目的:确定西班牙普通成年人群中诊断为骨关节病(DO)和未诊断为骨关节病(UO)的患病率及其相关因素。
方法:采用2017年西班牙国家健康调查数据的横断面研究。
方法:N=23,089名成年人。定义了三组人:DO,UO,没有骨关节病(NO)。
方法:社会人口统计信息,生活方式(烟草,酒精,身体活动,体重指数)和健康因素(疼痛强度,止痛药消费,心理健康,自我感知的健康状况,收集日常生活中的疼痛参与)。进行了描述性和双变量分析,以及与每组相关因素的多项逻辑回归模型。
结果:DO的患病率为UO的22.4%(95CI=21.8;22.9)和0.9%(95CI=0.8;1)。关于NO,DO和UO的危险因素包括较高的疼痛水平和疼痛药物消耗.更好的自我感知健康状况与两者成反比。日常生活中更多的疼痛参与与DO风险增加有关,但降低了UO的风险。
结论:DO和UO的患病率与欧洲报道的相似,但略高于中低收入国家。它在女性中更为普遍,老年人,健康状况较差和心理健康较差的人。较高的疼痛水平和疼痛药物消耗是DO和UO的危险因素。更好的自我感知健康状况是保护性的。日常生活中的疼痛参与是DO的危险因素,但保护UO。有鉴于此,应考虑不同的公共卫生策略。
OBJECTIVE: To determine the prevalence and related factors of diagnosed osteoarthrosis (DO) and undiagnosed osteoarthrosis (UO) in the general Spanish adult population.
METHODS: Cross-sectional study with data from the Spanish National Health Survey 2017.
METHODS: N=23,089 adults. Three groups of people were defined: DO, UO, and no osteoarthrosis (NO).
METHODS: Sociodemographic information, lifestyle (tobacco, alcohol, physical activity, body mass index) and health factors (intensity of pain, pain drug consumption, mental health, self-perceived health status, pain involvement in daily living) were collected. Descriptive and bivariate analyses were performed, and a multinomial logistic regression model for the factors associated with each group.
RESULTS: The prevalence of DO was 22.4% (95%CI=21.8;22.9) and 0.9% (95%CI=0.8;1) of UO. With respect to NO, risk factors for DO and UO included higher pain levels and pain drug consumption. Better self-perceived health status was inversely related with both. More pain involvement in daily living was associated with increased risk of DO, but reduced risk of UO.
CONCLUSIONS: The prevalence of DO and UO was similar to that reported in Europe, but slightly higher than in low/middle-income countries. It was more prevalent in females, older people, people with worse perceived health status and worse mental health. Higher pain levels and pain drug consumption were risk factors for DO and UO. Better self-perceived health status was protective. Pain involvement in daily living was a risk factor for DO, but protective for UO. Different public health strategies should be considered in view of this.