Normative values for the health assessment questionnaire disability index -: Benchmarking disability in the general population
Normative values for the health assessment questionnaire disability index -: Benchmarking disability in the general population
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DOI：
10.1002/art.20048
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发表时间：
2004-03-01
影响因子：
--
通讯作者：
Hannonen, P
中科院分区：
文献类型：
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作者：
Krishnan, E;Sokka, T;Hannonen, P
Objective.健康评估问卷（HAQ）残疾指数（DI）常用于风湿病学中量化患者组的功能残疾，但目前该指数的一般人群值不可用。本研究旨在建立一般人群HAQ DI的正常值并分析其相关性。在芬兰中部地区随机抽取1，530名成年人，测量RAQ DI（评分范围0-3）。按年龄、性别、教育水平、体重指数（BMI）和健康行为（包括吸烟和锻炼习惯）计算残疾患病率。采用Pearson积差相关系数和最小二乘回归分析。估计的人群平均HAQ DI为0.25（95%置信区间0.22-0.28），32%的受访者至少有一些残疾。无论男女，功能性残疾都随着年龄的增长呈指数级增长。HAQ DI与疼痛（r = 0.58）和整体自我评估（r = 0.61）相关。残疾患病率随着受教育年限的增加、BMI的降低和体育锻炼频率的增加而降低。几乎三分之一的总人口有某种功能性残疾。功能性残疾部分与生活方式的选择有关，并以非线性方式随年龄增长而增加。我们提出的RAQ DI的标准值可以作为使用这种残疾衡量标准的临床和流行病学研究的参考基准。
Objective. The Health Assessment Questionnaire (HAQ) disability index (DI) has been commonly used in rheumatology to quantify functional disability in patient groups, but current general population values of this index are not available. This study was undertaken to establish normative values for the HAQ DI in a general population and to analyze its correlates.Methods. The RAQ DI (range of scores 0-3) was measured in a random sample of 1,530 adults in the Central Finland District. Prevalence rates of disability by strata of age, sex, education level, body mass index (BMI), and health behaviors (including smoking and exercise habits) were calculated. Pearson's product-moment correlation coefficient and ordinary least squares regression were used to analyze the data.Results. The estimated population mean HAQ DI was 0.25 (95% confidence interval 0.22-0.28), and 32% of respondents had at least some disability. Both for men and for women, functional disability increased exponentially with age. The HAQ DI was correlated with pain (r = 0.58) and global self assessment (r = 0.61). The prevalence of disability decreased with increasing number of years of education, lower BMI, and increasing frequency of physical exercise.Conclusion. Almost one-third of the general population has some functional disability. Functional disability is associated in part with lifestyle choices and increases with age in a nonlinear manner. The normative values of the RAQ DI that we have presented could be used as a reference benchmark for clinical and epidemiologic studies using this measure of disability.