MMWR Morb Mortal Wkly Rep. 2021 Oct 22;70(42):1466-1471. doi: 10.15585/mmwr.mm7042a2.
Arthritis is a highly prevalent and disabling condition among U.S. adults (1); arthritis-attributable functional limitations and severe joint pain affect many aspects of health and quality of life (2). Self-management education (self-management) and physical activity can reduce pain and improve the health status and quality of life of adults with arthritis; however, in 2014, only 11.4% and 61.0% of arthritis patients reported engaging in each, respectively. To assess self-reported self-management class attendance and health care provider physical activity counseling among adults with doctor-diagnosed arthritis, CDC analyzed 2019 Behavioral Risk Factor Surveillance System (BRFSS) data. In 2019, an age-standardized state median of one in six (16.2%) adults with arthritis reported ever attending a self-management class, and 69.3% reported ever receiving health care provider counselling to be physically active. Prevalences of both differed by state and sociodemographic characteristics; decreased with lower educational attainment, joint pain severity, and urbanicity; and were lower in men than in women. Health care providers can play an important role in promoting self-management class attendance and physical activity by counseling arthritis patients about their benefits and referring patients to evidence-based programs (3).
关节炎是美国成年人中一种高发且致残的疾病(1);关节炎引起的功能障碍和严重关节疼痛影响着健康和生活质量的许多方面(2)。自我管理教育(自我管理)和身体活动可以减轻疼痛,改善关节炎患者的健康状况和生活质量;然而,在 2014 年,只有 11.4%和 61.0%的关节炎患者分别报告参加了这两种治疗方法。为了评估有医生诊断的关节炎成年人自我报告的自我管理课程出勤率和医疗保健提供者的身体活动咨询情况,CDC 分析了 2019 年行为风险因素监测系统(BRFSS)的数据。2019 年,年龄标准化的州中位数显示,六分之一(16.2%)有过关节炎的成年人报告曾经参加过自我管理课程,69.3%的成年人报告曾经接受过医疗保健提供者的身体活动咨询。两者的流行程度因州和社会人口特征而异;与教育程度较低、关节疼痛严重程度和城市性有关;且男性的发病率低于女性。医疗保健提供者可以通过向关节炎患者宣传自我管理课程和身体活动的益处,并向他们推荐基于证据的项目,在促进自我管理课程出勤率和身体活动方面发挥重要作用(3)。