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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.
Brennan-Olsen, Sharon L; Cook, S; Leech, M T; Bowe, S J; Kowal, P; Naidoo, N; Ackerman, I N; Page, R S; Hosking, S M; Pasco, J A; Mohebbi, M.
Afiliación
  • Brennan-Olsen SL; Deakin University, Geelong, Australia. sbrennan@unimelb.edu.au.
  • Cook S; Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne-Western Precinct, Level 3, Western Centre for Health Research and Education (WCHRE) Building, C/- Sunshine Hospital, Furlong Road, St Albans, Melbourne, VIC, 3021, Australia. sbrennan@unimelb.edu.au.
  • Leech MT; Department of Medicine-Western Health, Melbourne Medical School, The University of Melbourne, Melbourne, Australia. sbrennan@unimelb.edu.au.
  • Bowe SJ; Institute of Health and Ageing, Australian Catholic University, Melbourne, Australia. sbrennan@unimelb.edu.au.
  • Kowal P; Deakin University, Geelong, Australia.
  • Naidoo N; Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.
  • Ackerman IN; Deakin University, Geelong, Australia.
  • Page RS; Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland.
  • Hosking SM; Research Centre for Generational Health and Ageing, University of Newcastle, Newcastle, Australia.
  • Pasco JA; Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland.
  • Mohebbi M; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
BMC Musculoskelet Disord ; 18(1): 271, 2017 Jun 21.
Article en En | MEDLINE | ID: mdl-28633661
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pobreza / Artritis / Clase Social / Organización Mundial de la Salud / Envejecimiento / Salud Global Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2017 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pobreza / Artritis / Clase Social / Organización Mundial de la Salud / Envejecimiento / Salud Global Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2017 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido