Prevalence of arthritis according to age, sex and socioeconomic status in six low and middle income countries: analysis of data from the World Health Organization study on global AGEing and adult health (SAGE) Wave 1

被引：101

作者：

Brennan-Olsen, Sharon L. ^{[1
,2
,3
,4
]}

Cook, S. ^{[1
]}

Leech, M. T. ^{[5
]}

Bowe, S. J. ^{[1
]}

Kowal, P. ^{[6
,7
]}

Naidoo, N. ^{[6
]}

Ackerman, N. ^{[8
]}

Page, R. S. ^{[1
,9
]}

Hosking, S. M. ^{[1
]}

Pasco, J. A. ^{[1
,3
]}

Mohebbi, M. ^{[1
]}

机构：

[1] Deakin Univ, Geelong, Vic, Australia

[2] Univ Melbourne Western Precinct, Australian Inst Musculoskeletal Sci AIMSS, Sunshine Hosp, Level 3,Western Ctr Hlth Res & Educ WCHRE Bldg, Melbourne, Vic 3021, Australia

[3] Univ Melbourne, Melbourne Med Sch, Dept Med Western Hlth, Melbourne, Vic, Australia

[4] Australian Catholic Univ, Inst Hlth & Ageing, Melbourne, Vic, Australia

[5] Monash Univ, Fac Med Nursing & Hlth Sci, Melbourne, Vic, Australia

[6] WHO, Dept Hlth Stat & Informat Syst, Geneva, Switzerland

[7] Univ Newcastle, Res Ctr Generat Hlth & Ageing, Newcastle, NSW, Australia

[8] Monash Univ, Dept Epidemiol & Prevent Med, Melbourne, Vic, Australia

[9] Barwon Hlth, Barwon Ctr Orthopaed Res & Educ, Geelong, Vic, Australia

来源：

BMC MUSCULOSKELETAL DISORDERS | 2017年 / 18卷

基金：

英国医学研究理事会;

关键词：

Arthritis; Epidemiology; Prevalence; Socio-demographic characteristics; Low and middle income countries; MUSCULOSKELETAL CONDITIONS; RHEUMATOID-ARTHRITIS; NONCOMMUNICABLE DISEASES; KNEE OSTEOARTHRITIS; YOUNGER PEOPLE; BURDEN; DISABILITY; HIP; DISORDERS; RISK;

D O I：

10.1186/s12891-017-1624-z

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: In higher income countries, social disadvantage is associated with higher arthritis prevalence; however, less is known about arthritis prevalence or determinants in low to middle income countries (LMICs). We assessed arthritis prevalence by age and sex, and marital status and occupation, as two key parameters of socioeconomic position (SEP), using data from the World Health Organization Study on global AGEing and adult health (SAGE). Methods: SAGE Wave 1 (2007-10) includes nationally-representative samples of older adults (>= 50 yrs), plus smaller samples of adults aged 18-49 yrs., from China, Ghana, India, Mexico, Russia and South Africa (n = 44,747). Arthritis was defined by self-reported healthcare professional diagnosis, and a symptom-based algorithm. Marital status and education were self-reported. Arthritis prevalence data were extracted for each country by 10-year age strata, sex and SEP. Country-specific survey weightings were applied and weighted prevalences calculated. Results: Self-reported (lifetime) diagnosed arthritis was reported by 5003 women and 2664 men (19.9% and 14.1%, respectively), whilst 1220 women and 594 men had current symptom-based arthritis (4.8% and 3.1%, respectively). For men, standardised arthritis rates were approximately two-to three-fold greater than for women. The highest rates were observed in Russia: 38% (95% CI 36%-39%) for men, and 17% (95% CI 14%-20%) for women. For both sexes and in all LMICs, arthritis was more prevalent among those with least education, and in separated/divorced/widowed women. Conclusions: High arthritis prevalence in LMICs is concerning and may worsen poverty by impacting the ability to work and fulfil community roles. These findings have implications for national efforts to prioritise arthritis prevention and management, and improve healthcare access in LMICs.

引用

页数：12

共 47 条

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