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印度泰米尔纳德邦坎奇普兰地区农村成年人群膝关节骨关节炎的患病率。

Prevalence of osteoarthritis of knee joint among adult population in a rural area of Kanchipuram District, Tamil Nadu.

机构信息

Assistant Professor, Department of Preventive and Social Medicine, JIPMER, Pondicherry, Tamil Nadu, India.

Associate Professor, Department of Community Medicine, PIMS, Pondicherry, Tamil Nadu, India.

出版信息

Indian J Public Health. 2018 Apr-Jun;62(2):117-122. doi: 10.4103/ijph.IJPH_344_16.

Abstract

BACKGROUND

Osteoarthritis (OA) is one of the most common degenerative disorders among the elderly population; although aging is the most important cause, research has shown that it is a complex disease with many etiologies. It is not an inevitable part of aging but rather the result of a combination of factors, many of which can be modified or prevented.

OBJECTIVE

The objective of this study was to assess the burden and determinants of OA knee among the adult population.

METHODS

A community-based, cross-sectional study among 1986 adult persons living in a rural area in Kanchipuram district, Tamil Nadu, South India, was interviewed and examined from January 2014 to December 2014. Data collection was done by the postgraduates, trained health workers under the supervision of principal investigator. Written and informed consent was obtained before data collection. OA was diagnosed using the criteria laid down by the American College of Rheumatology, and it was validated and tested in the study area.

RESULTS

: A total of 1986 adult respondents were interviewed out of which 27.1% had OA of knee. Age more than 50 years, female gender, tobacco usage, illiteracy, lower socioeconomic class, positive family history of OA, diabetes, and hypertension were found to be associated with OA knee (P < 0.05).

CONCLUSION

The burden of osteoarthritis knee was high in this region. Hence, effective preventive strategy has to be taken to minimize this burden.

摘要

背景

骨关节炎(OA)是老年人中最常见的退行性疾病之一;尽管衰老是最重要的原因,但研究表明,它是一种病因复杂的疾病。它不是衰老的必然部分,而是多种因素共同作用的结果,其中许多因素可以改变或预防。

目的

本研究旨在评估成年人膝关节骨关节炎的负担和决定因素。

方法

这是一项在印度南部泰米尔纳德邦坎奇普兰地区进行的基于社区的横断面研究,于 2014 年 1 月至 12 月对 1986 名成年人进行了访谈和检查。数据收集由研究生在首席研究员的监督下,通过受过培训的卫生工作者进行。在收集数据之前,获得了书面和知情同意。使用美国风湿病学会制定的标准诊断 OA,并在研究区域进行了验证和测试。

结果

在接受采访的 1986 名成年受访者中,有 27.1%患有膝关节 OA。年龄大于 50 岁、女性、吸烟、文盲、社会经济地位较低、OA 阳性家族史、糖尿病和高血压与膝关节 OA 相关(P < 0.05)。

结论

该地区膝关节骨关节炎的负担很高。因此,必须采取有效的预防策略来减轻这种负担。

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