{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T18:33:16Z","timestamp":1783535596673,"version":"3.55.0"},"reference-count":21,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:00:00Z","timestamp":1708387200000},"content-version":"unspecified","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"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":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Lupus Sci Med"],"accepted":{"date-parts":[[2024,2,3]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Management of reproductive health-related issues is crucial for patients with SLE, given this is a disease that primarily affects women of childbearing age. Little is known as to how the 2020 American College of Rheumatology (ACR) Reproductive Health in Rheumatic Disease Guideline is experienced by an underserved, primarily Hispanic population and their physicians as it relates to pregnancy planning and contraception conversations. Given this population experiences high rates of unplanned pregnancies and worse SLE outcomes compared with the non-Hispanic white population, it is crucial to understand how reproductive health is discussed in this setting.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A survey based on the 2020 ACR Reproductive Health Guideline was created and distributed in English and Spanish in the outpatient setting to 151 patients with SLE to determine patients\u2019 beliefs, experiences and limitations with reproductive health discussions. Associations between categorical variables were evaluated using Pearson\u2019s \u03c7<jats:sup>2<\/jats:sup> or Fisher\u2019s exact test, as appropriate, and differences in continuous variables were assessed using Wilcoxon rank-sum test.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>English language survey respondents were significantly more likely to report having conversations regarding contraception, pregnancy planning and peripartum medication use than the Spanish survey respondents. Two-thirds of all respondents relied on the rheumatologist as a top source of reproductive health information.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Disparities exist regarding reproductive health conversations on multiple topics between English-speaking and Spanish-speaking populations with SLE. Further understanding is needed to clarify why reproductive health conversations occur at lower frequencies in Spanish-speaking SLE populations.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/lupus-2023-001095","type":"journal-article","created":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T23:25:11Z","timestamp":1708471511000},"page":"e001095","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Differences in reproductive health discussions in an urban Hispanic population with SLE: lessons from the field"],"prefix":"10.1136","volume":"11","author":[{"given":"Martha","family":"Delgado","sequence":"first","affiliation":[{"name":"Keck School of Medicine, Department of Medicine Residency Program, University of Southern California, Los Angeles, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Rodman","sequence":"additional","affiliation":[{"name":"Southern California Clinical and Translational Science Institute, University of Southern California, Los Angeles, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith","family":"Xepoleas","sequence":"additional","affiliation":[{"name":"Keck School of Medicine, University of Southern California, Los Angeles, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Weisman","sequence":"additional","affiliation":[{"name":"Stanford University, Stanford, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6172-9474","authenticated-orcid":false,"given":"Leanna Marderian","family":"Wise","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Rheumatology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,2,20]]},"reference":[{"key":"2025091512422465000_11.1.e001095.1","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1080\/1744666X.2018.1538789","article-title":"Mortality in systemic lupus erythematosus: causes, predictors and interventions","volume":"14","author":"Ocampo-Piraquive","year":"2018","journal-title":"Expert Rev Clin Immunol"},{"key":"2025091512422465000_11.1.e001095.2","doi-asserted-by":"publisher","DOI":"10.1038\/s41584-021-00668-1"},{"key":"2025091512422465000_11.1.e001095.3","doi-asserted-by":"publisher","DOI":"10.7326\/M14-2235"},{"key":"2025091512422465000_11.1.e001095.4","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1002\/acr.22847","article-title":"Racial and ethnic disparities in the pregnancies of women with systemic lupus erythematosus","volume":"68","author":"Clowse","year":"2016","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"2025091512422465000_11.1.e001095.5","doi-asserted-by":"crossref","first-page":"152193","DOI":"10.1016\/j.semarthrit.2023.152193","article-title":"Racial