Arthritis prevalence and activity limitations in older adults
Arthritis prevalence and activity limitations in older adults
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DOI：
10.1002/1529-0131(200101)44:1
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发表时间：
2001-01-01
影响因子：
--
通讯作者：
Chang, RW
中科院分区：
文献类型：
--
作者：
Dunlop, DD;Manheim, LM;Chang, RW
目标。通过评估美国老年人的人口学、种族和经济特征，评估他们关节炎和活动受限的患病率。对1924年以前出生的社区成年人的全国性概率样本--最高龄老年人的资产和健康动态调查(AHEAD)的数据进行了横断面分析，结果是，通过自我报告确定导致医生就诊或关节置换的关节炎与髋部骨折无关。结果，老年人关节炎的患病率从非西班牙裔白人的25%到非西班牙裔黑人的40%到西班牙裔的44%不等。关节炎患病率越高，受教育程度越低，收入越低，财富越少。在仅报告关节炎的非西班牙裔白人、非西班牙裔黑人和西班牙裔成年人中，日常生活能力(ADL)受限的发生率分别为29%、30%和37%，在报告关节炎和其他慢性病的成年人中，经年龄和性别调整后，ADL受限的发生率分别增加到48%、57%和56%。非西班牙裔黑人和西班牙裔老年人报告说，他们患关节炎的频率比非西班牙裔白人高得多。此外，拉美裔美国人报告的日常生活能力受限的比率高于非西班牙裔白人，尽管疾病负担相当，但还需要进一步的研究来确认和阐明老年人口面部和经济差异的原因。
Objective. To evaluate the prevalence of arthritis and activity limitations among older Americans by assessing their demographic, ethnic, and economic characteristics.Methods. Data from the Asset and Health Dynamic Survey Among the Oldest Old (AHEAD), a national probability sample of community-dwelling adults born before 1924, were analyzed cross-sectionally, Arthritis that resulted in a physician's visit or a joint replacement not associated with a hip fracture mas ascertained by self-report.Results, The prevalence of arthritis in older adults ranged from 25% in non-Hispanic whites to 40% in non-Hispanic blacks to 44% in Hispanics. A higher prevalence of arthritis was associated with less education as well as lower income and less wealth. The prevalence of limitations in activities of daily living (ADL) among non-Hispanic white, non-Hispanic black, and Hispanic adults who reported arthritis only was 29%, 30%, and 37%, respectively, and increased to 48%, 57%, and 56%, respectively, among those reporting arthritis plus other chronic conditions, after adjustment for age and sex.Conclusion. Non-Hispanic black and Hispanic older adults reported having arthritis at a substantially higher Frequency than did non-Hispanic whites. In addition, Hispanics reported higher rates of ADL limitations than did non-Hispanic whites,vith comparable disease burden, Further study is needed to confirm and elucidate the reasons for these Facial and economic disparities in older populations.