- Title
- Prevalence of arthritis according to age, sex and socioeconomic status in six low and middle income countries: analysis of data from the World Health Organization study on global AGEing and adult health (SAGE) Wave 1
- Creator
- Brennan-Olsen, Sharon L.; Cook, S.; Mohebbi, M.; Leech, M. T.; Bowe, S. J.; Kowal, P.; Naidoo, N.; Ackerman, I. N.; Page, R. S.; Hosking, S. M.; Pasco, J. A.
- Relation
- NHMRC.1107510 http://purl.org/au-research/grants/nhmrc/1107510
- Relation
- BMC Musculoskeletal Disorders Vol. 18, Issue 1, no. 271
- Publisher Link
- http://dx.doi.org/10.1186/s12891-017-1624-z
- Publisher
- BioMed Central
- Resource Type
- journal article
- Date
- 2017
- Description
- Background: In higher income countries, social disadvantage is associated with higher arthritis prevalence; however, less is known about arthritis prevalence or determinants in low to middle income countries (LMICs). We assessed arthritis prevalence by age and sex, and marital status and occupation, as two key parameters of socioeconomic position (SEP), using data from the World Health Organization Study on global AGEing and adult health (SAGE). Methods: SAGE Wave 1 (2007-10) includes nationally-representative samples of older adults (=50 yrs), plus smaller samples of adults aged 18-49 yrs., from China, Ghana, India, Mexico, Russia and South Africa (n = 44,747). Arthritis was defined by self-reported healthcare professional diagnosis, and a symptom-based algorithm. Marital status and education were self-reported. Arthritis prevalence data were extracted for each country by 10-year age strata, sex and SEP. Country-specific survey weightings were applied and weighted prevalences calculated. Results: Self-reported (lifetime) diagnosed arthritis was reported by 5003 women and 2664 men (19.9% and 14.1%, respectively), whilst 1220 women and 594 men had current symptom-based arthritis (4.8% and 3.1%, respectively). For men, standardised arthritis rates were approximately two- to three-fold greater than for women. The highest rates were observed in Russia: 38% (95% CI 36%-39%) for men, and 17% (95% CI 14%-20%) for women. For both sexes and in all LMICs, arthritis was more prevalent among those with least education, and in separated/divorced/widowed women. Conclusions: High arthritis prevalence in LMICs is concerning and may worsen poverty by impacting the ability to work and fulfil community roles. These findings have implications for national efforts to prioritise arthritis prevention and management, and improve healthcare access in LMICs.
- Subject
- arthritis; epidemiology; prevalence; socio-demographic characteristics; low and middle income countries
- Identifier
- http://hdl.handle.net/1959.13/1352023
- Identifier
- uon:30810
- Identifier
- ISSN:1471-2474
- Rights
- This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Language
- eng
- Full Text
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