Austin Shamly, Saag Kenneth G, Pisu Maria
Research & Development, Gateway Health Plan®, Pittsburgh, PA 15222, USA.
Division of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Arthritis. 2018 Feb 4;2018:2807035. doi: 10.1155/2018/2807035. eCollection 2018.
We examined racial/ethnic disparities in healthcare providers' recommendations for physical activity among individuals with arthritis and evaluated this association among groups of individuals who adhered to physical activity guidelines and those who did not.
With a cross-sectional design based on Behavioral Risk Factor Surveillance System, we analyzed individuals with self-reported physician-diagnosed arthritis, ≥18 years of age ( = 83,376). Outcome variable was healthcare providers' recommendations for physical activity. Race/ethnicity was categorized as African American, Hispanic, and White. Associations were examined using multivariate logistic regression.
African Americans (Adjusted OR: 0.66; 95% CI: 0.55-0.79) and Hispanics (Adjusted OR: 0.68; 95% CI: 0.56-0.83) were less likely to receive providers' recommendations.
Although the importance of physical activity to improve health outcomes for adults with arthritis, as well as providers' influence on individuals' behavior change, is well established, providers are less likely to recommend physical activity to minorities. Further studies are required to identify the causes for this quality-of-care issue.
我们研究了医疗服务提供者对关节炎患者身体活动建议中的种族/民族差异，并评估了遵循身体活动指南和未遵循指南的个体群体之间的这种关联。
基于行为危险因素监测系统的横断面设计，我们分析了年龄≥18岁且自我报告经医生诊断患有关节炎的个体（n = 83376）。结果变量是医疗服务提供者对身体活动的建议。种族/民族分为非裔美国人、西班牙裔和白人。使用多变量逻辑回归分析关联。
非裔美国人（调整后的比值比：0.66；95%置信区间：0.55 - 0.79）和西班牙裔（调整后的比值比：0.68；95%置信区间：0.56 - 0.83）接受提供者建议的可能性较小。
尽管身体活动对改善关节炎成人健康结局的重要性以及提供者对个体行为改变的影响已得到充分证实，但提供者向少数族裔推荐身体活动的可能性较小。需要进一步研究以确定这一医疗质量问题的原因。
