James Nadine T, Miller Carl W, Fos Peter J, Zhang Lei, Wall Peggy, Welch Cindy
School of Nursing, University of Southern Mississippi, 118 College Drive #5095, Hattiesburg, MS 39406-0001, USA.
Prev Chronic Dis. 2008 Jul;5(3):A85. Epub 2008 Jun 15.
The purpose of this study was to analyze 2003 Mississippi Behavioral Risk Factor Surveillance System (BRFSS) data to describe the health of Mississippians with arthritis or chronic joint pain. For this study, we made statistical estimates of the extent of arthritis burden among the respondents and delineated measurable differences in sociodemographic factors, health status, and the prevalence of associated risk factors. Our findings compare health-related quality of life, physical activity, and key demographic characteristics and obesity rates, controlling for differences among the subgroups by age, sex, educational attainment, income, and race/ethnicity.
Respondents to Mississippi's 2003 BRFSS were assigned to 1 of 5 distinct and mutually exclusive subgroups: 1) those with intermittent joint symptoms (IJS), 2) those with chronic joint symptoms (CJS), 3) those with doctor-diagnosed arthritis without CJS (DDA-CJS), 4) those with doctor-diagnosed arthritis with chronic joint symptoms (DDA+CJS), and 5) those with no joint symptoms (NJS). To determine the prevalence of arthritis and the continuum of disease progression, we compared the health-related quality of life, physical activity, and obesity of the respondents.
Respondents with DDA+CJS were older than those with NJS (mean age, 57.1 years vs 38.7 years); they were more likely to be female (60.5% vs 51.7%), to have a high school diploma or less education (59.3% vs 45.4%), to be in fair to poor health (odds ratio [OR], 10.0), to be physically inactive (OR, 2.7), and to be overweight or obese (OR, 2.5).
Health status, physical disability, and weight control may be substantially improved through heightened levels of physical activity. However, in spite of the potential for marked improvement, adult Mississippians, especially those clients with DDA+CJS, remain reluctant to commit to exercise regimens. Findings from this study suggest a need to encourage Mississippians with DDA+CJS to engage in some regular physical activity, which could reduce the damaging effects of disease and improve their health. Increasing the health care resources earmarked for arthritis self-help and physical activity programs is one potential avenue to address the problem.
本研究的目的是分析2003年密西西比州行为风险因素监测系统（BRFSS）的数据，以描述患有关节炎或慢性关节疼痛的密西西比州居民的健康状况。在本研究中，我们对受访者中关节炎负担的程度进行了统计估计，并描绘了社会人口学因素、健康状况以及相关风险因素患病率方面可测量的差异。我们的研究结果比较了与健康相关的生活质量、身体活动情况、关键人口统计学特征以及肥胖率，并对按年龄、性别、教育程度、收入和种族/民族划分的亚组之间的差异进行了控制。
将密西西比州2003年BRFSS的受访者分为5个不同且相互排斥的亚组之一：1）有间歇性关节症状（IJS）的人；2）有慢性关节症状（CJS）的人；3）有医生诊断的关节炎但无CJS（DDA - CJS）的人；4）有医生诊断的关节炎且有慢性关节症状（DDA + CJS）的人；5）无关节症状（NJS）的人。为了确定关节炎的患病率和疾病进展的连续性，我们比较了受访者的与健康相关的生活质量、身体活动情况和肥胖情况。
患有DDA + CJS的受访者比患有NJS的受访者年龄更大（平均年龄，57.1岁对38.7岁）；他们更可能是女性（60.5%对51.7%），拥有高中文凭或更低学历（59.3%对45.4%），健康状况为一般到较差（优势比[OR]，10.0），身体不活动（OR，2.7），以及超重或肥胖（OR，2.5）。
通过提高身体活动水平，健康状况、身体残疾和体重控制可能会得到显著改善。然而，尽管有显著改善的潜力，但成年密西西比州居民，尤其是那些患有DDA + CJS的人，仍然不愿意坚持锻炼计划。本研究的结果表明，有必要鼓励患有DDA + CJS的密西西比州居民进行一些定期的体育活动，这可以减少疾病的破坏性影响并改善他们的健康。增加用于关节炎自助和体育活动项目的医疗保健资源是解决该问题的一个潜在途径。
