{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:42:45Z","timestamp":1792078965789,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T00:00:00Z","timestamp":1725926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aliment Pharmacol Ther"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Diminished quality of life has been well characterized in patients with autoimmune hepatitis (AIH); however, the full spectrum of unmet needs is unclear. We hypothesized that there is a high burden of health\u2010related unmet needs in patients with AIH, and this burden differs by socioeconomic status (SES).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Members of the Autoimmune Hepatitis Association were invited online and by email to complete a modified version of the Systemic Lupus Erythematosus Patient Needs Questionnaire. Demographic and clinical data were also captured. Low SES was defined as annual household income &lt;30\u2009k, education level below high school, or moderate\u2013high concern for transportation, food or housing. Multivariable logistic regression assessed the association between unmet health\u2010related needs and SES.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 433 participants; 89.8% identified as women, 16.2% lived outside the US, and 25.6% were classified as low SES. Over 70% of respondents reported at least one moderate\u2013high need in the health\u2010related unmet need domains. In multivariable logistic regression, patients in the low\u2010SES group reported significantly higher odds of unmet needs compared to the moderate\u2013high\u2010SES group: for adequate information about side effects (OR 1.64, 95% CI 1.06\u20132.53, <jats:italic>p<\/jats:italic>\u2009=\u20090.026), opportunity to speak with others with AIH (OR 2.34, 95% CI 1.50\u20133.66, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), healthcare professionals acknowledging patient emotions (OR 2.41, 95% CI 1.56\u20133.74, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and being taken seriously by medical providers (OR 2.09, 95% CI 1.34\u20133.28, <jats:italic>p<\/jats:italic>\u2009=\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is a high burden of health\u2010related unmet needs in all patients with AIH that is exacerbated by low SES.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apt.18235","type":"journal-article","created":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T11:24:18Z","timestamp":1725967458000},"page":"1339-1350","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Low socioeconomic status exacerbates unmet health\u2010related needs in patients with autoimmune hepatitis"],"prefix":"10.1111","volume":"60","author":[{"given":"Carolyn","family":"Singleton","sequence":"first","affiliation":[{"name":"Department of Medicine Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allie","family":"Carter","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Health Data Science, Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"Baker","sequence":"additional","affiliation":[{"name":"Department of Medicine Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Jones","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey","family":"Green","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Lammert","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine Indiana University 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