Psychological distress and fair/poor health among adults with arthritis: state-specific prevalence and correlates of general health status, United States, 2007

Hootman, Jennifer; Cheng, Wendy Y.

doi:10.1007/s00038-009-0010-5

Cited by 11 publications

(1 citation statement)

References 31 publications

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“…For instance, data from the US National Health Measurement Study showed no age-gradient in health-related quality of life indices which combine both physical functioning and mental health [ 33 ]. In contrast, other studies have found that reporting only fair to poor health increases with age [ 22 , 34 ]; however, unlike our study, those data were not comprehensively adjusted for comorbidity.…”

Section: Discussioncontrasting

confidence: 94%

Arthritis has an impact on the daily lives of Canadians young and old: results from a population-based survey

O’Donnell

Rusu

Hawker

et al. 2015

BMC Musculoskelet Disord

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BackgroundThere is a perception that the impacts of arthritis are greatest among older adults. However, the effect of age on health-related outcomes in individuals with arthritis has not been explicitly studied. This study examined whether the physical and mental health impacts of arthritis are greater in older (75+ years) versus younger (20–44, 45–64 and 65–74 years) Canadian adults.MethodsData were from the arthritis component of the 2009 Survey on Living with Chronic Diseases in Canada. The responses were weighted to be representative of Canadians (≥20 years) with arthritis. Associations between age and the prevalence of severe/frequent joint pain, severe/frequent fatigue, sleep limitations, instrumental activities of daily living (IADLs) limitations, high levels of stress, suboptimal general and suboptimal mental health, were examined descriptively prior to conducting multivariate log-binomial regression analyses.ResultsA total of 4565 respondents completed the survey (78 % response rate). Individuals with arthritis were mostly female (63 %), of working age (57 %) and overweight or obese (67 %). Upon adjusting for covariates, younger (20–44 years) and/or middle aged (45–64 years) adults were more likely than those older (75+ years) to report severe/frequent joint pain, sleep limitations, high levels of stress and suboptimal mental health. After adjusting for covariates, age was not associated with IADL limitations, severe/frequent fatigue or suboptimal general health.ConclusionsContrary to the belief that older adults with arthritis experience more severe physical and mental health outcomes, we found that older adults were less likely to report worse outcomes than younger adults. In light of these findings, public health messaging should stress that arthritis does not just affect the elderly and emphasize the importance of timely diagnosis and management at all ages in order to prevent or, minimize arthritis-related impairment.

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Section: Discussioncontrasting

confidence: 94%

Arthritis has an impact on the daily lives of Canadians young and old: results from a population-based survey

O’Donnell

Rusu

Hawker

et al. 2015

BMC Musculoskelet Disord

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Combined impact of concomitant arthritis and back problems on health status: Results from a nationally representative health survey

Bollegala¹,

Perruccio²,

Badley³

2011

Arthritis Care & Research

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Objective. To investigate whether people who report both arthritis and back problems report poorer health outcomes than those who have either condition alone. Methods. We performed an analysis of the 2005 Canadian Community Health Survey (n ‫؍‬ 126,049, age >15 years). Respondents were asked about long-term chronic health conditions diagnosed by a health professional and lasting 6 months or more. The risks of reporting 4 health outcomes (activity limitation, fair/poor self-rated overall health, fair/poor self-rated mental health, and >4 doctor consultations in the previous 12 months) were estimated using log Poisson regression analysis adjusting for sociodemographic and lifestyle factors for 5 analytic groups (arthritis and back problems, arthritis only, back problems only, any other chronic condition, and no chronic condition). Results. Arthritis and back problems were reported by 6% of the population (10.5% arthritis only and 13% back problems only). The arthritis and back problems and arthritis only groups had a higher prevalence in women, those of older age, and those who were overweight or obese. For all health outcomes, prevalence ratios showed higher risks of poor outcome for the arthritis and back problem group than for arthritis only or back problems only groups, which had similar risk. Risks were lowest for the any other chronic conditions group and the no chronic conditions group. Conclusion. Chronic back problems were reported by one-third of people with arthritis, who had increased risks of activity limitation, poorer self-rated overall and mental health, and higher health care use. The findings suggest that concomitant back problems are a major contributor to a range of health outcomes in arthritis.

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Choosing Where to Put Your Energy: A Qualitative Analysis of the Role of Physical Activity in the Lives of Working Adults With Arthritis

Kaptein

Backman

Badley

et al. 2013

Arthritis Care & Research

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Objective. Research points to many potential benefits of physical activity (PA) for those with arthritis. However, PA has not typically been examined within the context of other life roles. This study examined the perceptions of PA among individuals managing arthritis in addition to employment and other role demands. Methods. Eight focus groups were conducted with 24 women and 16 men (age range 29 -72 years) who were currently or recently employed (within 2 years) and had osteoarthritis or inflammatory arthritis. Participants were recruited from community newspaper advertisements, rheumatology clinics, and arthritis groups. Discussions were audiotaped and transcribed. Transcripts were analyzed using qualitative content analysis. Results. All groups discussed the impact of arthritis on a range of PAs. Overall, participants discussed PA as positively influencing their health and well-being. Yet, several overarching themes highlighted the complexity of PA, including 1) PA as a potential cause of arthritis; 2) the reciprocal impact of arthritis on PA and PA on arthritis; 3) physical and psychological benefits and harms of PA, such as difficulty making PA decisions when living in pain or when faced with episodic symptoms; 4) perceived choices about engagement in PA (e.g., role overload); and 5) social support. Conclusion. The relationships among work, health, and other roles were complex. Competing demands, pain, energy, episodic symptoms, support, and decisions to disclose one's illness at work influenced PA. Changes to PA not only affected physical health but also people's self-identity. PA interventions may be improved by taking into account the demands of multiple life roles.

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Psychological distress and fair/poor health among adults with arthritis: state-specific prevalence and correlates of general health status, United States, 2007

Abstract: Psychological distress and poor health status are common in arthritis; increasing physical activity may be an intervention point to improve health status.

Cited by 11 publications

References 31 publications

Arthritis has an impact on the daily lives of Canadians young and old: results from a population-based survey

Arthritis has an impact on the daily lives of Canadians young and old: results from a population-based survey

Combined impact of concomitant arthritis and back problems on health status: Results from a nationally representative health survey

Choosing Where to Put Your Energy: A Qualitative Analysis of the Role of Physical Activity in the Lives of Working Adults With Arthritis

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