加拿大阿尔伯塔省的农业和患骨关节炎的风险
Elaheh Rahmanzadeh Koucheh1, Don Voaklander1, C Allyson Jones2
1School of Public Health, University of Alberta, Edmonton, AB, Canada.
Rural and remote health
|June 3, 2024
概括
与城市居民相比,加拿大农民和农村居民患骨关节炎 (OA) 的风险更高. 这项研究强调了有针对性的干预措施的必要性,以减轻OA在这些社区的影响.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 职业健康 职业健康 职业健康
背景情况:
- 农业在身体上要求很高,可能会增加骨关节炎 (OA) 的易感性.
- 了解不同加拿大住宅群体的OA风险对于公共卫生倡议至关重要.
研究的目的:
- 确定和比较加拿大农场,非农场农村和城市居民患骨关节炎 (OA) 的风险.
主要方法:
- 一项回顾性队列研究利用了阿尔伯塔省的卫生行政数据库,从2000年到2021年.
- 使用基于住院和医生/外科医生护理访问的验证算法识别了OA病例.
- 考克斯的比例危险模型被用来比较三个组的OA发病率.
主要成果:
- 在农业群体中,OA的总体发病率较高 (15.8/1000 PY),而非农业农村居民 (14.7/1000 PY) 和城市居民 (13.3/1000 PY) 的发病率较高.
- 经过年龄和性别调整,农场和非农场农村居民的OA发病率高于城市居民.
- 经过死亡率调整后,农场居民患上OA的终身风险为27.7%,非农场农村居民为25.6%,城市居民为24.0%.
结论:
- 与城市人口相比,农场和非农场农村居民患OA的风险较高.
- 农场居民的高死亡率调整后终身OA风险强调了需要在农村社区采取具体干预措施.
- 进一步的研究应该确定农民中OA的职业和生活方式风险因素,以告知预防和管理策略.
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