关节炎对玛雅-尤卡特科农村社区身体功能的影响及其患病率相关因素：一项基于社区的横断面研究。
The impact of arthritis on the physical function of a rural Maya-Yucateco community and factors associated with its prevalence: a cross sectional, community-based study.
作者信息
Loyola-Sanchez Adalberto, Richardson Julie, Pelaez-Ballestas Ingris, Alvarez-Nemegyei José, Lavis John N, Wilson Michael G, Wilkins Seanne
机构信息
School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Institute for Applied Health Sciences, Room 403, 1400 Main St. W., Hamilton, ON, L8S 1C7, USA.
出版信息
Clin Rheumatol. 2016 Jul;35 Suppl 1(Suppl 1):25-34. doi: 10.1007/s10067-015-3084-x. Epub 2015 Oct 7.
This study aims to evaluate the impact of arthritis on the physical function of people living in a Maya-Yucateco rural community and to assess the association of known modifiable risk factors with the prevalence of overall arthritis and its main types (osteoarthritis and rheumatoid arthritis). Using a cross-sectional, community-based census design, data collected from the adult population (≥18 years) of the Municipality of Chankom, Yucatán, México, were analyzed (n = 1523). Participants' physical function was assessed using a culturized version of the health assessment questionnaire disability index. Social, physical, and behavioral factors linked to overall arthritis, osteoarthritis, and rheumatoid arthritis, were assessed through the "Community-Oriented-Program-for-the-Control-of-Rheumatic-Diseases [COPCORD]" questionnaire. A physiatrist and a rheumatologist confirmed all osteoarthritis and rheumatoid arthritis cases using the American College of Rheumatology criteria. Arthritis was confirmed in 169 cases (22 %, 95 % confidence interval (CI) 19-25) of those assessed for musculoskeletal symptoms (n = 779): osteoarthritis = 144, rheumatoid arthritis = 17, and non-specific arthritis = 8. Arthritis was associated with a higher prevalence of disability after controlling for age, gender, and number of comorbidities (odds ratio = 4.0, 95 % CI 3.0-6.0). Higher level of wealth was associated with lower arthritis prevalence (odds ratio = 0.9, 95% CI 0.8-0.9). Higher body mass index was associated with higher hip and/or knee osteoarthritis prevalence (odds ratio = 1.1, 95 % CI 1.03-1.1). Arthritis is highly associated with disability in the Mayan people living in Chankom. The prevalence of arthritis in Chankom is associated with social factors, such as people's level of wealth, while the prevalence of low-extremity osteoarthritis is associated with people's body mass index.
本研究旨在评估关节炎对生活在玛雅 - 尤卡特科农村社区人群身体功能的影响，并评估已知可改变风险因素与总体关节炎及其主要类型（骨关节炎和类风湿关节炎）患病率之间的关联。采用基于社区的横断面普查设计，对从墨西哥尤卡坦州钱孔市成年人口（≥18岁）收集的数据（n = 1523）进行分析。使用健康评估问卷残疾指数的文化适应版本评估参与者的身体功能。通过“社区风湿性疾病控制导向计划[COPCORD]”问卷评估与总体关节炎、骨关节炎和类风湿关节炎相关的社会、身体和行为因素。一名物理治疗师和一名风湿病学家使用美国风湿病学会标准确诊所有骨关节炎和类风湿关节炎病例。在接受肌肉骨骼症状评估的人群（n = 779）中，确诊169例关节炎（22%，95%置信区间[CI] 19 - 25）：骨关节炎 = 144例，类风湿关节炎 = 17例，非特异性关节炎 = 8例。在控制年龄、性别和合并症数量后，关节炎与更高的残疾患病率相关（比值比 = 4.0，95% CI 3.0 - 6.）。更高的财富水平与更低的关节炎患病率相关（比值比 = 0.9，95% CI 0.8 - 0.9）。更高的体重指数与更高髋部和/或膝部骨关节炎患病率相关（比值比 = 1.1，95% CI 1.03 - 1.1）。关节炎与生活在钱孔的玛雅人的残疾高度相关。钱孔的关节炎患病率与社会因素相关，如人们的财富水平，而下肢骨关节炎的患病率与人们的体重指数相关。
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