Department of Biostatistics, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Student research committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Clin Rheumatol. 2021 Nov;40(11):4511-4525. doi: 10.1007/s10067-021-05829-x. Epub 2021 Jun 22.
Rheumatoid arthritis is a chronic inflammatory and systemic autoimmune disease associated with synovial fluid inflammatory lesions and articular changes. The aim of the present study was to determine socioeconomic inequality in RA patients using a meta-analysis approach.
A systematic search of national and international databases of SID, MagIran, Google Scholar, Cochrane, Embase, ScienceDirect, Scopus, PubMed, and Web of Science (WoS) was conducted to find articles published from 1988 to March 2020. Random effects model was used for analysis and heterogeneity of studies was investigated using I index. Data analysis was then carried out using Comprehensive Meta-Analysis (Ver. 2).
A total of 51 articles with a total sample size of 48,195 individuals were included in the meta-analysis in all the components. The results showed that 18.9% (95% CI: 4.9-13.25%) of patients were single patients, 70.6% (95% CI: 63.5-76.8%) were married, 31.6% (95% CI: 24.5-39.7%) had low economic status, 52.1% (95% CI: 5.8-44.53%) had moderate economic status, level of education was below diploma in 33% (95% CI: 27.1-39.5%) of cases, 36.2% (95% CI: 27.3-46.1%) were smokers, and 8.8% (95% CI: 2.8-24.1%) of patients were unemployed.
The results of the present study indicate high socioeconomic inequality in RA patients in the main components of the study. Hence, to improve the aforementioned status and find causes and do the monitoring at all levels, appropriate solutions must be adopted by providing feedback to policy-makers.
• The results showed that 18.9% (95% CI: 4.9-13.25%) of patients were single patients. • 70.6% (95% CI: 63.5-76.8%) were married and 31.6% (95% CI: 24.5-39.7%) had low economic status. • 52.1% (95% CI: 5.8-44.53%) had moderate economic status; 36.2% (95% CI: 27.3-46.1%) were smokers.
类风湿关节炎是一种慢性炎症性和系统性自身免疫性疾病，与滑液炎症病变和关节变化有关。本研究旨在通过荟萃分析方法确定类风湿关节炎患者的社会经济不平等情况。
对 SID、MagIran、Google Scholar、Cochrane、Embase、ScienceDirect、Scopus、PubMed 和 WoS 等国内外数据库进行系统检索，以查找 1988 年至 2020 年 3 月发表的文章。采用随机效应模型进行分析，并使用 I 指数研究研究间的异质性。然后使用 Comprehensive Meta-Analysis（Ver. 2）进行数据分析。
在所有部分的荟萃分析中，共纳入了 51 篇文章，总样本量为 48195 人。结果表明，18.9%（95%CI：4.9-13.25%）的患者为单身患者，70.6%（95%CI：63.5-76.8%）为已婚，31.6%（95%CI：24.5-39.7%）经济状况较低，52.1%（95%CI：5.8-44.53%）经济状况中等，33%（95%CI：27.1-39.5%）的病例受教育程度低于文凭，36.2%（95%CI：27.3-46.1%）为吸烟者，8.8%（95%CI：2.8-24.1%）的患者失业。
本研究结果表明，类风湿关节炎患者在研究的主要组成部分存在较高的社会经济不平等。因此，为了改善上述状况并找到原因并在各级进行监测，必须通过向决策者提供反馈来采取适当的解决方案。
结果显示，18.9%（95%CI：4.9-13.25%）的患者为单身患者。
70.6%（95%CI：63.5-76.8%）已婚，31.6%（95%CI：24.5-39.7%）经济状况较低。
52.1%（95%CI：5.8-44.53%）经济状况中等；36.2%（95%CI：27.3-46.1%）为吸烟者。
