Health status, activity limitations, and disability in work and housework among Latinos and non-Latinos with arthritis: an analysis of national data.
Health status, activity limitations, and disability in work and housework among Latinos and non-Latinos with arthritis: an analysis of national data.
复制标题
患有关节炎的拉丁裔和非拉丁裔的健康状况、活动限制以及工作和家务劳动障碍：国家数据分析。
DOI：
10.1002/art.21981
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发表时间：
2006
影响因子：
--
通讯作者：
Link,BruceG
中科院分区：
文献类型：
--
作者：
Abraído-Lanza,AnaF;White,Kellee;Armbrister,AdriaN;Link,BruceG
目的记录拉丁裔和非拉丁裔白人关节炎患者在健康状况、活动受限以及工作和家务残疾方面的差异。我们研究了社会人口因素（年龄，收入和教育）解释了种族之间的差异，以及是否合并症，疾病持续时间，卫生保健利用和功能能力预测健康状况，活动限制，方法我们分析了1994年全国健康访谈调查的条件文件中的数据，结果与非拉丁裔白人相比，拉丁裔健康状况恶化、活动受限以及工作和家务残疾的风险高出2倍以上。在考虑潜在混杂因素的回归模型中，拉丁裔仍然与较差的健康状况显著相关，但与活动受限或工作或家务残疾无关。在社会经济地位变量中，教育对工作残疾和健康状况有显著的保护作用。合并症和医疗保健利用增加了健康状况恶化、活动受限和工作残疾的可能性。身体功能的限制与健康状况较差和残疾的工作和homemaking.ConclusionSocial地位之间的差异拉丁美洲人和非拉丁美洲人可能占的差距，活动限制和残疾的工作和家务。教育可以提供各种健康益处，包括获得一系列不需要体力要求的职业。这些发现有助于解决有关拉丁美洲关节炎患者健康和残疾状况相关因素的知识差距。
ObjectiveTo document disparities in health status, activity limitations, and disability in work and housework between Latinos and non‐Latino whites with arthritis. We examined whether sociodemographic factors (age, income, and education) account for the disparities between the ethnic groups, and whether comorbid conditions, disease duration, health care utilization, and functional abilities predict health status, activity limitations, and work and housework disability after controlling for sociodemographic variables.MethodsWe analyzed data from the Condition file of the 1994 National Health Interview Survey on Disability, Phase I.ResultsThe risk of worse health, activity limitations, and work and housework disability was >2 times greater among Latinos compared with non‐Latino whites. In the regression models accounting for potential confounders, Latino ethnicity remained significantly associated with poorer health status, but not activity limitations or disability in work or housekeeping. Of the socioeconomic status variables, education had a significant protective effect on work disability and health status. Comorbid conditions and health care utilization increased the likelihood of worse health, activity limitations, and work disability. Limitations in physical function were associated with poorer health and disability in work and homemaking.ConclusionSocial status differences between Latinos and non‐Latinos may account for disparities in activity limitations and disability in work and housework. Education may provide various health benefits, including access to a range of occupations that do not require physical demands. The findings help to address the great gap in knowledge concerning factors related to the health and disability status of Latinos with arthritis.