Health Studies, University of Rhode Island, 25 West Independence Way, Kingston, RI 02881, USA.
Department of Kinesiology, University of Rhode Island, 25 West Independence Way, Kingston, RI 02881, USA.
Int J Environ Res Public Health. 2019 Mar 16;16(6):946. doi: 10.3390/ijerph16060946.
: Weight loss is advantageous for individuals with obesity and arthritis. Therefore, this study was conducted to determine if there are differences by rural-urban status among older adults with these conditions who reported being advised by a health care provider to lose weight for arthritis or to ameliorate arthritis symptoms. : A cross-sectional analysis of 2011 Behavioral Risk Factor Surveillance System (BRFSS) data. Respondents reported if they had been diagnosed with arthritis and if they received a provider weight loss recommendation (WLR). The analytic sample was limited to older adults aged 60⁻79 living in the five states that administered the examined BRFSS arthritis module who had body mass index ≥ 30 kg/m² and reported having arthritis (n = 2920). The respondent's county of residence was linked to the corresponding county-level population density from the US Decennial Census to determine rural-urban status. A generalized linear model examined the association between receipt of a WLR and population density, controlling for demographics. : The sample was 83.6% white, 57.8% female, and 63.2% received a WLR. Respondents from more urban counties were more likely to receive a WLR ( value for trend <0.001). Additionally, older respondents, men, individuals with less than a high school education, and whites had a decreased likelihood of receiving a WLR. : The analysis identified notable rural-urban differences with respondents in more urban counties being more likely to receive a WLR. Furthermore, there were differences in those who received a WLR by age, sex, and education. Reasons for these differences should be explored.
减肥对肥胖和关节炎患者有益。因此,本研究旨在确定在报告曾被医疗保健提供者建议减肥以治疗关节炎或改善关节炎症状的患有这些疾病的老年人群体中,城乡状况是否存在差异。
这是一项对 2011 年行为风险因素监测系统(BRFSS)数据的横断面分析。受访者报告是否被诊断患有关节炎以及是否收到提供者的减肥建议(WLR)。分析样本仅限于居住在进行了所检查的 BRFSS 关节炎模块的五个州、年龄在 60-79 岁、体重指数≥30kg/m²且报告患有关节炎的老年人(n=2920)。受访者居住的县与美国十年一次人口普查中相应的县人口密度相关联,以确定城乡状况。使用广义线性模型,在控制人口统计学因素的情况下,检验了收到 WLR 与人口密度之间的关联。
样本中 83.6%为白人,57.8%为女性,63.2%收到了 WLR。来自城市人口较多的县的受访者更有可能收到 WLR(趋势值<0.001)。此外,年龄较大、男性、受教育程度较低的人以及白人收到 WLR 的可能性较低。
该分析确定了明显的城乡差异,城市人口较多的县的受访者更有可能收到 WLR。此外,在收到 WLR 的人群中,年龄、性别和教育程度也存在差异。应该探讨这些差异的原因。