2010-2012 年美国医生诊断的关节炎及与关节炎相关的活动受限患病率。

Prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation--United States, 2010-2012.

出版信息

MMWR Morb Mortal Wkly Rep. 2013 Nov 8;62(44):869-73.

DOI:
Abstract

Arthritis is the most common cause of disability among U.S. adults and is particularly common among persons with multiple chronic conditions. In 2003, arthritis in the United States resulted in an estimated $128 billion in medical-care costs and lost earnings. To update previous U.S. estimates of the prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation (AAAL), CDC analyzed 2010-2012 data from the National Health Interview Survey (NHIS). This report summarizes the results of that analysis, which found that 52.5 million (22.7%) of adults aged ≥18 years had self-reported doctor-diagnosed arthritis, and 22.7 million (9.8%, or 43.2% of those with arthritis) reported AAAL, matching and exceeding previous projected increases, respectively. Among persons with heart disease, diabetes, and obesity, the prevalences of doctor-diagnosed arthritis were 49.0%, 47.3%, and 31.2%, respectively; the prevalences of AAAL among persons with these specific conditions were 26.8%, 25.7%, and 15.2%, respectively. Greater use of evidence-based interventions, such as chronic disease self-management education and physical activity interventions that have been proven to reduce pain and improve quality-of-life among adults with chronic diseases might help reduce the personal and societal burden of arthritis.

摘要

关节炎是美国成年人中最常见的致残原因,尤其在患有多种慢性病的人群中更为常见。2003 年,关节炎导致美国医疗保健费用估计达 1280 亿美元,同时还造成劳动收入损失。为更新先前美国对医生诊断的关节炎和与关节炎相关的活动受限(AAAL)的流行率的估计,疾病预防控制中心分析了 2010-2012 年全国健康访谈调查(NHIS)的数据。本报告总结了该分析的结果,发现 5250 万(22.7%)18 岁及以上成年人自我报告患有医生诊断的关节炎,2270 万人(9.8%,或 43.2%的关节炎患者)报告有关节炎导致的活动受限,分别与先前预计的增加相符和超过。在患有心脏病、糖尿病和肥胖症的人群中,医生诊断的关节炎的流行率分别为 49.0%、47.3%和 31.2%;在这些特定疾病患者中,有关节炎导致的活动受限的流行率分别为 26.8%、25.7%和 15.2%。更多地使用循证干预措施,如慢性病自我管理教育和体育活动干预,这些措施已被证明可以减轻慢性病患者的疼痛并改善生活质量,可能有助于减轻关节炎给个人和社会带来的负担。

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