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The Prevalence of Arthritis and Activity Limitation and Their Predictors in Missouri

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Abstract

Arthritis and other rheumatic conditions comprise the leading cause of disability in the United States. In 1990, an estimated 16.7% of Missourians had arthritis. By 2020, an estimated 20% of Missourians will have this condition. We examined Missouri's prevalence of self- reported physician-diagnosed arthritis, chronic joint symptoms, and activity limitation due to joint symptoms and their associations with selected predictors (i.e., socio-demographic, access to health care, risk factor, and co-morbidity indicators) from Missouri's 1996 Behavioral Risk Factor Surveillance System. We conducted logistic regression analysis to generate Odds Ratios and 95% Confidence Intervals of arthritis and activity limitation across levels of predictors. Analysis indicates arthritis is under- diagnosed in younger individuals and that arthritis and activity limitation due to joint symptoms are significant contributors to functional limitation, enhancing dependency while decreasing the quality of life. As the population ages, arthritis, chronic joint symptoms, and activity limitation will become a larger public health problem.

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REFERENCES

  1. Centers for Disease Control and Prevention. Prevalence and impact of chronic joint symptoms— seven states, 1996. Mor Mortal Wkly Rep. 1998; 47:345–350.

    Google Scholar 

  2. Centers for Disease Control and Prevention. Unrealized prevention opportunities: reducing the health and economic burden of chronic disease. A Report of the National Center for Chronic Disease Prevention and Health Promotion, 1998.

  3. Yelin E, Callahan L. The economic cost and social and psychological impact of musculoskeletal conditions. Arthritis Rheum. 1995; 38:1351–1362.

    Google Scholar 

  4. Centers for Disease Control and Prevention. Arthritis Prevalence and activity limitations—United States, 1990. Mor Mortal Wkly Rep. 1994; 43:433–438.

    Google Scholar 

  5. Centers for Disease Control and Prevention. Prevalence and impact of arthritis accordingto racial group and Hispanic ethnicity—United States, 1989–1991. Mor Mortal Wkly Rep. 1996; 45:373–378.

    Google Scholar 

  6. Lorig K, Mazonson P, Holman H. Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducinghealth care costs. Arthritis Rheum.1993; 36:436–439.

    Google Scholar 

  7. Felson DT, Zhang Y, Anthony JM. Weight loss reduces the risk for symptomatic knee osteoarthritis in women. Ann Intern Med. 1992; 117:535–539.

    Google Scholar 

  8. Frazier EL, Franks AL, Sanderson LM. Behavioral Risk Factor Data. In Healthy People 2000: National Health Promotion and Disease Prevention Objectives. U.S. Department of Health and Human Services, publication no. (PHS)91-50213, 1990; pp. 4.1–4.17.

  9. Remington PL, Smith MY, Williamson DF, Anda RF, Gentry EM, Hogelin GC. Design, Characteristics, and Usefulness of State-Based Behavioral Risk Factor Surveillance: 1981–87. Public Health Rep. 1988; 103(4):364–375.

    Google Scholar 

  10. Centers for Disease Control and Prevention. Health risks in America: gaining insight from the behavioral risk factor surveillance system. 1996. Behavioral Surveillance Branch, National Center for Chronic Disease Prevention and Health Promotion. Atlanta, GA.

    Google Scholar 

  11. Groves RM, Biemer PP, Lyberg LE, Massey JT, Nicholls II WL, Waksberg J, eds. Telephone Survey Methodology. 1988. John Wiley & Sons: New York.

    Google Scholar 

  12. Centers for Disease Control and Prevention. Prevalence of leisure-time physical activity among persons with arthritis and other rheumatic conditions—United States, 1990–1991. Mor Mortal Wkly Rep. 1997; 46:389–393.

    Google Scholar 

  13. Simoes EJ, Newschaffer CJ, Hagdrup N, et al. Predictors of Compliance with Recommended Cervical Cancer ScreeningSchedule: A Population-Based Study. J Community Health. 1999; 24(2): 115–130.

