Women and arthritis: burden, impact and prevention programs.

J. Hootman, J. Sniezek, C. Helmick
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引用次数: 50

Abstract

OBJECTIVES To characterize the public health burden and impact of arthritis among women, document the growing interest in addressing arthritis as a public health problem, and review new national (Centers for Disease Control and Prevention [CDC]) and state arthritis programs. RESULTS Arthritis and other rheumatic diseases are a major public health problem, affecting nearly 27 million women in 1997 and accounting for 23.9 million ambulatory medical care visits and 451,000 hospitalizations among women in that year. Arthritis is also the leading cause of disability and is associated with considerable functional limitations. The 1999 National Arthritis Action Plan: A Public Health Strategy prompted first-time congressional funding to the CDC to monitor the burden of arthritis and to establish state arthritis prevention programs through cooperative agreements. The CDC's Arthritis Program also used this funding to build the public health science base, develop national health communications campaigns, foster partnerships, and initiate health systems change. CONCLUSIONS Arthritis in general and selected types, such as rheumatoid arthritis, systemic lupus erythmatosus (SLE), and fibromyalgia, disproportionately affect women. The CDC, state health departments, and their partners are working toward improving the quality of life for women affected by arthritis. Effective, evidence-based interventions, such as self-management education and physical activity programs, are currently available and can reduce pain, improve function, and delay disability, but they remain underused. Future research should focus on improving earlier diagnosis and increasing access to effective interventions.
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女性与关节炎:负担、影响和预防方案。
目的:描述女性关节炎的公共卫生负担和影响,记录将关节炎作为公共卫生问题的日益增长的兴趣,并回顾新的国家(疾病控制和预防中心[CDC])和州关节炎项目。结果关节炎和其他风湿病是一个主要的公共卫生问题,1997年影响了近2700万妇女,占该年妇女门诊就诊的2390万人次和45.1万人次。关节炎也是致残的主要原因,并与相当大的功能限制有关。1999年《全国关节炎行动计划:公共卫生战略》促使国会首次向疾病预防控制中心提供资金,以监测关节炎的负担,并通过合作协议建立各州关节炎预防计划。美国疾病控制与预防中心的关节炎项目也利用这笔资金建立公共卫生科学基础,开展国家卫生宣传活动,促进伙伴关系,并启动卫生系统变革。结论:一般和特定类型的关节炎,如类风湿关节炎、系统性红斑狼疮(SLE)和纤维肌痛,对女性的影响不成比例。美国疾病控制与预防中心、州卫生部门及其合作伙伴正致力于改善受关节炎影响的女性的生活质量。有效的、基于证据的干预措施,如自我管理教育和体育活动计划,目前是可用的,可以减轻疼痛,改善功能,延缓残疾,但它们仍然没有得到充分利用。未来的研究应侧重于改善早期诊断和增加获得有效干预措施的机会。
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