Modifiable Determinants of Exercise Use in a Diverse Ethnic Population With Osteoarthritis.
Modifiable Determinants of Exercise Use in a Diverse Ethnic Population With Osteoarthritis.
复制标题
不同种族骨关节炎患者运动使用的可改变决定因素。
DOI：
10.1002/acr.23852
复制
发表时间：
2019
影响因子：
4.7
通讯作者：
Kwoh,CKent
中科院分区：
文献类型：
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作者：
Vina,ErnestR;Hannon,MichaelJ;Hausmann,LeslieRM;Ibrahim,SaidA;Dagnino,Jazmin;Arellano,Andrea;Kwoh,CKent
ObjectiveTo determine the extent of ethnic differences in the use of exercise for therapy and identify relevant modifiable determinants of exercise use among patients with knee/hip osteoarthritis (OA).MethodsKnee/hip OA study participants were identified. Surveys were administered to collect patient sociodemographic and clinical information, and beliefs and attitudes about providers and treatments. Final multivariable logistic regression models were created using a fully conditional method.ResultsHispanic participants (n = 130), compared to non‐Hispanic participants (n = 232), were less likely to have private medical insurance (9.2% versus 31.0%) or to report having excellent/very good health (40.7% versus 52.6%). They were also less likely to report using exercise for OA treatment in the last 6 months (56% versus 73%;P= 0.003). When adjusted for age and disease severity, the difference in exercise use among ethnicities remained significant (odds ratio [OR] 0.59 [95% confidence interval (95% CI) 0.36–0.99]). In a multivariable logistic regression model designed to determine the most important determinants of exercise use for OA treatment, in the last 6 months the following were all associated with exercise use: having knee instead of hip OA (OR 2.83 [95% CI 1.51–5.29]), having family/friends who exercise (OR 3.20 [95% CI 1.76–5.84]), having a good understanding of what happens after exercise (OR 2.19 [95 CI 1.15–4.19]), and higher perceived benefit of exercise (OR 2.24 [95% CI 1.64–3.04]).ConclusionAmong patients with knee/hip OA, Hispanics were less likely to exercise for OA treatment. Increased knowledge about the benefits of exercise for treatment and improved familiarity with exercise as treatment for OA may increase exercise use.
