Observational studyArthritis care & research2015
The association between low socioeconomic status with high physical limitations and low illness self-perception in patients with juvenile idiopathic arthritis: results from the Childhood Arthritis Prospective Study.
Observational study in Arthritis care & research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Family-Related Factors in Children and Adolescents With Chronic Pain: A Systematic Review.European journal of pain (London, England) · 2025Pooled it
- Cumulative Social Disadvantage and Disease Activity in Juvenile Idiopathic Arthritis: A Childhood Arthritis and Rheumatology Research Alliance Registry Study.Arthritis care & research · 2026Article
- High Health Care Utilization Preceding Diagnosis With Juvenile Idiopathic Arthritis.Arthritis care & research · 2026Article
- The association between ethnicity, socioeconomic position and outcomes following initiation of TNF inhibitors in juvenile idiopathic arthritis: results from the UK JIA Biologics Register.Rheumatology (Oxford, England) · 2026Article
- Referral, treatment patterns and change in quality of life in the first 12 months in children and young people with juvenile idiopathic arthritis: an analysis of the association with ethnicity and socioeconomic position using data from a cohort study.Rheumatology (Oxford, England) · 2026Article
- The association between ethnicity, socioeconomic position and outcomes following initiation of methotrexate in juvenile idiopathic arthritis.EULAR rheumatology open · 2025Article
- Rheum for Improvement? Delayed Diagnosis of Juvenile Idiopathic Arthritis: A Narrative Review.Arthritis care & research · 2025Review
- Pre-Rheumatology Referral Consultation and Investigation Pattern in Children with Joint Complaints: Focus on Juvenile Idiopathic Arthritis.Children (Basel, Switzerland) · 2024Article
- Navigating the path to equitable rheumatologic care for underserved children with quality improvement.Frontiers in pediatrics · 2024Article
- Patient-centeredness-a cultural targeted survey among junior medical managers.International journal for equity in health · 2023Article
- Individual and environmental determinants associated with longer times to access pediatric rheumatology centers for patients with juvenile idiopathic arthritis, a JIR cohort study.Pediatric rheumatology online journal · 2023Article
- Cumulative Social Disadvantage Associated with Childhood Arthritis: A Cross-Sectional Analysis of the National Survey of Children's Health.Arthritis care & research · 2023Article
- Social determinants of health influence disease activity and functional disability in Polyarticular Juvenile Idiopathic Arthritis.Pediatric rheumatology online journal · 2022Article
- Disparities in Pediatric Rheumatic Diseases.Rheumatic diseases clinics of North America · 2022Review
- Epidemiology and demographics of juvenile idiopathic arthritis in Africa and Middle East.Pediatric rheumatology online journal · 2021Review
- Clinical and psychosocial stress factors are associated with decline in physical activity over time in children with juvenile idiopathic arthritis.Pediatric rheumatology online journal · 2021Article
- Association of Anxiety With Pain and Disability but Not With Increased Measures of Inflammation in Adolescent Patients With Juvenile Idiopathic Arthritis.Arthritis care & research · 2020Article
- Factors impacting referral of JIA patients to a tertiary level pediatric rheumatology center in North India: a retrospective cohort study.Pediatric rheumatology online journal · 2020Article
- [New therapy approaches, better outcomes? : Results from inception cohorts for patients with juvenile idiopathic arthritis].Zeitschrift fur Rheumatologie · 2019Review
- Patterns of pain over time among children with juvenile idiopathic arthritis.Archives of disease in childhood · 2018Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo examine the association between socioeconomic status (SES) and delay to a pediatric rheumatology clinic, disease severity, and illness perception in patients with juvenile idiopathic arthritis in England.
methodsUsing the Index of Multiple Deprivation, 923 consecutive children from the Childhood Arthritis Prospective Study were assigned to SES groups: high-SES (19.1%), middle-SES (44.5%), or low-SES (36.4%). At baseline, disease activity was assessed, and the Childhood Health Assessment Questionnaire (C-HAQ), the Illness Perception Questionnaire, and the Child Health Questionnaire, version Parent Form 50, were completed. Linear median regression analyses or zero-inflated negative binominal (ZINB) regression analyses were used.
resultsDelay to first pediatric rheumatology consultation was the same between the 3 SES groups. Although disease activity scores assessed by the pediatric rheumatologist did not differ between the 3 SES groups, persons in the low-SES group recorded higher C-HAQ scores compared to the high-SES group (zero-inflated part of ZINB odds ratio 0.28 [95% confidence interval (95% CI) 0.14, 0.55], count part of ZINB β 0.26 [95% CI 0.05, 0.48]). Parents with low SES also reported more often that their children's school work or activities with friends had been limited. Furthermore, the low-SES group had a worse perception about the consequences of the disease and the effect of treatment than those in the high-SES group.
conclusionPatients from a low-SES background report more problems with daily activities and have a lower perception of the consequences of the disease than patients from a high-SES background, warranting special attention from a multidisciplinary team.
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