Updated Projected Prevalence of Self-Reported Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation Among US Adults, 2015-2040.
Updated Projected Prevalence of Self-Reported Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation Among US Adults, 2015-2040.
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DOI：
10.1002/art.39692
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发表时间：
2016-07
期刊：
影响因子：
--
通讯作者：
Boring MA
中科院分区：
文献类型：
--
作者：
Hootman JM;Helmick CG;Barbour KE;Theis KA;Boring MA
更新美国成年人关节炎和关节炎所致活动受限的预计患病率，使用更新的基线进行估计。基线患病率数据来自2010-2012年全国健康访谈调查。关节炎被定义为对“医生或其他健康专业人员是否告诉过你患有某种形式的关节炎、类风湿性关节炎、痛风、狼疮或纤维肌痛”的问题的回答是“是”？关节炎引起的活动受限定义为对“您是否因关节炎或关节症状而在日常活动中受到任何限制”的回答为“是”。根据年龄和性别对关节炎和关节炎引起的活动受限的基线患病率进行分层，并进行统计学加权以解释复杂的调查设计。通过将2015-2040年（以5年为间隔;由美国人口普查局提供）的年龄和性别分层人口估计值乘以基线估计值，计算医生诊断的关节炎和关节炎所致活动受限的预计患病率。将性别和性别特异性患病率相加，以提供每年的总患病率估计值。2010-2012年，美国有5250万成年人（占所有成年人的22.7%）患有医生诊断的关节炎，2270万人（9.8%）患有关节炎引起的活动受限。到2040年，美国患有医生诊断的关节炎的成年人数量预计将增加49%，达到7840万（占所有成年人的25.9%），患有关节炎的活动受限的成年人数量将增加52%，达到3460万（占所有成年人的11.4%）。更新的预测表明，关节炎和关节炎引起的活动限制将仍然是临床和公共卫生系统的一个大问题，而且问题越来越严重，必须规划和制定政策和资源来解决这些未来的需求。
To update the projected prevalence of arthritis and arthritis-attributable activity limitations among US adults, using a newer baseline for estimates. Baseline prevalence data were obtained from the 2010–2012 National Health Interview Survey. Arthritis was defined as an answer of “yes” to the question “Have you ever been told by a doctor or other health professional that you have some form of arthritis, rheumatoid arthritis, gout, lupus or fibromyalgia?” Arthritis-attributable activity limitation was defined as an answer of “yes” to the question “Are you limited in any way in any of your usual activities because of arthritis or joint symptoms?” The baseline prevalence of arthritis and arthritis-attributable activity limitation was stratified according to age and sex and was statistically weighted to account for the complex survey design. The projected prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation was calculated by multiplying the age- and sex-stratified population estimates projected for 2015–2040 (in 5-year intervals; provided by the US Census Bureau) by the baseline estimates. Age-and sex-specific prevalences were summed to provide the total prevalence estimates for each year. In 2010–2012, 52.5 million adults in the US (22.7% of all adults) had doctor-diagnosed arthritis, and 22.7 million (9.8%) had arthritis-attributable activity limitation. By 2040, the number of US adults with doctor-diagnosed arthritis is projected to increase 49% to 78.4 million (25.9% of all adults), and the number of adults with arthritis-attributable activity limitation will increase 52% to 34.6 million (11.4% of all adults). Updated projections suggest that arthritis and arthritis-attributable activity limitation will remain large and growing problems for clinical and public health systems, which must plan and create policies and resources to address these future needs.
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作者：
Hootman, JM;Helmick, CG
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