MMWR Morb Mortal Wkly Rep. 2023 Oct 13;72(41):1101-1107. doi: 10.15585/mmwr.mm7241a1.
Arthritis includes approximately 100 conditions that affect the joints and surrounding tissues. It is a leading cause of activity limitations, disability, and chronic pain, and is associated with dispensed opioid prescriptions, substantially contributing to health care costs. Combined 2019-2021 National Health Interview Survey data were analyzed to update national prevalence estimates of self-reported diagnosed arthritis. An estimated 21.2% (18.7% age-standardized) of U.S. adults aged ≥18 years (53.2 million) had diagnosed arthritis during this time frame. Age-standardized arthritis prevalences were higher among women (20.9%) than men (16.3%), among veterans (24.2%) than nonveterans (18.5%), and among non-Hispanic White (20.1%) than among Hispanic or Latino (14.7%) or non-Hispanic Asian adults (10.3%). Adults aged ≥45 years represent 88.3% of all U.S. adults with arthritis. Unadjusted arthritis prevalence was high among adults with chronic obstructive pulmonary disease (COPD) (57.6%), dementia (55.9%), a disability (54.8%), stroke (52.6%), heart disease (51.5%), diabetes (43.1%), or cancer (43.1%). Approximately one half of adults aged ≥65 years with COPD, dementia, stroke, heart disease, diabetes, or cancer also had a diagnosis of arthritis. These prevalence estimates can be used to guide public health policies and activities to increase equitable access to physical activity opportunities within the built environment and other arthritis-appropriate, evidence-based interventions.
关节炎包括大约 100 种影响关节和周围组织的疾病。它是导致活动受限、残疾和慢性疼痛的主要原因,与阿片类药物处方的发放有关,极大地增加了医疗保健成本。对 2019-2021 年全国健康访谈调查数据进行了分析,以更新全国自我报告确诊关节炎的患病率估计。在这段时间内,估计有 21.2%(标准化年龄后为 18.7%)的美国≥18 岁成年人(5320 万人)患有确诊关节炎。标准化年龄后的关节炎患病率在女性(20.9%)中高于男性(16.3%),在退伍军人(24.2%)中高于非退伍军人(18.5%),在非西班牙裔白人(20.1%)中高于西班牙裔或拉丁裔(14.7%)或非西班牙裔亚裔成年人(10.3%)。≥45 岁的成年人占所有美国关节炎患者的 88.3%。未经调整的关节炎患病率在患有慢性阻塞性肺疾病(COPD)(57.6%)、痴呆症(55.9%)、残疾(54.8%)、中风(52.6%)、心脏病(51.5%)、糖尿病(43.1%)或癌症(43.1%)的成年人中较高。大约一半≥65 岁患有 COPD、痴呆症、中风、心脏病、糖尿病或癌症的成年人也被诊断患有关节炎。这些患病率估计值可用于指导公共卫生政策和活动,以增加在建筑环境内获得身体活动机会的公平性,并开展其他关节炎适当的、基于证据的干预措施。