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Self-reported arthritis among men and women in an adult community

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Abstract

In the Rancho Bernardo, California population of older adults, the age-adjusted prevalence rate of self-reported arthritis was higher in women than men for all types combined (38.6 vs. 22.3%, p<0.05), and for osteoarthritis (18.1 vs 12.9%). Men and women with osteoarthritis and disabling arthritis were significantly more likely to report co-morbid conditions. Women with osteoarthritis were significantly less likely to drink alcohol and more likely to be taking estrogen replacement therapy. At 15 years of follow up, mortality rates were not significantly increased in men or women with arthritis or osteoarthritis compared to those without arthritis.

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References

  1. National Center for Health Statistics.Prevalence of Selected Impairments, United States 1977. Series 10, No. 134, 1981

  2. National Center for Health Statistics.Limitation of Activity Due to Chronic Conditions, United States, 1974. Series 10, No. 111, 1977

  3. Holbrook TL, Grazier K, Kelsey JL, Stauffer RN:The Frequency of Occurrence, Impact and Cost of Musculoskeletal Conditions in the United States. American Academy of Orthopaedic Surgeons, Chicago, Illinois, 1984

    Google Scholar 

  4. Criqui MH, Barrett-Connor E, Austin M: Differences between respondents and nonrespondents in a population-based cardiovascular disease study.American Journal of Epidemiology 108:367–372, 1978

    Google Scholar 

  5. Mantel N: Chi-square tests with one degree of freedom; extensions of the Mantel-Haenszel procedure.Journal of the American Statistical Association 58:690–700, 1963

    Google Scholar 

  6. Cunningham LS, Kelsey JL: Epidemiology of musculoskeletal impairments and associated disability.American Journal of Public Health 74:574–579, 1984

    Google Scholar 

  7. Lee P, Helewa A, Smythe HA et al.: Epidemiology of musculoskeletal disorders (complaints) and related disability in Canada.Journal of Rheumatology 12:1169–1173, 1985

    Google Scholar 

  8. National Center for Health Statistics.Current Estimates from the National Health Interview Survey, 1985. Series 10, No. 160, 1985

  9. Scott JC, Hochberg MC, Stevens MB, Southard J, Entwisle G: Arthritis in Maryland: prevalence and health care utilization.Clinical Research 34:872A, 1986

    Google Scholar 

  10. National Center for Health Statistics.Osteoarthritis in Adults by Selected Demographic Characteristics, United States, 1960–1962. Series II, No. 20, 1966

  11. Lawrence JS, Bremmer JM, Bier F: Osteoarthritis. Prevalence in the population and relationship between symptoms and x-ray changes.Annals of the Rheumatic Diseases 25:1–24, 1966

    Google Scholar 

  12. Ropes MW, Bennett GA, Cobb S, Jacox R, Jessar RA: Revision of diagnostic criteria for rheumatoid arthritis.Bulletin of the Rheumatic Diseases 9:175–176, 1958

    Google Scholar 

  13. Altman R, Asch E, Bloch D, Bole G et al.: Development of criteria for the classification and reporting of osteoarthritis; Classification of osteoarthritis of the knee.Arthritis and Rheumatism 29:1039–1049, 1986

    Google Scholar 

  14. Scott JC, Hochberg MC: Osteoarthritis I: Epidemiology.Maryland State Medical Journal 33:712–716, 1984

    Google Scholar 

  15. Mikkelsen WM: Estimates of the prevalence of rheumatic diseases in population of Tecumseh, Michigan, 1959–1960.Journal of Chronic Disease 20:351–369, 1967

    Google Scholar 

  16. Mikkelsen WM, Duff IF, Dodge HJ: Age-sex specific prevalence of radiographic abnormalities of the joints of the hands, wrists and cervical spine of adult residents of the Tecumseh, Michigan community health study area.Journal of Chronic Disease 23:151–159, 1970.

    Google Scholar 

  17. Lawrence JS: Generalized osteoarthritis in a population sample.American Journal of Epidemiology 90:381–389, 1969

    Google Scholar 

  18. Acheson RM, Collart AB: New Haven Study of Joint Diseases XVII: Relationship between some systematic characteristics and osteo-arthrosis in a general population.Annals of the Rheumatic Diseases 34:379–387, 1975

    Google Scholar 

  19. Lawrence JS: Hypertension in relation to musculoskeletal disorders.Annals of the Rheumatic Diseases 1:451–456, 1975

    Google Scholar 

  20. Bradlow A, Mowat AG: Alcohol consumption in arthritic patients: clinical and laboratory studies.Annals of the Rheumatic Diseases 44:163–168, 1985

    Google Scholar 

  21. Royal College of General Practitioners, Oral Contraception Study: Reduction in incidence of rheumatoid arthritis associated with oral contraceptives.Lancet 1:569–571, 1978

    Google Scholar 

  22. Esdaile JM, Horwitz RI: Observational studies of cause-effect relationships: An analysis of methodologic problems as illustrated by the conflicting data for the role of oral contraceptives in the etiology of rheumatoid arthritis.Journal of Chronic Disease 39:841–852, 1986

    Google Scholar 

  23. Acheson RN, Chen YK, Clemett AR: New Haven Survey of joint diseases XII. Distribution and symptoms of osteoarthritis in the hands with reference to two-handedness.Annals of the Rheumatic Diseases 29:275–286, 1970

    Google Scholar 

  24. Kellgren JH, Moore R: Generalized osteoarthritis and Heverdeen's nodes.British Medical Journal 1:181–187, 1952

    Google Scholar 

  25. DeQueker J, Ferin J: Affect of long-term estrogen therapy on bone remodeling with women with natural menopause. Cross-sectional and longitudinal study. In Van Keep PA, Greenblatt RB, Albeaux-Fernet M (eds.):Consensus on Menopause Research, Lancaster, Medical and Technical Publishing, pp. 124, 1972

    Google Scholar 

  26. Ehrlich GE: Osteoarthritis beginning with inflammation.Journal of the American Medical Association 232:157–159, 1975

    Google Scholar 

  27. Rosner IA, Goldberg VM, Moskowitz RW: Estrogens and Osteoarthritis.Clinical Orthopedics 213:77–83, 1986

    Google Scholar 

  28. Monson RR, Hall AP: Mortality among arthritis.Journal of Chronic Disease 29:459–467, 1976

    Google Scholar 

  29. Lawrence RC, Everett DF, Cornoni-Huntley J, Hochberg MC: Excess mortality and decreased survival in females with osteoarthritis of the knee.American Journal of Epidemiology 126:776, 1987

    Google Scholar 

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Authors and Affiliations

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Additional information

Troy L. Holbrook, Ph.D. is an Assistant Adjunct Professor, Department of Community and Family Medicine, University of California, San Diego

Deborah L. Wingard, Ph.D. is an Associate Professor, Department of Community and Family Medicine, University of California, San Diego

Elizabeth Barrett-Connor, M.D. is Professor and Chair, Department of Community and Family Medicine, University of California, San Diego

This research was supported by National Institutes of Health Contract No. NIH-NHLBI-HV-1-2160-L, National Institute of Arthritis, Diabetes and Digestive Kidney Diseases Grant No. R01-AM31801, and The Weight Watchers Foundation, Inc.

The authors wish to thank Janice B. McPhillips for assistance with the statistical analysis and Cheryl Wuchina for preparation of the manuscript.

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Holbrook, T.L., Wingard, D.L. & Barrett-Connor, E. Self-reported arthritis among men and women in an adult community. J Community Health 15, 195–208 (1990). https://doi.org/10.1007/BF01350257

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