Rahman Hafsah Alim Ur, Fahim Muhammad Ahmed Ali, Salman Afia, Ahmed Syed Hassan, Ahmed Sajeel, Ahmed Raheel, Yousaf Zohaib
Dow University of Health Sciences, Karachi, Pakistan.
Dr. Ruth K.M. Pfau Civil Hospital, Karachi, Pakistan.
Medicine (Baltimore). 2025 Mar 21;104(12):e41892. doi: 10.1097/MD.0000000000041892.
Arthritis is a predominant cause of disability in the United States, imposing substantial economic burdens and public health challenges. This study aimed to analyze the trends and disparities in the prevalence of arthritis among US adults from 2019 to 2022. The National Health Interview Survey (NHIS) database of the Center for Disease Control and Prevention was analyzed, employing Joinpoint regression analysis for determining annual percentage changes (APCs) and prevalence percentages with 95% confidence intervals (CI). The prevalence of diagnosed arthritis among US adults remained relatively stable and slightly increased from 21.4% (95% CI: 20.9, 22.0) in 2019 to 21.6% (95% CI: 21.0, 22.2) in 2022 (APC: 0.4698; 95% CI: -1.0841, 2.0577). Females had a higher prevalence, which also increased from 24.3% to 25.0% (APC: 1.0218; 95% CI: -0.4408, 2.5223) with male prevalence ranging from 18.3% to 18.0% (APC: -0.3254; 95% CI: -2.6590, 2.0817). Age-related differences were particularly evident, with rates peaking in individuals aged ≥ 75 years at 53.9% in 2022. Racial disparities were observed, with White adults having a higher prevalence each year (23.8% in 2022). Geographic factors influenced prevalence, with higher rates noted in areas outside metropolitan areas and in the Midwest. Analysis of the NHIS database indicated a slight rise in arthritis prevalence overall, accompanied by notable demographic disparities. These results emphasize the necessity for tailored public health interventions and efficient disease management approaches tailored to specific populations.
关节炎是美国导致残疾的主要原因，带来了巨大的经济负担和公共卫生挑战。本研究旨在分析2019年至2022年美国成年人中关节炎患病率的趋势和差异。对疾病控制与预防中心的国家健康访谈调查（NHIS）数据库进行了分析，采用Joinpoint回归分析来确定年度百分比变化（APC）以及患病率百分比和95%置信区间（CI）。美国成年人中确诊关节炎的患病率保持相对稳定，略有上升，从2019年的21.4%（95%CI：20.9，22.0）升至2022年的21.6%（95%CI：21.0，22.2）（APC：0.4698；95%CI：-1.0841，2.0577）。女性患病率更高，也从24.3%升至25.0%（APC：1.0218；95%CI：-0.4408，2.5223），而男性患病率从18.3%降至18.0%（APC：-0.3254；95%CI：-2.6590，2.0817）。年龄相关差异尤为明显，2022年75岁及以上人群的患病率最高，为53.9%。观察到种族差异，白人成年人每年的患病率更高（2022年为23.8%）。地理因素影响患病率，大都市以外地区和中西部地区的患病率更高。对NHIS数据库的分析表明，关节炎总体患病率略有上升，同时存在显著的人口统计学差异。这些结果强调了针对特定人群制定公共卫生干预措施和有效疾病管理方法的必要性。
