Quantifying the Impact of Transient Joint Symptoms, Chronic Joint Symptoms, and Arthritis: A Population-Based Approach
Quantifying the Impact of Transient Joint Symptoms, Chronic Joint Symptoms, and Arthritis: A Population-Based Approach
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DOI：
10.1002/art.24508
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发表时间：
2009-10-01
影响因子：
4.7
通讯作者：
Osborne, Richard H.
中科院分区：
文献类型：
--
作者：
Busija, Lucy;Buchbinder, Rachelle;Osborne, Richard H.
目标。评估医生诊断的关节炎、慢性关节症状(疼痛、疼痛、僵硬或肿胀)和一过性关节症状(疼痛、疼痛、僵硬或肿胀，但一个月内大部分时间不出现)的患病率和共现率，并比较有关节疾病患者和无关节症状患者的社会人口学特征、活动限制和健康相关生活质量(HRQOL)。这项研究使用的数据来自2004年以人口为基础的南澳大利亚健康综合调查(n=2840，年龄18-96岁)。使用简明36健康调查中的10个活动限制问题来评估活动限制。采用生活质量评定量表对患者的生活质量进行评估。一半的受访者报告有关节问题，分别有26%、11%和13%的人报告自己有医生诊断的关节炎、慢性关节症状和一过性关节症状。慢性关节疾病(医生自行诊断的关节炎和慢性关节症状)占所有关节问题的74%，并与活动受限的几率较高和HRQOL较差有关。短暂性和慢性关节症状在中年受试者(45-54岁为暂时性关节症状，45-年龄为慢性关节症状)和那些体重指数在肥胖范围内的人中出现的频率最高。自我报告的医生诊断的关节炎的患病率随着年龄的增长而增加，并且在女性和超重或肥胖的人中更高。这项研究记录了社区中关节疾病的高患病率和影响。慢性关节疾病影响日常生活，是旨在减少肥胖和不活动的有效公共卫生干预的重大障碍。
Objective. To estimate the prevalence and co-occurrence of self-reported doctor-diagnosed arthritis, chronic joint symptoms (pain, aching, stiffness, or swelling on most days for a month), and transient joint symptoms (pain, aching, stiffness, or swelling but not on most days for a month), and to compare the sociodemographic characteristics, activity limitations, and health-related quality of life (HRQOL) of people with joint conditions with those who have no self-reported doctor-diagnosed arthritis and no joint symptoms.Methods. Data from the 2004 population-based South Australian Health Omnibus Survey (n = 2,840, ages 18-96 years) were used in the study. Activity limitations were assessed using 10 activity limitations questions from the Short Form 36 health survey. HRQOL was assessed using the Assessment of Quality of Life scale.Results. Half of all respondents reported having joint problems, with 26%, 11%, and 13% reporting self-reported doctor-diagnosed arthritis, chronic joint symptoms, and transient joint symptoms, respectively. Chronic joint conditions (self-reported doctor-diagnosed arthritis and chronic joint symptoms) accounted for 74% of all joint problems and were associated with higher odds of activity limitations and poorer HRQOL. The frequency of transient and chronic joint symptoms was highest among middle-aged participants (ages 45-54 years for transient and 45-64 years for chronic joint symptoms) and those who had a body mass index in the obese range. Prevalence of self-reported doctor-diagnosed arthritis increased with age and was higher among women and those who were overweight or obese.Conclusion. This study documented the high prevalence and impact of joint conditions in the community. Chronic joint conditions affect daily life and are substantial barriers for effective public health interventions aimed at reducing obesity and inactivity.