菲律宾城市人口中风湿性疾病的患病率：一项世界卫生组织 - 国际风湿病联盟社区导向性风湿性疾病控制项目（COPCORD）研究。世界卫生组织。国际风湿病联盟协会。社区导向性风湿性疾病控制项目。

The prevalence of rheumatic diseases in a Filipino urban population: a WHO-ILAR COPCORD Study. World Health Organization. International League of Associations for Rheumatology. Community Oriented Programme for the Control of the Rheumatic Diseases.

作者信息

Dans L F, Tankeh-Torres S, Amante C M, Penserga E G

机构信息

Philippine Regional Clinical Epidemiology Resource and Training Center, Department of Medicine, University of the Philippines, Manila, Philippines.

出版信息

J Rheumatol. 1997 Sep;24(9):1814-9.

PMID:9292809

Abstract

OBJECTIVE

To determine the point prevalence of musculoskeletal complaints and rheumatic diseases in a Filipino urban community.

METHODS

A descriptive cross-sectional 2 phase survey was conducted in an urban community in Metropolitan manila. Phase I (screening) used face-to-face interviews, while phase II (examination) involved case identification of the rheumatic diseases. We sampled 670 households (3065 adults) using a multistage cluster sampling method. A pilot study was conducted to pretest the questionnaire for cross-cultural adaptation and validation, field procedures, sampling design, and data management plan. Standardized translated COPCORD questionnaires (blind translation and blind back-translation) were administered by trained interviewers. Two weeks after Phase I, Phase II was conducted at local health centers. The COPCORD questionnaire screened the number of cases with musculoskeletal complaints. Identification of cases with rheumatic disease was based on American College of Rheumatology (ACR) criteria.

RESULTS

Respondents completed 3006 questionnaires (phase I response rate 98%). Of these 489 respondents had musculoskeletal complaints. Functional disability was reported in 25% among these respondents. We examined 353 (phase II response rate 72%), revealing 294 with rheumatic conditions. In 26 persons there were no abnormalities, while 32 had nonrheumatic conditions at examination. The most common rheumatic diseases were osteoarthritis (OA) (n = 124) and soft tissue rheumatism (n = 115).

CONCLUSION

The prevalence of musculoskeletal complaints was 16.3% (95% CI 8.6-24.0) of the adult population in a FIlipino urban community. The total prevalence of rheumatic disease is 9.8% (95% CI 8.2-11.4). The prevalence of OA was 4.1% (95% CI 3.3-4.9) and soft tissue rheumatism 3.8% (95% CI 2.9-4.8). The prevalence of rheumatoid arthritis, 0.17% (95% CI 0-9.36), was notably low compared to the prevalence in other developing countries.

摘要

目的

确定菲律宾一个城市社区中肌肉骨骼疾病和风湿性疾病的现患率。

方法

在马尼拉大都会的一个城市社区进行了一项描述性横断面两阶段调查。第一阶段（筛查）采用面对面访谈，而第二阶段（检查）涉及风湿性疾病的病例识别。我们使用多阶段整群抽样方法对670户家庭（3065名成年人）进行了抽样。进行了一项试点研究，以预先测试问卷的跨文化适应性和有效性、现场程序、抽样设计以及数据管理计划。由经过培训的访谈员发放经过标准化翻译的COPCORD问卷（盲译和盲回译）。在第一阶段两周后，在当地卫生中心进行了第二阶段调查。COPCORD问卷筛查了有肌肉骨骼疾病主诉的病例数。风湿性疾病病例的识别基于美国风湿病学会（ACR）标准。

结果

受访者完成了3006份问卷（第一阶段应答率为98%）。在这些受访者中，有489人有肌肉骨骼疾病主诉。这些受访者中有25%报告有功能残疾。我们检查了353人（第二阶段应答率为72%），发现294人患有风湿性疾病。26人没有异常，32人在检查时有非风湿性疾病。最常见的风湿性疾病是骨关节炎（OA）（n = 124）和软组织风湿病（n = 115）。

结论

在菲律宾一个城市社区中，肌肉骨骼疾病主诉的现患率为成年人口的16.3%（95%CI 8.6 - 24.0）。风湿性疾病的总现患率为9.8%（95%CI 8.2 - 11.4）。OA的现患率为4.1%（95%CI 3.3 - 4.9），软组织风湿病的现患率为3.8%（95%CI 2.9 - 4.8）。类风湿关节炎的现患率为0.17%（95%CI 0 - 9.36），与其他发展中国家相比明显较低。