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肯尼亚农村地区成年人关节炎的患病率及其预测因素:一项横断面研究。

Prevalence and predictors of arthritis among adults in a rural set-up in Kenya: a cross-sectional study.

机构信息

Department of Family Medicine Community Health and Epidemiology, Kenyatta University, Nairobi, Kenya.

Department of Medical Physiology, Kenyatta University, Nairobi, Kenya.

出版信息

Pan Afr Med J. 2024 Apr 3;47:158. doi: 10.11604/pamj.2024.47.158.42890. eCollection 2024.

Abstract

INTRODUCTION

arthritis is a significant public health problem affecting many people globally. Exposure to various risk factors puts individuals at risk of developing arthritis. Therefore, this study aimed to assess the prevalence and predictors of arthritis among residents of a rural set-up in Nyamira County, Kenya.

METHODS

a community-based cross-sectional study design was employed. Simple random sampling was utilized to select households from a household list. All the residents of the sampled household above 40 years were included. Descriptive analysis was done to describe the study population. Bivariate and multivariate analysis was also done to identify statistically significant arthritis-related variables.

RESULTS

the prevalence of arthritis was 44.6%. Previous joint injury/infection [AOR=2.74; 95%CI=1.59-4.77; p<0.001], being unemployed [AOR=2.77; 95%CI=1.50-5.21; p=0.001], age above 51 years, and hypertension [AOR=1.90; 95%CI=1.03-3.53, p=0.040] were associated with an increased risk of arthritis. Conversely, being male [AOR=0.42; 95% CI=0.22-0.75; p=0.005], standing for > 2 hours [AOR=0.48; 95%CI=0.29-0.81; p=0.006], and constant shifting from sit to stand positions [AOR=0.45; 95% CI=0.26-0.76; p=0.003] were associated with a lower risk of arthritis. Most participants (75%) had an arthritis knowledge score of more than 66%.

CONCLUSION

the study found a high prevalence of arthritis in the community. Arthritis was strongly associated with various risk factors under study. Therefore, there is a need to take preventive measures for modifiable factors to enhance a reduced prevalence of arthritis.

摘要

简介

关节炎是一个严重的全球公共卫生问题,影响着许多人。暴露于各种风险因素会使个体面临患关节炎的风险。因此,本研究旨在评估肯尼亚尼亚米拉县农村地区居民的关节炎患病率和预测因素。

方法

采用基于社区的横断面研究设计。采用简单随机抽样从住户名单中选择住户。所有 40 岁以上的被抽样家庭居民都被纳入研究。采用描述性分析来描述研究人群。还进行了双变量和多变量分析,以确定与关节炎相关的具有统计学意义的变量。

结果

关节炎的患病率为 44.6%。既往关节损伤/感染(AOR=2.74;95%CI=1.59-4.77;p<0.001)、失业(AOR=2.77;95%CI=1.50-5.21;p=0.001)、年龄超过 51 岁和高血压(AOR=1.90;95%CI=1.03-3.53,p=0.040)与关节炎风险增加相关。相反,男性(AOR=0.42;95%CI=0.22-0.75;p=0.005)、站立超过 2 小时(AOR=0.48;95%CI=0.29-0.81;p=0.006)和经常从坐到站的姿势转换(AOR=0.45;95%CI=0.26-0.76;p=0.003)与关节炎风险降低相关。大多数参与者(75%)的关节炎知识评分超过 66 分。

结论

本研究发现该社区关节炎患病率较高。关节炎与研究中的各种风险因素密切相关。因此,需要采取预防措施来控制可改变的因素,以降低关节炎的患病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0c5/11226762/1f5604430698/PAMJ-47-158-g001.jpg

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