    Google Scholar 

  14. Helmick CG, Lawrence RC, Pollard RA, Lloyd E, Heyse SP. Arthritis and other rheumatic conditions: who is affected now, who will be affected later? Arthritis Care Res. 1995; 8(4):203–211.

    Google Scholar 

  15. Centers for Disease Control and Prevention. Prevalence and impact of arthritis amongwomen — United States, 1989–1991. Mor Mortal Wkly Rep. 1995; 44:329–334.

    Google Scholar 

  16. Centers for Disease Control and Prevention. Factors Associated with Prevalent Self-Reported Arthritis and Other Rheumatic Conditions—United States, 1989–1991. Mor Mortal Wkly Rep. 1996; 45:487–491.

    Google Scholar 

  17. Saag KG, Doebbeling BN, Rohrer JE, et al. Variation in tertiary prevention and health service utilization amongthe elderly: the role of urban-rural residence and supplemental insurance. Med Care. 1998; 36:965–976.

    Google Scholar 

  18. Hagen KB, Kvien TK, Bjorndal A. Musculoskeletal pain and quality of life in patients with noninflammatory joint pain compared to rheumatoid arthritis: a population survey. J Rheumatol. 1997; 24:1703–1709.

    Google Scholar 

  19. Seidell JC. Time trends in obesity: an epidemiological perspective. Horm Metab Res. 1997; 29: 155–158.

    Google Scholar 

  20. Verbrugge LM, Gates DM, Ike RW. Risk factors for disability among U.S. adults with arthritis. J Clin Epidemiol. 1991; 44(2):167–82.

    Google Scholar 

  21. Verbrugge LM, Lepkowski JM, Konkol LL. Levels of disability among U.S. adults with arthritis. J Gerontol. 1991; 46(2):S71–83.

    Google Scholar 

  22. Yelin E. Arthritis: The cumulative impact of a common chronic condition. Arthritis Rheum. 1992; 35(5):489–97.

    Google Scholar 

  23. Bradley EM. The impact of disablingarthritis. Arthritis Care Res. 1995; 8(4):221–8.

    Google Scholar 

  24. Miles TP, Flegal K, Harris T. Musculoskeletal disorders: time trends, comordid conditions, selfassessed health status, and associated activity limitation. Vital Health Stat 3. 1993; 27:275–288.

    Google Scholar 

  25. Bowlin SJ, Morrill BD, Nafziger AN, Jenkins PL, Lewis C, Pearson TA. Validity of cardiovascular disease risk factors assessed by telephone survey: the Behavioral Risk Factor Survey. J Clin Epidemiol. 1993; 46:561–571.

    Google Scholar 

  26. Brownson RC, Jackson-Thompson J, Wilkerson JC, Kiani F. Reliability of information on chronic disease risk factors collected in the Missouri Behavioral Risk Factor Surveillance System. Epidemiology. 1995; 5(5):545–549.

    Google Scholar 

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Authors and Affiliations

  1. Missouri Department of Health, Division of Chronic Disease Prevention and Health Promotion, 920 Wildwood Drive, PO Box 570, Jefferson City, Missouri, 65102-0570

    Joseph A. Vradenburg

  2. Office of Epidemiology, Missouri Department of Health, School of Public Health, St. Louis University, USA

    Eduardo J. Simoes

  3. School of Medicine, University of Missouri-Columbia, USA

    Eduardo J. Simoes

  4. Missouri Department of Health, Office of Surveillance, Research and Evaluation, USA

    Jeannette Jackson-Thompson

  5. Health Management and Informatics, University of Missouri-Columbia, USA

    Theophile Murayi

Authors
  1. Joseph A. Vradenburg
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  2. Eduardo J. Simoes
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  3. Jeannette Jackson-Thompson
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  4. Theophile Murayi
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Vradenburg, J.A., Simoes, E.J., Jackson-Thompson, J. et al. The Prevalence of Arthritis and Activity Limitation and Their Predictors in Missouri. Journal of Community Health 27, 91–107 (2002). https://doi.org/10.1023/A:1014557016281

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