Kaplan R M, Alcaraz J E, Anderson J P, Weisman M
Department of Family and Preventive Medicine, University of California, San Diego, La Jolla 92093-0622, USA.
Arthritis Care Res. 1996 Dec;9(6):473-82. doi: 10.1002/art.1790090609.
To estimate the public health impact of self-reported arthritis in terms of Quality-Adjusted Life Years.
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.
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.
Arthritis has a significant public health impact.
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。
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。
因关节炎而损失的预期寿命为1.86年（95%置信区间为1.40 - 2.32年）。在低收入者、农村居民、受教育程度较低者和年龄较大的受访者中，报告患有关节炎的情况更为常见。男性和女性报告患关节炎的比率没有差异，但患有关节炎的男性的QWB得分低于患有关节炎的女性。
关节炎对公共卫生有重大影响。
