Neighborhood Disadvantage, Individual-Level Socioeconomic Position, and Self-Reported Chronic Arthritis: A Cross-Sectional Multilevel Study
Neighborhood Disadvantage, Individual-Level Socioeconomic Position, and Self-Reported Chronic Arthritis: A Cross-Sectional Multilevel Study
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DOI：
10.1002/acr.21590
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发表时间：
2012-05-01
影响因子：
4.7
通讯作者：
Turrell, G.
中科院分区：
文献类型：
--
作者：
Brennan, S. L.;Turrell, G.
目标。研究个人和邻里层面的不利因素与自我报告的关节炎之间的关系。我们使用了2007年进行的一项基于人口的横断面研究的数据，调查对象为10,757名年龄在40-65岁的男性和女性，他们来自澳大利亚昆士兰州布里斯班的200个社区，采用分层两阶段聚类设计。数据是通过邮寄调查收集的(68.5%的回复)。社区劣势使用基于人口普查的综合指数来衡量，个人劣势通过自我报告的教育程度、家庭收入和职业来衡量。关节炎是通过自我报告来提示的。采用多水平模型对数据进行分析。自告性关节炎的总体发生率为23%(95%可信区间[95%可信区间]22-24)。经社会人口学因素调整后，关节炎患病率在女性(优势比[OR]1.5，95%可信区间1.4-1.7)、60-65岁人群(OR 4.4，95%可信区间3.7-5.2)、文凭/副文凭人群(OR 1.3，95%可信区间1.1-1.6)、永久无法工作的人群(OR 4.0，95%可信区间3.1-5.3)以及有家庭收入的人群中最高
Objective. To examine the association between individual- and neighborhood-level disadvantage and self-reported arthritis.Methods. We used data from a population-based cross-sectional study conducted in 2007 among 10,757 men and women ages 40-65 years, selected from 200 neighborhoods in Brisbane, Queensland, Australia using a stratified 2-stage cluster design. Data were collected using a mail survey (68.5% response). Neighborhood disadvantage was measured using a census-based composite index, and individual disadvantage was measured using self-reported education, household income, and occupation. Arthritis was indicated by self-report. Data were analyzed using multilevel modeling.Results. The overall rate of self-reported arthritis was 23% (95% confidence interval [95% CI] 22-24). After adjustment for sociodemographic factors, arthritis prevalence was greatest for women (odds ratio [OR] 1.5, 95% CI 1.4-1.7) and in those ages 60-65 years (OR 4.4, 95% CI 3.7-5.2), those with a diploma/associate diploma (OR 1.3, 95% CI 1.1-1.6), those who were permanently unable to work (OR 4.0, 95% CI 3.1-5.3), and those with a household income