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林波波省一家公立医院患者骨关节炎的患病率及危险因素

Prevalence and risk factors of osteoarthritis in patients at a public hospital in Limpopo province.

作者信息

Masangu Tsundzuka, Tlou Boikhutso, Dlungwane Thembelihle

机构信息

Department of Public Health Medicine, Faculty of Health Sciences, University of KwaZulu-Natal, Durban.

出版信息

S Afr Fam Pract (2004). 2024 Nov 25;66(1):e1-e6. doi: 10.4102/safp.v66i1.5966.

Abstract

BACKGROUND

Osteoarthritis (OA) is a public health concern affecting millions globally. Osteoarthritis has been ranked as the 12th leading cause of disability among the ageing population globally. In addition, OA can lead to disability, which can affect the quality of life and physical and emotional well-being.

METHODS

A cross-sectional survey was conducted. An interviewer-administered questionnaire was utilised. Logistic regression was used to identify OA-related factors in the univariable and multivariable models. A p-value less than 0.05 was deemed statistically significant.

RESULTS

A total of 210 participants responded to the questionnaire. The overall prevalence of OA at the public hospital was 55.7% in adults over 18 years willing to participate. Among the study participants, females, individuals over the age of 50 years, and obese patients reported a high prevalence of OA. Family history and knee and hip pain were significantly associated with OA (p  0.05). Participants with a family history of OA were 6.9 times more likely to have OA, those with knee pain were 22.8 times more likely and those with hip pain were 5.5 times more likely after adjusting for the other variables.

CONCLUSION

A high proportion of patients reported to have OA. Family history, knee pain and hip pain were strongly associated with OA. Understanding the prevalence and risk factors associated with OA is crucial for developing targeted interventions for prevention and management.Contribution: Targeted health promotion and education interventions are needed for prevention and early management.

摘要

背景

骨关节炎(OA)是一个全球数百万人关注的公共卫生问题。在全球老龄化人口中,骨关节炎已被列为导致残疾的第12大主要原因。此外,骨关节炎会导致残疾,进而影响生活质量以及身体和心理健康。

方法

开展了一项横断面调查。采用了由访谈员实施的问卷。在单变量和多变量模型中使用逻辑回归来确定与骨关节炎相关的因素。p值小于0.05被认为具有统计学意义。

结果

共有210名参与者对问卷做出了回应。在愿意参与的18岁以上成年人中,公立医院骨关节炎的总体患病率为55.7%。在研究参与者中,女性、50岁以上的个体以及肥胖患者报告的骨关节炎患病率较高。家族病史以及膝关节和髋关节疼痛与骨关节炎显著相关(p < 0.05)。在对其他变量进行调整后,有骨关节炎家族病史的参与者患骨关节炎的可能性高6.9倍,有膝关节疼痛的参与者高22.8倍,有髋关节疼痛的参与者高5.5倍。

结论

报告患有骨关节炎的患者比例很高。家族病史、膝关节疼痛和髋关节疼痛与骨关节炎密切相关。了解与骨关节炎相关的患病率和风险因素对于制定有针对性的预防和管理干预措施至关重要。贡献:预防和早期管理需要有针对性的健康促进和教育干预措施。

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Epidemiology of osteoarthritis.骨关节炎的流行病学。
Osteoarthritis Cartilage. 2022 Feb;30(2):184-195. doi: 10.1016/j.joca.2021.04.020. Epub 2021 Sep 14.

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