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[社会经济和人口不平等作为自我报告的关节炎的风险因素:巴西南部的一项基于人群的研究]

[Socioeconomic and demographic inequalities as risk factors for self-reported arthritis: a population-based study in southern Brazil].

作者信息

Gomes Rafael Santos, Peres Karen Glazer

机构信息

Programa de Pós-graduação em Saúde Coletiva, Universidade Federal de Santa Catarina, Florianópolis, Brasil.

出版信息

Cad Saude Publica. 2012 Aug;28(8):1506-16. doi: 10.1590/s0102-311x2012000800009.

DOI:10.1590/s0102-311x2012000800009
PMID:22892970
Abstract

The study aimed to estimate prevalence of self-reported arthritis or rheumatism and associated factors. This was a cross-sectional population-based study in Florianopolis, Santa Catarina State, Brazil, with 1,720 adults ranging from 20 to 59 years of age. Presence of self-reported arthritis or rheumatism was analyzed with a hierarchical approach, considering demographic, socioeconomic, and behavioral variables and use of health services. Logistic regression was used to evaluate the association between the outcome and independent variables. Prevalence of self-reported arthritis or rheumatism was 7.7% (95%CI: 6.4-8.9). The odds of self-reported arthritis were twice as high in women, and increased self-reported arthritis was directly associated with BMI > 30 kg/m(2) and increasing age and inversely proportional to schooling. Self-reported arthritis or rheumatism was higher in this sample than in Brazilian adults in general in 2008. The results suggest the need to plan public health policies to address this problem.

摘要

该研究旨在估计自我报告的关节炎或风湿病的患病率及相关因素。这是一项基于巴西圣卡塔琳娜州弗洛里亚诺波利斯市人群的横断面研究,研究对象为1720名年龄在20至59岁之间的成年人。采用分层方法分析自我报告的关节炎或风湿病的存在情况,考虑人口统计学、社会经济和行为变量以及卫生服务的使用情况。采用逻辑回归评估结果与自变量之间的关联。自我报告的关节炎或风湿病的患病率为7.7%(95%置信区间:6.4 - 8.9)。女性自我报告患关节炎的几率是男性的两倍,自我报告患关节炎的几率增加与体重指数>30 kg/m²、年龄增长直接相关,与受教育程度成反比。该样本中自我报告的关节炎或风湿病患病率高于2008年巴西成年人的总体患病率。结果表明需要制定公共卫生政策来解决这一问题。

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