Related Experiment Video
Updated: Jul 12, 2025

Author Spotlight: Self-Assessment Protocol for Predicting Psoriatic Arthritis in Psoriasis Patients
Published on: March 1, 2024
Association between psoriasis and cardiometabolic comorbidities in a racially and ethnically diverse low-income
Nora Rudd1, Nathaly Gonzalez2, Michael A Kohn3
1University of California, San Francisco (UCSF) - School of Medicine, San Francisco, CA, USA.
Insights
Psoriasis links to obesity, diabetes, high cholesterol, and hypertension. These risks were similar across racial/ethnic groups in a diverse, low-income population, highlighting the need for interventions.
Area of Science:
- Dermatology
- Cardiology
- Public Health
Background:
- Psoriasis is linked to cardiometabolic diseases like obesity, diabetes, hyperlipidaemia, and hypertension.
- Previous studies often excluded diverse or low-income populations, potentially limiting generalizability.
Purpose of the Study:
- To investigate if psoriasis risk for cardiometabolic comorbidities differs across racial/ethnic minority groups.
- To assess the role of race/ethnicity as an effect modifier in psoriasis-associated cardiometabolic conditions.
Main Methods:
- Cross-sectional analysis of 56,987 low-income patients.
- Stratified analysis by race/ethnicity to compare comorbidity prevalence in patients with and without psoriasis.
- Statistical assessment for effect modification by race/ethnicity.
Main Results:
- Psoriasis showed a significant association with obesity, diabetes, hyperlipidaemia, and hypertension.
- No significant difference in these associations was observed across racial/ethnic groups, indicating no effect modification.
- The study population exhibited a very high baseline prevalence of cardiometabolic comorbidities.
Conclusions:
- Psoriasis is associated with significant cardiometabolic comorbidities across diverse racial/ethnic groups.
- Interventions targeting modifiable risk factors are crucial, especially for vulnerable, low-income populations.
- Further research is needed to understand the high comorbidity burden in these populations.
Abstract:
Psoriasis is associated with cardiometabolic comorbidities, including obesity, diabetes, hyperlipidaemia and hypertension. Many studies that established these associations originated from primarily White and/or relatively affluent populations. To evaluate whether there is a differential risk for cardiometabolic comorbidities in racial/ethnic minorities, we performed a cross-sectional analysis comparing cardiometabolic comorbidities between those with and without psoriasis in a racially and ethnically diverse population of 56 987 low-income patients, stratified by race/ethnicity, and assessed whether race/ethnicity acts as an effect modifier for cardiometabolic comorbidities. We found that psoriasis was statistically significantly associated with obesity, diabetes, hyperlipidaemia and hypertension. The association of psoriasis with comorbidities did not differ significantly by race/ethnicity; thus, we did not find evidence of effect modification. However, our diverse, low-income population had an extremely high baseline prevalence of cardiometabolic comorbidities compared with previous populations studied. Our results suggest education and intervention regarding modifiable risk factors are particularly important among vulnerable populations.
More Related Videos
Related Concept Videos
Coronary Artery Disease I: Introduction
Psychoneuroimmunology: Cardiovascular Disease
A key area of focus in PNI is the relationship between stress and coronary...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
Cardiomyopathy V: Interprofessional Care
Rheumatic Heart Disease I: Introduction
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

