Arthritis Community Research & Evaluation Unit, Toronto Western Research Institute, University Health Network, Ontario, Canada.
Arthritis Care Res (Hoboken). 2012 Nov;64(11):1708-14. doi: 10.1002/acr.21735.
To examine predictors and health outcomes for individuals reporting arthritis, chronic joint symptoms (CJS), or sporadic joint symptoms (SJS) compared to those without arthritis or joint symptoms.
Data from the 2008 Canadian Community Health Survey (n = 63,134, ages ≥15 years) were used for the analyses. Respondents not reporting arthritis as a long-term chronic health condition diagnosed by a health professional were asked about joint symptoms, excluding the back and neck, over the past 12 months and whether these symptoms were present on most days in the past month (CJS) or not (SJS). Log Poisson regression was used to estimate prevalence ratios (PRs) for reporting arthritis, CJS, and SJS, and for reporting health outcomes (physical activity, pain that limits activity, activity limitation, poor/fair self-rated health, and poor/fair self-rated mental health) and health service use (visits to primary care physicians, specialists, physiotherapists, and chiropractors, and overnight hospital stays).
Arthritis was reported by 16.0% of the population, CJS by 10.1%, and SJS by 11.6%. Individuals with arthritis were older than those with CJS or SJS. Women reported arthritis and CJS more often. After adjusting for age, sex, socioeconomic status, lifestyle factors, and comorbidities, PRs of all outcomes were higher for the arthritis and CJS groups than the SJS group, with no significant differences in PRs for the arthritis and CJS groups, except for pain that limits activity.
CJS were reported by 10% of the adult population. Similarities in outcomes to arthritis suggest that CJS have a substantial impact in the population, and that arthritis management advice is likely needed for this group.
比较报告关节炎、慢性关节症状（CJS）或偶发性关节症状（SJS）与无关节炎或关节症状的个体的预测因素和健康结果。
使用 2008 年加拿大社区健康调查（n=63134，年龄≥15 岁）的数据进行分析。未报告关节炎作为由医疗保健专业人员诊断的长期慢性健康状况的受访者被问及过去 12 个月的关节症状（不包括背部和颈部），以及过去一个月的大部分日子是否存在这些症状（CJS）或不存在（SJS）。使用对数泊松回归估计报告关节炎、CJS 和 SJS 的患病率比（PR），以及报告健康结果（身体活动、限制活动的疼痛、活动受限、健康自评差/差和心理健康自评差/差）和卫生服务利用（看初级保健医生、专科医生、物理治疗师和脊医，以及过夜住院）。
16.0%的人群报告有关节炎，10.1%有 CJS，11.6%有 SJS。患有关节炎的人比患有 CJS 或 SJS 的人年龄更大。女性更常报告关节炎和 CJS。在调整年龄、性别、社会经济地位、生活方式因素和合并症后，关节炎和 CJS 组的所有结果的 PR 均高于 SJS 组，但关节炎和 CJS 组的 PR 无显著差异，除了限制活动的疼痛。
10%的成年人口报告有 CJS。与关节炎相似的结果表明 CJS 在人群中产生了重大影响，并且可能需要为该群体提供关节炎管理建议。