disparities in pregnancy outcomes among women with rheumatic diseases: a systematic literature review","volume":"60","author":"Shen","year":"2023","journal-title":"Semin Arthritis Rheum"},{"key":"2025091512422465000_11.1.e001095.6","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1002\/art.41191","article-title":"American College of Rheumatology guideline for the management of reproductive health in rheumatic and musculoskeletal diseases","volume":"72","author":"Sammaritano","year":"2020","journal-title":"Arthritis Rheumatol"},{"key":"2025091512422465000_11.1.e001095.7","unstructured":"Department of Health Services (DHS) . Fact Sheet. Los Angeles, CA, USA: Department of Health Services, Los Angeles County, 2021."},{"key":"2025091512422465000_11.1.e001095.8","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-017-2283-2"},{"key":"2025091512422465000_11.1.e001095.9","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1377\/hlthaff.2020.02510","article-title":"Health care spending and use among Hispanic adults with and without limited English proficiency, 1999-2018","volume":"40","author":"Himmelstein","year":"2021","journal-title":"Health Aff (Millwood)"},{"key":"2025091512422465000_11.1.e001095.10","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200201000-00007"},{"key":"2025091512422465000_11.1.e001095.11","doi-asserted-by":"publisher","DOI":"10.1016\/S1526-9523(02)00218-0"},{"key":"2025091512422465000_11.1.e001095.12","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1007\/s00296-020-04671-9","article-title":"Effectiveness of reproductive health counseling of women with systemic lupus erythematosus: observational cross-sectional study at an academic lupus clinic","volume":"41","author":"Brites","year":"2021","journal-title":"Rheumatol Int"},{"key":"2025091512422465000_11.1.e001095.13","doi-asserted-by":"publisher","DOI":"10.1002\/art.21988"},{"key":"2025091512422465000_11.1.e001095.14","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2010.06.090264"},{"key":"2025091512422465000_11.1.e001095.15","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-008-0875-7"},{"key":"2025091512422465000_11.1.e001095.16","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1016\/j.acap.2017.01.005","article-title":"Satisfaction with communication in primary care for Spanish-speaking and English-speaking parents","volume":"17","author":"Flower","year":"2017","journal-title":"Acad Pediatr"},{"key":"2025091512422465000_11.1.e001095.17","first-page":"22","article-title":"Continuity of care and trust in one\u2019s physician: evidence from primary care in the United States and the United Kingdom","volume":"33","author":"Mainous","year":"2001","journal-title":"Fam Med"},{"key":"2025091512422465000_11.1.e001095.18","doi-asserted-by":"crossref","first-page":"150","DOI":"10.4300\/JGME-D-15-00278.1","article-title":"Continuity of care as an educational goal but failed reality in resident training: time to innovate","volume":"8","author":"Ellman","year":"2016","journal-title":"J Grad Med Educ"},{"key":"2025091512422465000_11.1.e001095.19","doi-asserted-by":"publisher","DOI":"10.1370\/afm.912"},{"key":"2025091512422465000_11.1.e001095.20","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1353\/nib.2019.0027","article-title":"Patient experiences with the use of telephone interpreter services: an exploratory, qualitative study of Spanish-speaking patients at an urban community health center","volume":"9","author":"Garcia-Jimenez","year":"2019","journal-title":"Narrat Inq Bioeth"},{"key":"2025091512422465000_11.1.e001095.21","first-page":"160","article-title":"The language abilities of resident physicians","volume":"27","author":"Guerrero","year":"2014","journal-title":"Med Encount"}],"updated-by":[{"DOI":"10.1136\/lupus-2023-001095corr1","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T00:00:00Z","timestamp":1715126400000}}],"container-title":["Lupus Science &amp; Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/lupus-2023-001095","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T19:42:37Z","timestamp":1757965357000},"score":1,"resource":{"primary":{"URL":"https:\/\/lupus.bmj.com\/lookup\/doi\/10.1136\/lupus-2023-001095"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":21,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,2,20]]},"published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1136\/lupus-2023-001095"],"URL":"https:\/\/doi.org\/10.1136\/lupus-2023-001095","relation":{"correction":[{"id-type":"doi","id":"10.1136\/lupus-2023-001095corr1","asserted-by":"object"}]},"ISSN":["2053-8790"],"issn-type":[{"value":"2053-8790","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2]]}}}