Vradenburg Joseph A, Simoes Eduardo J, Jackson-Thompson Jeannette, Murayi Theophile
Division of Chronic Disease Prevention and Health Promotion, Missouri Department of Health, Jefferson City 65102-0570, USA.
J Community Health. 2002 Apr;27(2):91-107. doi: 10.1023/a:1014557016281.
Arthritis and other rheumatic conditions comprise the leading cause of disability in the United States. In 1990, an estimated 16.7% of Missourians had arthritis. By 2020, an estimated 20% of Missourians will have this condition. We examined Missouri's prevalence of self-reported physician-diagnosed arthritis, chronic joint symptoms, and activity limitation due to joint symptoms and their associations with selected predictors (i.e., socio-demographic, access to health care, risk factor, and comorbidity indicators) from Missouri's 1996 Behavioral Risk Factor Surveillance System. We conducted logistic regression analysis to generate Odds Ratios and 95% Confidence Intervals of arthritis and activity limitation across levels of predictors. Analysis indicates arthritis is under-diagnosed in younger individuals and that arthritis and activity limitation due to joint symptoms are significant contributors to functional limitation, enhancing dependency while decreasing the quality of life. As the population ages, arthritis, chronic joint symptoms, and activity limitation will become a larger public health problem.
关节炎和其他风湿性疾病是美国导致残疾的首要原因。1990年，估计有16.7%的密苏里州人患有关节炎。到2020年，估计将有20%的密苏里州人患有这种疾病。我们根据密苏里州1996年行为风险因素监测系统，研究了该州自我报告的经医生诊断的关节炎、慢性关节症状以及因关节症状导致的活动受限的患病率，及其与选定预测因素（即社会人口统计学、获得医疗保健的机会、风险因素和合并症指标）之间的关联。我们进行了逻辑回归分析，以得出各预测因素水平下关节炎和活动受限的比值比及95%置信区间。分析表明，关节炎在年轻个体中诊断不足，并且关节炎和因关节症状导致的活动受限是功能受限的重要因素，增加了依赖性，同时降低了生活质量。随着人口老龄化，关节炎、慢性关节症状和活动受限将成为一个更大的公共卫生问题。
