affairs Medical Center  Washington DC"},{"name":"Georgetown University  Washington DC"},{"name":"Howard University College of Medicine  Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keae066"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-014-2763-3"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40744-021-00370-4"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-023-05322-5"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40744-023-00580-y"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13075-024-03339-0"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2021.08.006"},{"key":"e_1_2_7_9_1","article-title":"Policies and Strategies to Promote Social Equity in Health","author":"Dahlgren G","year":"1991","journal-title":"Institute for Future Studies"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2022.307162"},{"key":"e_1_2_7_11_1","unstructured":"NelsonRK WinlingL MarcianoR et al.Mapping inequality: redlining in New Deal America. 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