Geographic Variations in Arthritis Prevalence, Health-Related Characteristics, and Management - United States, 2015
| Autor: | Teresa J. Brady, Charles G. Helmick, Janet B. Croft, Hua Lu, Louise B. Murphy, Kristina A. Theis, Yan Wang, Kamil E. Barbour, Susan Moss, Kurt J. Greenlund, Jennifer M. Hootman |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Chronic condition medicine.medical_specialty Health (social science) Adolescent Epidemiology Health Toxicology and Mutagenesis Arthritis Overweight 03 medical and health sciences Behavioral Risk Factor Surveillance System Young Adult 0302 clinical medicine Health Information Management Quality of life Residence Characteristics Risk Factors Activities of Daily Living medicine Prevalence Humans 030212 general & internal medicine Aged 030203 arthritis & rheumatology Surveillance Summaries business.industry Rural health Public health Health Status Disparities Middle Aged medicine.disease Obesity Arthralgia United States Female medicine.symptom business Demography |
| Zdroj: | MMWR Surveillance Summaries |
| ISSN: | 1545-8636 |
| Popis: | Problem/condition Doctor-diagnosed arthritis is a common chronic condition affecting an estimated 23% (54 million) of adults in the United States, greatly influencing quality of life and costing approximately $300 billion annually. The geographic variations in arthritis prevalence, health-related characteristics, and management among states and territories are unknown. Therefore, public health professionals need to understand arthritis in their areas to target dissemination of evidence-based interventions that reduce arthritis morbidity. Reporting period 2015. Description of system The Behavioral Risk Factor Surveillance System is an annual, random-digit-dialed landline and cellular telephone survey of noninstitutionalized adults aged ≥18 years residing in the United States. Self-reported data are collected from the 50 states, the District of Columbia, Guam, and Puerto Rico. Unadjusted and age-standardized prevalences of arthritis, arthritis health-related characteristics, and arthritis management were calculated. County-level estimates were calculated using a validated statistical modeling method. Results In 2015, in the 50 states and the District of Columbia, median age-standardized prevalence of arthritis was 23.0% (range: 17.2%-33.6%). Modeled prevalence of arthritis varied considerably by county (range: 11.2%-42.7%). In 13 states that administered the arthritis management module, among adults with arthritis, the age-standardized median percentage of participation in a self-management education course was 14.5% (range: 9.1%-19.0%), being told by a health care provider to engage in physical activity or exercise was 58.5% (range: 52.3%-61.9%), and being told to lose weight to manage arthritis symptoms (if overweight or obese) was 44.5% (range: 35.1%-53.2%). Respondents with arthritis who lived in the quartile of states with the highest prevalences of arthritis had the highest percentages of negative health-related characteristics (i.e., arthritis-attributable activity limitations, arthritis-attributable severe joint pain, and arthritis-attributable social participation restriction; ≥14 physically unhealthy days during the past 30 days; ≥14 mentally unhealthy days during the past 30 days; obesity; and leisure-time physical inactivity) and the lowest percentage of leisure-time walking. Interpretation The prevalence, health-related characteristics, and management of arthritis varied substantially across states. The modeled prevalence of arthritis varied considerably by county. Public health action The findings highlight notable geographic variability in prevalence, health-related characteristics, and management of arthritis. Targeted use of evidence-based interventions that focus on physical activity and self-management education can reduce pain and improve function and quality of life for adults with arthritis and thus might reduce these geographic disparities. |
| Databáze: | OpenAIRE |
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