Murphy Louise B, Helmick Charles G, Allen Kelli D, Theis Kristina A, Baker Nancy A, Murray Glen R, Qin Jin, Hootman Jennifer M, Brady Teresa J, Barbour Kamil E
MMWR Morb Mortal Wkly Rep. 2014 Nov 7;63(44):999-1003.
Arthritis is among the most common chronic conditions among veterans and is more prevalent among veterans than nonveterans. Contemporary population-based estimates of arthritis prevalence among veterans are needed because previous population-based studies predate the Persian Gulf War, were small, or studied men only despite the fact that women comprise an increasing proportion of military personnel and typically have a higher prevalence of arthritis than men. To address this knowledge gap, CDC analyzed combined 2011, 2012, and 2013 Behavioral Risk Factor Surveillance System (BRFSS) data among all adults aged ≥18 years, by veteran status, to estimate the total and sex-specific prevalence of doctor-diagnosed arthritis overall and by sociodemographic categories, and the state-specific prevalence (overall and sex-specific) of doctor-diagnosed arthritis. This report summarizes the results of these analyses, which found that one in four veterans reported that they had arthritis (25.6%) and that prevalence was higher among veterans than nonveterans across most sociodemographic categories, including sex (prevalence among male and female veterans was 25.0% and 31.3%, respectively). State-specific, age-standardized arthritis prevalence among veterans ranged from 18.8% in Hawaii to 32.7% in West Virginia. Veterans comprise a large and important target group for reducing the growing burden of arthritis. Those interested in veterans' health can help to improve the quality of life of veterans by ensuring that they have access to affordable, evidence-based, physical activity and self-management education classes that reduce the adverse effects of arthritis (e.g., pain and depression) and its common comorbidities (e.g., heart disease and diabetes).
关节炎是退伍军人中最常见的慢性病之一,在退伍军人中的患病率高于非退伍军人。由于之前基于人群的研究早于海湾战争、样本量小,或者尽管女性在军事人员中的比例不断增加且通常关节炎患病率高于男性,但这些研究仅针对男性,因此需要对退伍军人中关节炎患病率进行基于当代人群的估计。为了填补这一知识空白,美国疾病控制与预防中心(CDC)分析了2011年、2012年和2013年行为危险因素监测系统(BRFSS)合并数据,这些数据来自所有年龄≥18岁的成年人,按退伍军人身份分类,以估计医生诊断的关节炎总体患病率及按性别分类的患病率、按社会人口学类别分类的患病率,以及医生诊断的关节炎的州特定患病率(总体和按性别分类)。本报告总结了这些分析结果,结果发现四分之一的退伍军人报告患有关节炎(25.6%),在大多数社会人口学类别中,包括性别(男性和女性退伍军人的患病率分别为25.0%和31.3%),退伍军人的患病率高于非退伍军人。退伍军人中按州特定、年龄标准化的关节炎患病率从夏威夷的18.8%到西弗吉尼亚州的32.7%不等。退伍军人是减轻日益增长的关节炎负担的一个庞大且重要的目标群体。关注退伍军人健康的人士可以通过确保他们能够参加负担得起的、基于证据的体育活动和自我管理教育课程,来帮助改善退伍军人的生活质量,这些课程可以减轻关节炎的不良影响(如疼痛和抑郁)及其常见合并症(如心脏病和糖尿病)。