EPIDEMIOLOGY OF RHEUMATIC DISEASES IN RURAL AND URBAN POPULATIONS IN INDONESIA - A WORLD-HEALTH-ORGANIZATION-INTERNATIONAL-LEAGUE-AGAINST-RHEUMATISM COPCORD STUDY, STAGE-I, PHASE-2
EPIDEMIOLOGY OF RHEUMATIC DISEASES IN RURAL AND URBAN POPULATIONS IN INDONESIA - A WORLD-HEALTH-ORGANIZATION-INTERNATIONAL-LEAGUE-AGAINST-RHEUMATISM COPCORD STUDY, STAGE-I, PHASE-2
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DOI：
10.1136/ard.51.4.525
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发表时间：
1992-04-01
影响因子：
27.4
通讯作者：
WIGLEY, RD
中科院分区：
文献类型：
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作者：
DARMAWAN, J;VALKENBURG, HA;WIGLEY, RD
为确定肌肉骨骼疼痛、残疾和求助行为的发生率，对年龄在15岁以上的农村人口（2184名男性和2499名女性）和城市人口（481名男性和590名女性）进行了问卷调查，完成率分别为95.2%（农村）和97.1%（城市）。关节、背部或颈部疼痛的发生率分别为23.6%（农村）和31.3%（城市）。由于无法行走、举起、搬运和穿衣而导致的残疾发生率为2.8%（农村）和0.9%（城市）。因残疾而不得不停止工作的疼痛人口比例为75%（农村）和78%（城市）。62%（农村）和71%（城市）的人口使用官方保健设施。87%（农村）和89%（城市）使用传统保健。无法工作的人比例高是由于体力劳动职业占主导地位（农村，90%，城市，80%）。这些人群中风湿性疾病的年龄和性别特异性发病率与其他发展中国家和发达国家相似。由于保健服务部门对非传染性疾病重视不够，以及初级保健医生在本科培训期间的风湿病学教学不足，初级风湿病学服务不足。肌肉骨骼疼痛是印度尼西亚的一个主要公共卫生问题，尚未得到充分认识。
To determine the incidence of musculoskeletal pain, disabilities, and help seeking behaviour, a questionnaire was administered to a rural population of 2184 men and 2499 women and an urban population of 481 men and 590 women aged over 15 years by house to house interviews with completion rates of 95.2% (rural) and 97.1% (urban). The incidences of pain in the joints, back, or neck were 23.6% (rural) and 31.3% (urban). The incidence of disability due to an inability to walk, lift, carry, and dress was 2.8% (rural) and 0.9% (urban). The percentage of the population with pain who had to stop work owing to disability was 75% (rural) and 78% (urban). Official health care facilities were used by 62% (rural) and 71% (urban) of the population. Traditional health care was used by 87% (rural) and 89% (urban). The high percentage of subjects unable to work was due to a predominance of manual labour occupations (rural, 90%, urban, 80%). The age and sex specific incidence of rheumatic diseases in these populations were similar to other developing and developed countries. The primary rheumatology service was inadequate due to the low priority given by the health service to non-communicable diseases and inadequate rheumatology teaching of the primary health care doctors during undergraduate training. Musculoskeletal pain is a major public health problem in Indonesia and is still not fully appreciated.