The impact of arthritis in rural populations
The impact of arthritis in rural populations
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DOI：
10.1002/art.1790080407
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发表时间：
1995-12-01
影响因子：
4.7
通讯作者：
Fryer, JG
中科院分区：
文献类型：
--
作者：
Jordan, JM;Linder, GF;Fryer, JG
Objective.农村居民可能比城市居民经历更多的关节炎和残疾，本文回顾了农村地区关节炎的数据，并介绍了一项新的研究，约翰斯顿县骨关节炎项目。一项在北卡罗来纳农村进行的膝关节和髋关节骨关节炎的人群研究。回顾了已发表的关于关节炎的城乡比较的报告。分析了约翰斯顿县骨关节炎项目的前1,432名非洲裔美国人和白人参与者的数据。影像学膝关节和髋关节OA定义为Kelling-Lawrence分级≥ 2。功能性能力通过健康评估问卷、定时椅子站立和8英尺步行时间进行评估。计算年龄、性别和种族组的膝关节和髋关节OA的未加权患病率，检查髋关节和膝关节OA与髋关节和膝关节疼痛和功能能力之间的关系。髋关节骨性关节炎和膝关节骨性关节炎的发生率分别为27.9%和38.4%，两者均与年龄密切相关（P < 0.0001），但仅膝关节骨性关节炎与女性性别密切相关（比值比= 1.33，95%置信区间1.05，1.68）。髋关节OA和膝关节OA均与种族无关。髋关节骨性关节炎、髋关节疼痛、膝关节骨性关节炎和膝关节疼痛分别与自我报告和观察到的功能能力相关。农村地区的居民可能会经历比以前预期更多的关节炎和残疾，与其他研究相反，北卡罗来纳州约翰斯顿县农村的非洲裔美国人和白人居民的膝关节和髋关节OA的发病率相似。需要进一步的研究来解决关节炎及其影响的城市/农村差异，充分控制混杂因素，农村/城市和疾病的标准定义，以及多种关节炎结局的评估。
Objective. Rural residents may experience more arthritis and disability than urban dwellers, This paper reviews data on arthritis in rural areas and describes a new study, the Johnston County Osteoarthritis Project. a population-based study of osteoarthritis COA) of the knee and hip in rural North Carolina.Methods. Published reports of urban and rural comparisons of arthritis were reviewed. Data from the first 1,432 African-American and Caucasian participants in the Johnston County Osteoarthritis Project were analyzed. Radiographic knee and hip OA were defined as a Kellgren-Lawrence grade greater than or equal to 2. Functional ability was assessed by the Health Assessment Questionnaire, timed chair stands, and 8-foot walk time. Unweighted prevalences of knee and hip OA were calculated for age, sex, and racial groups, Associations between hip and knee OA, and hip and knee pain and functional ability were examined.Results. Hip OA was present in 27.9% and knee OA in 38.4% of participants, Both were strongly related to age (P < 0.0001), but only knee OA to female sex (odds ratio = 1.33, 95% confidence interval 1.05, 1,68). Neither hip OA nor knee OA was related to race. Hip OA, hip pain, knee OA, and knee pain was each associated with self-reported and observed functional ability.Conclusion. Residents in rural areas may experience more arthritis and disability than previously expected, Contrary to other studies, African-American and Caucasian residents of rural Johnston County, North Carolina, have similar high rates of knee and hip OA. Further study is needed to address urban/rural differences in arthritis and its impact, with adequate control of confounders, standard definitions of rural/urban and of disease, and assessment of multiple arthritis outcomes.