Prevalence and Concomitants of Arthritis in the Elderly in Rio Grande do Sul, Brazil
Prevalence and Concomitants of Arthritis in the Elderly in Rio Grande do Sul, Brazil
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DOI：
10.1371/journal.pone.0045418
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发表时间：
2012-09-28
期刊：
影响因子：
3.7
通讯作者：
Gastal, Fabio L.
中科院分区：
文献类型：
--
作者：
Blay, Sergio L.;Fillenbaum, Gerda G.;Gastal, Fabio L.
目的：关于发展中国家关节炎的患病率和并发症的信息很少。尚不清楚这些数据是否与发达国家的调查结果具有可比性。为了确定的患病率，人口统计学特征，和健康相关的并发症的老年人在南部国家的南里奥格兰德，巴西，一个中等收入的county.Methods：国家的南里奥格兰德，巴西，被细分为9个地区。采用分层随机抽样的方法，在每个地区确定了880名年龄≥ 60岁的社区居民。排除了一个有可疑数据的地区。在八个地区接触的7040名社区居民中，有6963人参加（拒绝率为1.1%）。1995年，经过培训和监测的访谈人员使用结构化问卷进行了家庭访谈，收集了有关人口特征（年龄、性别、种族/民族、教育、收入、生活安排、就业状况）、健康行为（体育活动、吸烟、社交活动）、功能限制、抑郁症和15种自我报告的健康状况（包括关节炎）的信息。数据进行了分析，采用描述性统计和logistic regression.Results：关节炎，报告的样本的43%，是更普遍的女性，受教育程度较低，收入较低，年龄较高。严重程度（而非患病率）因人种/种族而异。对照分析表明，显着关联与女性性别，教育程度较低，社会活动较少。关节炎与中风的几率降低有关，但与高血压、静脉曲张、支气管炎、肾脏问题、头痛、胃肠道疾病和抑郁的几率增加有关。关节炎是没有显着相关的年龄或功能的限制，协会没有不同的性别。结论：在巴西南部的这个州的患病率，人口和健康特征与自我报告的关节炎在巴西其他地方的调查结果相似，并在发达国家。
Objectives: Information on the prevalence and concomitants of arthritis in developing countries is sparse. It is unclear whether they are comparable to findings in developed countries. To ascertain the prevalence, demographic characteristics, and health-related concomitants of arthritis in older persons in the southern state of Rio Grande do Sul, Brazil, a middle income country.Methods: The state of Rio Grande do Sul, Brazil, was subdivided into nine regions. Stratified random sampling was used to identify 880 community residents age >= 60 years in each region. One region with suspect data was excluded. Of 7040 community residents contacted in eight regions, 6963 participated (1.1% refusal rate). In 1995, trained, monitored interviewers, using structured questionnaires, conducted in-home interviews gathering information on demographic characteristics (age, sex, race/ethnicity, education, income, living arrangements, employment status), health behaviors (physical activity, tobacco use, social activity), functional limitations, depression, and 15 self-reported health conditions, including arthritis. Data were analyzed using descriptive statistics and logistic regression.Results: Arthritis, reported by 43% of the sample, was more prevalent in women, among the less educated, those with lower income, and higher age. Severity, but not prevalence, differed by race/ethnicity. Controlled analyses indicated significant association with female gender, lower education, and less social activity. Arthritis was associated with reduced odds of stroke, but increased odds of hypertension, varicosities, bronchitis, renal problems, headache, gastrointestinal disorders, and depression. Arthritis was not significantly associated with age or functional limitations, and associations did not differ by gender.Conclusions: The prevalence, demographic and health characteristics associated with self-reported arthritis in this southern state in Brazil are similar to findings elsewhere in Brazil, and in developed countries.