Evidence map›Paper›PMID 41269565›Full record

ArticleClinical rheumatology2026

Qualitative analysis of COVID-19 experiences with testing and vaccination among people with systemic lupus erythematosus in the USA.

Lori Brand Bateman, Allyson Hall, Somaia Khamess, Catanya G Stager, Maria I Danila, Candace H Feldman, David H Chae

Abstract read
In one paragraph

Article in Clinical rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lori Brand BatemanDivision of General Internal Medicine & Population Science, University of Alabama at Birmingham, Heersink School of Medicine, Birmingham, AL, USA. loribateman@uabmc.edu.ORCID http://orcid.org/0000-0003-4705-165X
Allyson HallDepartment of Health Services Administration, University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA.
Somaia KhamessDepartment of Physical Medicine & Rehabilitation, John Hopkins University School of Medicine, Baltimore, MD, USA.
Catanya G StagerDivision of General Internal Medicine & Population Science, University of Alabama at Birmingham, Heersink School of Medicine, Birmingham, AL, USA.
Maria I DanilaDepartment of Clinical Immunology and Rheumatology, University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA.
Candace H FeldmanBrigham and Women's Hospital, Division of Rheumatology, Inflammation, and Immunity, Boston, MA, USA.
David H ChaeDepartment of Social, Behavioral, and Population Sciences, Celia Scott Weatherhead School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA.

Funding

Psychosocial Factors and Lupus Disease Progression Among African American WomenR01AR065493 · NIAMS · UNIV OF MARYLAND, COLLEGE PARK · PI CHAE, H. DAVID, LIM, SUNG SAM · 2014 to 2022
$4.2M
NIAMS NIH HHS 3R01AR065493-07S2NIAMS NIH HHS R01 AR065493
6 · The paper itself

Abstract

introductionPeople with systemic lupus erythematosus (SLE) have faced unique challenges during the COVID-19 pandemic. This study examines these experiences and identifies barriers and facilitators related to COVID-19 testing and vaccination among people with SLE.

methodsParticipants were 25 SLE patients seeking care in two large medical centers in the US South recruited between October 2022 and April 2023. Fifteen one-on-one interviews were conducted; three were with dyads and one was with a group of four people. Sessions were recorded using Zoom Video Communications, which were transcribed and analyzed according to the guidelines of thematic analysis with NVivo 12.

resultsEmerging themes were examined using the social-ecological framework and organized around the impact of COVID-19 and barriers and facilitators of testing and vaccination. Factors that facilitated testing included availability and convenience of home testing; barriers were unclear directions for home tests and lack of accuracy of tests, and lack of clarity about when to get tested. Fear of side effects was cited as a major barrier to vaccination. Healthcare communication about vaccine benefits, particularly in the context of being immunocompromised, were motivating factors.

conclusionInterventions may be implemented at multiple levels to address barriers to COVID-19 testing and vaccination among SLE patients. Clear and comprehensive guidelines for those with SLE, as well as efforts to enhance structural competency among providers, including a greater understanding of COVID-19 experiences in the context of SLE, may support protective behaviors in this patient population. Key Points • Accurate and up-to-date information from healthcare providers and other trusted sources that is tailored for SLE patients can facilitate testing and vaccination in response to novel infectious disease. • Many SLE patients displayed resilience and drew from sources of support in response to unique challenges during the COVID-19 pandemic.

Indexed as

COVID-19COVID-19 TestingCOVID-19 VaccinesLupus Erythematosus, SystemicPatient Acceptance of Health CareVaccinationAdultFemaleHumansMaleMiddle AgedQualitative ResearchSARS-CoV-2United StatesCOVID-19 VaccinesCOVID-19Qualitative methodsSocial determinantsSystemic lupus erythematosus

Identifiers

PMID41269565
PMCPMC12858581

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.