Variables Associated With Perceived Risk of Contracting SARS-CoV-2 Infection During the COVID-19 Pandemic Among Patients With Systemic Rheumatic Diseases.
Identifieur interne : 000039 ( Main/Exploration ); précédent : 000038; suivant : 000040Variables Associated With Perceived Risk of Contracting SARS-CoV-2 Infection During the COVID-19 Pandemic Among Patients With Systemic Rheumatic Diseases.
Auteurs : Roland Duculan ; Deanna Jannat-Khah ; Bella Mehta ; Lisa A. Mandl ; Medha Barbhaiya ; Anne R. Bass ; Carol A. MancusoSource :
- Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases [ 1536-7355 ] ; 2021.
Descripteurs français
- KwdFr :
- Adaptation psychologique (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Anxiété (MeSH), Appréciation des risques (MeSH), Concept du soi (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), New York (ville) (MeSH), Rhumatismes (complications), Rhumatismes (psychologie), Rhumatismes (traitement médicamenteux), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), État de santé (MeSH).
- MESH :
- psychologie : Rhumatismes.
- traitement médicamenteux : Rhumatismes.
- Adaptation psychologique, Adulte, Adulte d'âge moyen, Anxiété, Appréciation des risques, Concept du soi, Enquêtes et questionnaires, Femelle, Humains, Jeune adulte, Mâle, New York (ville), Rhumatismes, Sujet âgé, Sujet âgé de 80 ans ou plus, État de santé.
English descriptors
- KwdEn :
- Adaptation, Psychological (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Anxiety (MeSH), COVID-19 (etiology), COVID-19 (psychology), Female (MeSH), Health Status (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), New York City (MeSH), Rheumatic Diseases (complications), Rheumatic Diseases (drug therapy), Rheumatic Diseases (psychology), Risk Assessment (MeSH), Self Concept (MeSH), Surveys and Questionnaires (MeSH), Young Adult (MeSH).
- MESH :
- geographic : New York City.
- complications : Rheumatic Diseases.
- drug therapy : Rheumatic Diseases.
- etiology : COVID-19.
- psychology : COVID-19, Rheumatic Diseases.
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Anxiety, Female, Health Status, Humans, Male, Middle Aged, Risk Assessment, Self Concept, Surveys and Questionnaires, Young Adult.
Abstract
OBJECTIVE
The aim of this study was to assess patients' perceived risk of contracting SARS-CoV-2 at the peak of the pandemic in NYC in terms of their systemic rheumatic disease and medications.
METHODS
With the approval of their rheumatologists, patients were interviewed by telephone and were asked about their perceived risk of contracting SARS-CoV-2 considering their rheumatic condition and whether medications increased this risk. Patients also completed surveys assessing beliefs about medication and multidimensions of physical/mental well-being. Information about current medications and rheumatologist-initiated changes in medications during the pandemic were reported by patients and verified from medical records.
RESULTS
One hundred twelve patients (86% women; mean age, 50 years; 81% White, 15% Latino) with diverse diagnoses were enrolled. Fifty-four percent thought they were at "very much greater risk" of COVID-19 because of their rheumatic condition, and 57% thought medications "definitely" put them at greater risk. In multivariable analysis, the perception of "very much greater risk" was associated with greater belief that rheumatic disease medications were necessary, worse physical function, chronic pulmonary comorbidity, and more anxiety. In a separate model, the perception that medications "definitely" caused greater risk was associated with White race, not taking hydroxychloroquine, rheumatologists initiating change in medications, more anxiety, and taking biologics and corticosteroids.
CONCLUSIONS
Patients' perceived increased risk of contracting SARS-CoV-2 was associated with beliefs about their rheumatic disease, medications, comorbidity, and anxiety. Clinicians should be aware of patients' perceptions and foster self-management practices that will alleviate anxiety, minimize exposure to the virus, and optimize systemic rheumatic disease outcomes.
DOI: 10.1097/RHU.0000000000001686
PubMed: 33264246
Affiliations:
Links toward previous steps (curation, corpus...)
