Socioeconomic status of patients in a Swedish national self-management program for osteoarthritis compared with the general population—a descriptive observational study
| Autor: | Marit Eriksson, Leif Dahlberg, Kristin Gustafsson, Ola Rolfson, Joanna Kvist |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Sports medicine Social Determinants of Health Population Orthopaedics Hip Knee Osteoarthritis Self-management Socioeconomic status Registries Health Services Accessibility Osteoarthritis Hip Rheumatology Patient Education as Topic medicine Humans Orthopedics and Sports Medicine Occupations education Disease burden Aged Sweden education.field_of_study business.industry Middle Aged Osteoarthritis Knee Exercise Therapy Cross-Sectional Studies Social Class Case-Control Studies Ortopedi Cohort Sick leave Income Marital status Educational Status Observational study Female lcsh:RC925-935 business Demography Research Article |
| Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 21, Iss 1, Pp 1-13 (2020) |
| ISSN: | 1471-2474 |
| Popis: | Background First-line treatment for hip and knee osteoarthritis (OA) including education and supervised exercises, delivered as a self-management program, is considered one of the mainstays in OA treatment. However, the socioeconomic profile of the population that utilizes first-line treatment for hip and knee OA is unclear. The aim of this study was to describe the socioeconomic status (SES) of a population referred to a self-management program for OA, in comparison with that of the general Swedish population. Methods This is a cross-sectional study including 72,069 patients with hip or knee OA enrolled in the National Quality Register for Better management of patients with Osteoarthritis (BOA) between 2008 and 2016, and registered before participation in a structured OA self-management program. A reference cohort (n = 216,207) was selected from the general Swedish population by one-to-three matching by year of birth, sex and residence. Residential municipality, country of birth, marital status, family type, educational level, employment, occupation, disposable income and sick leave were analyzed. Results The BOA population had higher educational level than the reference group, both regarding patients with hip OA (77.5% vs 70% with ≥10 years of education), and with knee OA (77% vs 72% with ≥10 years of education). Their average disposable income was higher (median [IQR] in Euro (€), for hip €17,442 [10,478] vs €15,998 [10,659], for knee €17,794 [10,574] vs €16,578 [11,221]). Of those who worked, 46% of patients with hip OA and 45% of the reference group had a blue-collar occupation. The corresponding numbers for knee OA were 51 and 44% respectively. Sick leave was higher among those with hip and knee OA (26%) than those in the reference groups (13% vs 12%). Conclusions The consistently higher SES in the BOA population compared with the general population indicates that this self-management program for OA may not reach the more socioeconomically disadvantaged groups, who are often those with a higher disease burden. |
| Databáze: | OpenAIRE |
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