上海市关节炎患病率抽样调查及相关因素分析

史方; 顾凯; 卢伟; 翁伟芳; 朱美英; 彭艳英; 傅东波; 傅华

Abstract

史方,顾凯,卢伟,翁伟芳,朱美英,彭艳英,傅东波,傅华.上海市关节炎患病率抽样调查及相关因素分析[J].Chinese journal of Epidemiology,2003,24(12):1136-1140

上海市关节炎患病率抽样调查及相关因素分析

Study on the prevalence of arthritis and relevant factors in Shanghai

Received:April 10, 2003

DOI：

KeyWord: 关节炎患病率相关因素

English Key Word: Arhritis Prev alence Relevant factors

FundProject:

Author Name	Affiliation
Shi Fang	The Department of Preventive Medicine, The School of Public Health, Fudan University, Shanghai 200032
Gu Kai	上海市疾病预防控制中心
Lu Wei	上海市疾病预防控制中心
Weng Weifang	黄浦区疾病预防控制中心
Zhu Meiying	松江区疾病预防控制中心
Peng Yanying	金山区疾病预防控制中心
Fu Dongbo	The Department of Preventive Medicine, The School of Public Health, Fudan University, Shanghai 200032
Fu Hua	The Department of Preventive Medicine, The School of Public Health, Fudan University, Shanghai 200032

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Abstract:

目的了解上海市关节炎及其主要类型的患病率、分布特征和相关因素。方法采用多阶段整群抽样方法,共抽取 6个街道 18个里委≥15岁的居民 7575人。首先采用调查问卷登记已确诊的患者,并筛选可疑患者,然后对可疑患者作诊断性检查。结果关节炎患病率为 6.11%。其中骨关节炎患病率为 4.18% ;类风湿关节炎患病率为 0.5 2 % ;痛风患病率为 0.2 8% ;强直性脊柱炎患病率为 0.2 8% ;反应性关节炎患病率为 0.4 9% ;其他类型关节炎患病率为 0.82 %。结论关节炎与心脏病、慢性肺部疾病和慢性胃肠道疾病显著相关。年龄、女性、肥胖是关节炎可能的危险因素。体力劳动、居住在农村是关节炎可能的保护因素。老年人和女性是关节炎的高危人群,通过控制体重、适度运动来降低关节炎患病的危险性。对关节炎患者不能忽视伴随慢性病的治疗。

English Abstract:

Objective This study aimed to understand the prevalence rate, epidemiological characteristics and relevant factors of arthritis in Shang hai.Methods A sample of 7 575 residents ag ed 15 years and above w as draw n from 6 communities under multiple stage cluster sampling.A household survey with questionnaire w as car ried out to differentiate both undiagnosed patients and those with definite arthritis.Those w ho had no t been diag nosed before were asked to carry further clinical examinatio ns by a rheumatologist.Results The prevalence rate of arthritis was 6.11 %, including osteoarthritis(OA)4.18%, rheumatoid arthritis(RA)0.52 %, gout 0.28 %, ankylosing spondylitis(AS)0.28 %, rheumatic arthritis 0.49% and o ther types arthritis 0.82 %.Ar thritis was sig nificantly related to cardiovascular disease, pulmonary disease and gastrointestinal disease.Age, female and obesity might serve as risk factors for arthritis.Phy sical labors and living in rural area mig ht have pro tecting effects.Conclusion Elderly and female seemed to be at high risk for arthritis.Weight contro l and more exercise should be encouraged to reduce the risks.For ar thritis patients, treatment to other chronic diseases should not be ignored.

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