FRI0519 Factors associated with prevalence of osteoarthritis in mexico.a national multilevel individual and ecological analysis
| Autor: | Luz Helena Sanin, José Alvarez-Nemegyei, Mario H. Cardiel, Marco Maradiaga, José Moreno-Montoya, Ruben Burgos-Vargas, Jacqueline Rodriguez-Amado, Ingris Peláez-Ballestas, Grupo de Estudio Epidemiológico de Enfermedades Músculo Articulares, Mario Alberto Garza-Elizondo, M. V. Goycochea-Robles |
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| Rok vydání: | 2013 |
| Předmět: |
Gerontology
education.field_of_study Index (economics) Inequality business.industry media_common.quotation_subject Immunology Population Osteoarthritis medicine.disease General Biochemistry Genetics and Molecular Biology Rheumatology Urbanization Unemployment Health care Immunology and Allergy Medicine Human Development Index business education media_common Demography |
| Zdroj: | Annals of the Rheumatic Diseases. 72:A550.1-A550 |
| ISSN: | 1468-2060 0003-4967 |
| DOI: | 10.1136/annrheumdis-2013-eular.1646 |
| Popis: | Background An individual focus is frequently used as a key determinant of health to evaluate the behavior of different diseases with important limitations for detecting the effect exerted by social and economic factors, and policy on the health-disease process. Objectives To identify individual and ecological factors associated with the prevalence of osteoarthritis in Mexican population. Methods Our data are from a cross-sectional, community-based study performed in four regions of Mexico using the COPCORD methodology between August 2008 and August 2009. The total sample included 17,566 individuals of which 10,666 (60.7%) were women. The prevalence of osteoarthritis (OA) was determined in this population. The relationship between individual level (age, gender, income, education, type of work, housing facilities and access to healthcare) and ecological level (Human Development Index, inequality, level of urbanization, income, health services, migration, unemployment, Marginalization Index and Social Gap Index) with OA were analyzed with a multilevel strategy. Results A total of 1,681 (62.1%) out of 2,706 individuals had OA. The prevalence of OA was 9.5% (95% CI 9.1, 10.0) and this was higher in women (6.6% vs. 2.9%, P Conclusions The Social Gap index was the only ecological variable associated with significant variance of the prevalence of OA. Female gender, pain intensity, physical limitation, and the use of pain treatments are individual variables that are associated with the presence of OA. Disclosure of Interest None Declared |
| Databáze: | OpenAIRE |
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