From the Dalla Lana School of Public Health, University of Toronto; Health Care and Outcomes Research, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.
E.M. Badley, DPhil, Dalla Lana School of Public Health, University of Toronto, and Health Care and Outcomes Research, Krembil Research Institute, University Health Network; C.M. Goulart, MPH, Dalla Lana School of Public Health, University of Toronto; D.B. Millstone, MPH, Health Care and Outcomes Research, Krembil Research Institute, University Health Network; A.V. Perruccio, PhD, Dalla Lana School of Public Health, University of Toronto, and Health Care and Outcomes Research and Arthritis Program, Krembil Research Institute, University Health Network, and Department of Surgery, Faculty of Medicine, University of Toronto.
J Rheumatol. 2019 Jun;46(6):579-586. doi: 10.3899/jrheum.180147. Epub 2019 Feb 15.
To provide updated arthritis estimates for Canada given a change in wording in the 2015 Canadian Community Health Survey (CCHS) arthritis question.
Prevalence data from the 2000 to 2016 CCHS were used to document trends in the prevalence of arthritis over time. Projections of arthritis prevalence were also calculated using data from CCHS 2015 in conjunction with Statistics Canada's published population projections. Data for 2015 were also used to provide summary data on the effect of arthritis.
Between 2000 and 2014 there were some fluctuations in the prevalence of arthritis (age ≥ 15 yrs), with the range of prevalence varying between 15.4% and 17.6%. There was a significant increase in overall prevalence to over 20% with the 2015 and 2016 surveys (6 million Canadians), coinciding with a revised wording of the arthritis question. This increase was observed in all age and sex groups, except for men aged 85+. The overall characteristics of the 2015 arthritis population were similar to those in 2007/08. Using the updated 2015 CCHS arthritis data, projection estimates suggest the population prevalence of arthritis will increase to just over 24% by 2040, with the number of Canadians living with arthritis projected to increase by about 50% from 2015 to 2040.
The revised question likely increased ascertainment of arthritis owing to inclusion of examples of arthritis diagnoses in the CCHS question and more explicit wording in the French version, resulting in a large increase in the estimated prevalence and numbers of people with arthritis in Canada.
由于 2015 年加拿大社区健康调查(CCHS)关节炎问题的措辞发生变化,为加拿大提供更新的关节炎估计。
使用 2000 年至 2016 年 CCHS 的患病率数据来记录关节炎随时间的流行趋势。还使用 CCHS 2015 年的数据结合加拿大统计局公布的人口预测数据来计算关节炎流行率的预测。还使用 2015 年的数据提供有关关节炎影响的摘要数据。
在 2000 年至 2014 年期间,关节炎(年龄≥15 岁)的患病率存在一些波动,患病率范围在 15.4%至 17.6%之间。2015 年和 2016 年的调查结果显示,总体患病率显着增加到 20%以上(600 万加拿大人),这与关节炎问题的措辞修订有关。除了 85 岁以上的男性外,所有年龄和性别组都观察到这种增加。2015 年关节炎人群的总体特征与 2007/08 年相似。使用更新的 2015 年 CCHS 关节炎数据,预测估计表明,到 2040 年,关节炎的人口患病率将增加到略高于 24%,预计到 2040 年,加拿大患关节炎的人数将增加约 50%。
修订后的问题可能由于 CCHS 问题中包含关节炎诊断的示例以及法语版本中更明确的措辞,从而增加了关节炎的确定率,导致加拿大关节炎的估计患病率和人数大幅增加。