Hootman Jennifer M, Cheng Wendy Y
Arthritis Program, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Atlanta, GA 30341, USA.
Int J Public Health. 2009 Jun;54 Suppl 1:75-83. doi: 10.1007/s00038-009-0010-5.
To: 1) estimate U.S. state-specific prevalence of serious psychological distress (SPD) and fair/poor health status (FPH), and 2) identify correlates of FPH among adults with arthritis (ARTH+).
Data were from the 2007 Behavioral Risk Factor Surveillance System (n = 414,719). State-specific weighted prevalence estimates of SPD (> or = 13 on the Kessler 6 scale) and FPH status were calculated, and multivariate logistic regression was used to identify correlates of FPH in four domains (physical health, mental health, sociodemographics, behaviors).
Prevalence of SPD and FPH were 2 and 3 times higher, respectively, among ARTH+ compared to those without. Among ARTH+, the state-specific prevalence of SPD ranged from 2.7 % to 12.2 % and FPH from 22.1 % to 43.5 %. Health behaviors (physical activity, smoking, heavy drinking) and physical health indicators (e.g. activity limitation, physically unhealthy days, co-morbidity) were the strongest correlates of FPH status. After adjustment, physically active ARTH+ were 50-66 % less likely to report FPH compared to inactive ARTH+.
Psychological distress and poor health status are common in arthritis; increasing physical activity may be an intervention point to improve health status.
1）估算美国各州严重心理困扰（SPD）和健康状况一般/较差（FPH）的患病率；2）确定关节炎患者（ARTH+）中FPH的相关因素。
数据来自2007年行为危险因素监测系统（n = 414,719）。计算各州SPD（凯斯勒6项量表得分≥13）和FPH状况的加权患病率估算值，并使用多因素逻辑回归来确定四个领域（身体健康、心理健康、社会人口统计学、行为）中FPH的相关因素。
与无关节炎者相比，关节炎患者中SPD和FPH的患病率分别高出2倍和3倍。在关节炎患者中，各州SPD的患病率在2.7%至12.2%之间，FPH的患病率在22.1%至43.5%之间。健康行为（体育活动、吸烟、酗酒）和身体健康指标（如活动受限、身体不健康天数、合并症）是FPH状况的最强相关因素。调整后，与不活动的关节炎患者相比，进行体育活动的关节炎患者报告FPH的可能性降低了50%至66%。
心理困扰和健康状况较差在关节炎患者中很常见；增加体育活动可能是改善健康状况的一个干预点。
