关节炎患者健康的社会决定因素:2017年行为风险因素监测系统的横截面分析
Jason Webb1,2, Ryan Emmert2,3, Arjun Reddy3
1College of Osteopathic Medicine at the Cherokee Nation, Tahlequah, OK, USA.
健康的社会决定因素显著加剧了关节炎的疼痛和限制. 解决粮食不安全,金融不稳定和压力对于管理关节炎和促进健康公平至关重要.
科学领域:
- 公共卫生 公共卫生
- 类风湿病学 类风湿病学
- 健康差异 在健康上的差异
背景情况:
- 健康的社会决定因素 (SDOH) 影响整体幸福感,但在关节炎中未得到充分研究.
- 现有的SDOH研究影响了喘,肥胖和压力等疾病,但仅限于关节炎.
研究的目的:
- 分析健康的社会决定因素对关节炎严重性的影响.
- 调查SDOH与关节炎患者的疼痛水平和功能限制之间的关联.
主要方法:
- 2017年行为风险因素监测系统 (BRFSS) 数据的横截面分析.
- 纳入标准:诊断为关节炎,年龄在45岁以上,已完成SDOH模块.
- 关节炎负担模块疼痛得分和SDOH因子之间的相关性分析.
主要成果:
- 样本大小为25682名患有关节炎的人.
- 面临粮食不安全,财务不稳定或频繁压力的关节炎患者报告了更多的功能限制.
- SDOH暴露与更高的平均疼痛得分相关,最显著的是频繁的压力.
结论:
- 健康的社会决定因素显著加剧了关节炎患者的疼痛和限制.
- 需要进一步的研究和干预措施来解决SDOH,并实现关节炎患者的健康公平.
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