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Mandl</name></author><author><name sortKey="Barbhaiya, Medha" sort="Barbhaiya, Medha" uniqKey="Barbhaiya M" first="Medha" last="Barbhaiya">Medha Barbhaiya</name></author><author><name sortKey="Bass, Anne R" sort="Bass, Anne R" uniqKey="Bass A" first="Anne R" last="Bass">Anne R. Bass</name></author><author><name sortKey="Mancuso, Carol A" sort="Mancuso, Carol A" uniqKey="Mancuso C" first="Carol A" last="Mancuso">Carol A. Mancuso</name></author></analytic><series><title level="j">Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases</title><idno type="eISSN">1536-7355</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Psychological (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Anxiety (MeSH)</term><term>COVID-19 (etiology)</term><term>COVID-19 (psychology)</term><term>Female (MeSH)</term><term>Health Status (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>New York City (MeSH)</term><term>Rheumatic Diseases (complications)</term><term>Rheumatic Diseases (drug therapy)</term><term>Rheumatic Diseases (psychology)</term><term>Risk Assessment (MeSH)</term><term>Self Concept (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adaptation psychologique (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Anxiété (MeSH)</term><term>Appréciation des risques (MeSH)</term><term>Concept du soi (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>New York (ville) (MeSH)</term><term>Rhumatismes (complications)</term><term>Rhumatismes (psychologie)</term><term>Rhumatismes (traitement médicamenteux)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>État de santé (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>New York City</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Rheumatic Diseases</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Rheumatic Diseases</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>COVID-19</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Rhumatismes</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>COVID-19</term><term>Rheumatic Diseases</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Rhumatismes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Anxiety</term><term>Female</term><term>Health Status</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Risk Assessment</term><term>Self Concept</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adaptation psychologique</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anxiété</term><term>Appréciation des risques</term><term>Concept du soi</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>New York (ville)</term><term>Rhumatismes</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>État de santé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>The aim of this study was to assess patients' perceived risk of contracting SARS-CoV-2 at the peak of the pandemic in NYC in terms of their systemic rheumatic disease and medications.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>With the approval of their rheumatologists, patients were interviewed by telephone and were asked about their perceived risk of contracting SARS-CoV-2 considering their rheumatic condition and whether medications increased this risk. Patients also completed surveys assessing beliefs about medication and multidimensions of physical/mental well-being. Information about current medications and rheumatologist-initiated changes in medications during the pandemic were reported by patients and verified from medical records.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>One hundred twelve patients (86% women; mean age, 50 years; 81% White, 15% Latino) with diverse diagnoses were enrolled. Fifty-four percent thought they were at "very much greater risk" of COVID-19 because of their rheumatic condition, and 57% thought medications "definitely" put them at greater risk. In multivariable analysis, the perception of "very much greater risk" was associated with greater belief that rheumatic disease medications were necessary, worse physical function, chronic pulmonary comorbidity, and more anxiety. In a separate model, the perception that medications "definitely" caused greater risk was associated with White race, not taking hydroxychloroquine, rheumatologists initiating change in medications, more anxiety, and taking biologics and corticosteroids.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Patients' perceived increased risk of contracting SARS-CoV-2 was associated with beliefs about their rheumatic disease, medications, comorbidity, and anxiety. Clinicians should be aware of patients' perceptions and foster self-management practices that will alleviate anxiety, minimize exposure to the virus, and optimize systemic rheumatic disease outcomes.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">33264246</PMID><DateCompleted><Year>2021</Year><Month>04</Month><Day>02</Day></DateCompleted><DateRevised><Year>2021</Year><Month>04</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-7355</ISSN><JournalIssue CitedMedium="Internet"><Volume>27</Volume><Issue>3</Issue><PubDate><Year>2021</Year><Month>Apr</Month><Day>01</Day></PubDate></JournalIssue><Title>Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases</Title><ISOAbbreviation>J Clin Rheumatol</ISOAbbreviation></Journal><ArticleTitle>Variables Associated With Perceived Risk of Contracting SARS-CoV-2 Infection During the COVID-19 Pandemic Among Patients With Systemic Rheumatic Diseases.