因关节炎而损失的质量调整生命年：性别、种族和社会阶层的影响。

Quality-adjusted life years lost to arthritis: effects of gender, race,and social class.

作者信息

Kaplan R M, Alcaraz J E, Anderson J P, Weisman M

机构信息

Department of Family and Preventive Medicine, University of California, San Diego, La Jolla 92093-0622, USA.

出版信息

Arthritis Care Res. 1996 Dec;9(6):473-82. doi: 10.1002/art.1790090609.

DOI:10.1002/art.1790090609

PMID:9136291

Abstract

OBJECTIVE

To estimate the public health impact of self-reported arthritis in terms of Quality-Adjusted Life Years.

METHOD

The Quality of Well-being Scale (QWB) is a general measure of health-related quality of life that scores levels of wellness on a continuum between death (0.0) and optimum functioning (1.0). Values for the QWB were imputed for the National Health Interview Survey. These estimates were adjusted for mortality based on the life tables. Age-specific estimates were obtained for those reporting arthritis and compared to estimators for the population not reporting arthritis. These estimates were broken down by race (white versus nonwhite), gender and socioeconomic status.

RESULTS

The expected life years lost because of arthritis were 1.86 (95% confidence interval 1.40-2.32 years). Arthritis was reported more often among those of lower income, those living in rural areas, those of lower educational attainment, and older respondents. Men and women did not differ in rates of reporting arthritis, but men with arthritis had lower QWB scores than women with arthritis.

CONCLUSION

Arthritis has a significant public health impact.

摘要

目的

根据质量调整生命年评估自我报告的关节炎对公共卫生的影响。

方法

健康状况量表（QWB）是一种与健康相关的生活质量的综合测量方法，在从死亡（0.0）到最佳功能（1.0）的连续统一体上对健康水平进行评分。通过国家健康访谈调查估算了QWB的值。这些估计值根据生命表对死亡率进行了调整。获得了报告患有关节炎者的特定年龄估计值，并与未报告患有关节炎人群的估计值进行了比较。这些估计值按种族（白人对非白人）、性别和社会经济地位进行了分类。