Obana Kyle K, Davis James
Amherst College, Amherst, MA; Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (KKO).
Hawaii J Med Public Health. 2016 Jun;75(6):155-61.
The health disparities of Native Hawaiians and Pacific Islanders (NHPI) are well established for diabetes and cardiovascular disease, but less is known about disparities in arthritis. This study examined possible disparities in the prevalence of arthritis by age, sex, and severity comparing NHPI, Whites, and Asians. The study population included adult Hawai'i participants in the 2013 Behavioral Risk Factor Surveillance Survey. NHPI males had a significantly higher prevalence of arthritis, which peaked twenty years earlier, than White and Asian males (P<.001). The prevalence of arthritis peaked at 65-79 years in males and females in all racial groups, except in NHPI males where it peaked at 45-54 years. The mean ages (years) for males with arthritis were 46.2 for NHPI, 59.1 for Whites, and 60.5 for Asians; the respective ages for females were 54.2, 60.5, and 58.8. NHPI males body mass index averaged 2.4 kg/m(2) greater than White males (P<.001), and obese NHPI males had twice the age-adjusted odds of arthritis than obese White males. Although NHPI females had a greater body mass index than White females (P=.05), the prevalence of arthritis was only slightly and not significantly higher. NHPI males and females reported high pain scores more frequently than Whites did, but the differences did not reach statistical significance. Diabetes was a comorbidity more than twice as often in NHPI and Asians of both sexes than among Whites. This study demonstrated racial disparities in the prevalence of arthritis among NHPI, Whites, and Asians.
夏威夷原住民和太平洋岛民（NHPI）在糖尿病和心血管疾病方面的健康差异已得到充分证实，但关于关节炎方面的差异却知之甚少。本研究通过比较NHPI、白人和亚洲人在年龄、性别和严重程度方面关节炎患病率的可能差异。研究人群包括2013年行为危险因素监测调查中的成年夏威夷参与者。NHPI男性患关节炎的患病率显著高于白人和亚洲男性，且发病高峰提前了20年（P<0.001）。除NHPI男性发病高峰在45 - 54岁外，所有种族组的男性和女性关节炎患病率均在65 - 79岁达到峰值。患有关节炎的男性平均年龄（岁），NHPI为46.2岁，白人为59.1岁，亚洲人为60.5岁；女性相应年龄分别为54.2岁、60.5岁和58.8岁。NHPI男性的体重指数平均比白人男性高2.4 kg/m²（P<0.001），肥胖的NHPI男性患关节炎的年龄调整后几率是肥胖白人男性的两倍。尽管NHPI女性的体重指数高于白人女性（P = 0.05），但其关节炎患病率仅略高且无显著差异。NHPI男性和女性报告的疼痛评分高于白人的频率更高，但差异未达到统计学意义。糖尿病作为合并症在NHPI和亚洲男女中的发生率是白人的两倍多。本研究表明NHPI、白人和亚洲人在关节炎患病率方面存在种族差异。
