Limited Physical Functioning in United States Adults with Arthritis: Findings from the 2021 Medical Expenditure Panel Survey.

IF 3 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Diseases (Basel, Switzerland) Pub Date : 2024-08-01 DOI:10.3390/diseases12080170
David R Axon
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Abstract

There is little published research on limited physical functioning in United States (US) adults with arthritis. The objective of this cross-sectional 2021 Medical Expenditure Panel Survey (MEPS) database study was to investigate the variables associated with limited physical functioning in US adults with arthritis. Logistic regression tested the associations of predisposing, enabling, and need variables with the dependent variable (limited physical functioning). This study included 5102 US adults with arthritis, reflecting an estimated weighted population of 64,136,870 US adults with arthritis. In the final multivariable logistic regression model, age ≥ 70 and ages 60-69 (vs. 18-49 years), female (vs. male) sex, having quite a bit/extreme or moderate (vs. little) pain, and having 6+ or 4-5 (vs. 0-1) comorbid conditions were all associated with higher odds of the person stating they had limited physical functioning. Whereas high school or less (vs. more than high school), being employed (vs. unemployed), being married (vs. not married), having excellent/very good or good (vs. poor) general health, and exercise (vs. no exercise) were each associated with lower odds of the person reporting they had limited physical functioning. Future work may be considered to explore these variables in greater detail.

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美国成人关节炎患者的有限身体功能:2021 年医疗支出小组调查的结果。
有关美国成年关节炎患者身体功能受限的研究成果很少。这项 2021 年横断面医疗支出小组调查(MEPS)数据库研究的目的是调查美国成年关节炎患者身体功能受限的相关变量。逻辑回归测试了易患变量、有利变量和需求变量与因变量(身体功能受限)之间的关联。这项研究纳入了 5102 名患有关节炎的美国成年人,估计加权人口为 64136870 名患有关节炎的美国成年人。在最终的多变量逻辑回归模型中,年龄≥ 70 岁和 60-69 岁(vs. 18-49 岁)、性别为女性(vs. 男性)、有相当多/极度或中度(vs. 少量)疼痛、有 6 种以上或 4-5 种(vs. 0-1 种)并发症都与患者自称身体功能受限的几率较高有关。而高中或高中以下(vs 高中以上)、有工作(vs 失业)、已婚(vs 未婚)、总体健康状况优秀/非常好或良好(vs 差)以及锻炼(vs 不锻炼)则分别与自称身体功能受限的几率较低有关。今后的工作可以考虑更详细地探讨这些变量。
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CiteScore
0.80
自引率
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审稿时长
6 weeks
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