Rheumatic and Autoimmune Diseases in Minority Communities

该项目研究了在华盛顿特区大都市区服务不足的主要少数民族社区中风湿病的表达。通过NIAMS社区健康中心，对风湿病患者进行评估，并为研究人员提供了解护理障碍的第一手经验。该项目支持以下方面的文化差异研究：理解标准化自我报告结果评估工具、确定类风湿关节炎的临床重要改善、类风湿症状患者使用补充和替代医学、少数民族个体对瑜伽作为关节炎治疗的可接受性、了解研究过程和少数民族的知情同意。用西班牙语和英语验证类风湿关节炎病例调查问卷用于流行病学研究。此外，研究人员还研究了干预措施，以改善初级保健提供者和专科医生之间的转诊过程。目前正在进行其他血清学研究，以检查类风湿关节炎和系统性红斑狼疮患者的免疫异常。

This project studies the expression of rheumatic diseases in an underserved, largely ethnic minority community in the Washington, DC metropolitan area. Through the NIAMS Community Health Center, subjects with rheumatic complaints are evaluated and provide researchers with first-hand experience in understanding barriers to care. This project has supported research on cultural differences in understanding standardized self-report outcome assessment tools, determination of clinically important improvements in rheumatoid arthritis, use of complementary and alternative medicine in patients with rheumatic symptoms, acceptability of yoga as a treatment for arthritis by minority individuals, understanding of the research process and informed consent among ethnic minorities, and validation in Spanish and English of a rheumatoid arthritis case-finding questionnaire for use in epidemiological studies. In addition, researchers have examined interventions to improve the referral process between primary care providers and subspecialists. Additional serological studies are currently underway to examine immune abnormalities in patients with rheumatoid arthritis and systemic lupus erythematosus.