</ArticleTitle><Pagination><MedlinePgn>120-126</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/RHU.0000000000001686</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this study was to assess patients' perceived risk of contracting SARS-CoV-2 at the peak of the pandemic in NYC in terms of their systemic rheumatic disease and medications.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">With the approval of their rheumatologists, patients were interviewed by telephone and were asked about their perceived risk of contracting SARS-CoV-2 considering their rheumatic condition and whether medications increased this risk. Patients also completed surveys assessing beliefs about medication and multidimensions of physical/mental well-being. Information about current medications and rheumatologist-initiated changes in medications during the pandemic were reported by patients and verified from medical records.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred twelve patients (86% women; mean age, 50 years; 81% White, 15% Latino) with diverse diagnoses were enrolled. Fifty-four percent thought they were at "very much greater risk" of COVID-19 because of their rheumatic condition, and 57% thought medications "definitely" put them at greater risk. In multivariable analysis, the perception of "very much greater risk" was associated with greater belief that rheumatic disease medications were necessary, worse physical function, chronic pulmonary comorbidity, and more anxiety. In a separate model, the perception that medications "definitely" caused greater risk was associated with White race, not taking hydroxychloroquine, rheumatologists initiating change in medications, more anxiety, and taking biologics and corticosteroids.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Patients' perceived increased risk of contracting SARS-CoV-2 was associated with beliefs about their rheumatic disease, medications, comorbidity, and anxiety. Clinicians should be aware of patients' perceptions and foster self-management practices that will alleviate anxiety, minimize exposure to the virus, and optimize systemic rheumatic disease outcomes.</AbstractText><CopyrightInformation>Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Duculan</LastName><ForeName>Roland</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>From the Department of Orthopedic Surgery.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jannat-Khah</LastName><ForeName>Deanna</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Mehta</LastName><ForeName>Bella</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Mandl</LastName><ForeName>Lisa A</ForeName><Initials>LA</Initials></Author><Author ValidYN="Y"><LastName>Barbhaiya</LastName><ForeName>Medha</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Bass</LastName><ForeName>Anne R</ForeName><Initials>AR</Initials></Author><Author ValidYN="Y"><LastName>Mancuso</LastName><ForeName>Carol A</ForeName><Initials>CA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Clin Rheumatol</MedlineTA><NlmUniqueID>9518034</NlmUniqueID><ISSNLinking>1076-1608</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000223" MajorTopicYN="N">Adaptation, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006304" MajorTopicYN="N">Health Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009519" MajorTopicYN="N" Type="Geographic">New York City</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012216" MajorTopicYN="N">Rheumatic Diseases</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012649" MajorTopicYN="Y">Self Concept</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><CoiStatement>The authors declare no conflict of interest.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>12</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>4</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>12</Month><Day>2</Day><Hour>17</Hour><Minute>11</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33264246</ArticleId><ArticleId IdType="pii">00124743-202104000-00007</ArticleId><ArticleId IdType="doi">10.1097/RHU.0000000000001686</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Centers for Disease Control and Prevention. 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Bass</name><name sortKey="Duculan, Roland" sort="Duculan, Roland" uniqKey="Duculan R" first="Roland" last="Duculan">Roland Duculan</name><name sortKey="Jannat Khah, Deanna" sort="Jannat Khah, Deanna" uniqKey="Jannat Khah D" first="Deanna" last="Jannat-Khah">Deanna Jannat-Khah</name><name sortKey="Mancuso, Carol A" sort="Mancuso, Carol A" uniqKey="Mancuso C" first="Carol A" last="Mancuso">Carol A. Mancuso</name><name sortKey="Mandl, Lisa A" sort="Mandl, Lisa A" uniqKey="Mandl L" first="Lisa A" last="Mandl">Lisa A. Mandl</name><name sortKey="Mehta, Bella" sort="Mehta, Bella" uniqKey="Mehta B" first="Bella" last="Mehta">Bella Mehta</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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