Verbrugge Lois M, Juarez Lucia
Institute of Gerontology, University of Michigan, Ann Arbor, MI 48109-2007, USA.
Arthritis Rheum. 2008 Oct 15;59(10):1445-57. doi: 10.1002/art.24107.
Arthritis is the most common health condition in midlife and late life, and heart disease is the leading cause of death. This article compares disability impacts of these 2 preeminent health problems.
Using data from the National Health Interview Survey Disability Supplement, we studied specific limitations and disabilities, accommodations used (buffers), and accommodations needed (barriers) for US population groups of adults with arthritis disability, heart disease disability, both arthritis and heart disease disability, and disability due to other conditions. Weights and complex SE adjusted for sample design. We hypothesized that arthritis disability is more extensive and troublesome than heart disease disability.
People with arthritis disability had more numerous, longer, and more bothersome disabilities than people with heart disease disability. People with arthritis disability used more equipment and rehabilitation, whereas people with heart disease disability emphasized personal assistance, medications, and medical services. People with arthritis disability experienced more barriers and needs in activities and services. People with disabilities from both arthritis and heart disease were especially disadvantaged, with high levels of limitations and accommodations. People with disability from other conditions had the highest social participation, fewest disabilities, and most tailored accommodations of all groups.
Arthritis had higher and more extensive disability impact than heart disease. Both groups had more difficulty, buffers, and barriers in their lives than people disabled by other conditions. Therefore, arthritis and heart disease are premier conditions for disability attention and alleviation in the US population.
关节炎是中年和老年人群中最常见的健康问题,而心脏病是主要的死因。本文比较了这两种突出健康问题对残疾状况的影响。
利用来自美国国家健康访谈调查残疾补充调查的数据,我们研究了患有关节炎残疾、心脏病残疾、同时患有关节炎和心脏病残疾以及因其他疾病导致残疾的美国成年人群体的具体限制和残疾情况、所使用的辅助设施(缓冲因素)以及所需的辅助设施(障碍因素)。针对样本设计对权重和复杂标准误进行了调整。我们假设关节炎残疾比心脏病残疾更为广泛且麻烦。
患有关节炎残疾的人比患有心脏病残疾的人有更多、持续时间更长且更麻烦的残疾。患有关节炎残疾的人使用更多的设备和康复服务,而患有心脏病残疾的人则更依赖个人协助、药物和医疗服务。患有关节炎残疾的人在活动和服务方面遇到更多障碍和需求。同时患有关节炎和心脏病残疾的人处境尤其不利,限制和辅助设施的水平都很高。患有其他疾病导致残疾的人在所有群体中社会参与度最高、残疾最少且辅助设施最为合适。
关节炎对残疾状况的影响比心脏病更高且更广泛。与因其他疾病导致残疾的人相比,这两个群体在生活中都面临更多困难、缓冲因素和障碍。因此,关节炎和心脏病是美国人群中需要关注和缓解残疾状况的首要疾病。