Social participation restriction among U.S. adults with arthritis: A population-based study using the International Classification of Functioning, Disability, and Health (ICF)

Details

• Alternative Title:
  Arthritis Care Res (Hoboken)
• Personal Author:
  Theis, K.A. ; Murphy, L. ; Hootman, J.M. ; Wilkie, R.
• Description:
  Objective
  
  To examine arthritis impact among U.S. adults with self-reported, doctor-diagnosed arthritis using the International Classification of Functioning, Disability, and Health (ICF) framework (domains=Impairments, Activity Limitations, Environmental, and Personal factors; outcome=social participation restriction (SPR)) 1) overall and among those with SPR, and 2) to identify correlates of SPR.
  
  Methods
  
  Cross-sectional 2009 National Health Interview Survey data were analyzed to examine the distribution of ICF domain components. Unadjusted and multivariable-adjusted prevalence ratios (PR) and 95% confidence intervals (CI) were estimated to identify correlates of SPR. Analyses in SAS v9.2 survey procedures accounted for the complex sample design.
  
  Results
  
  SPR prevalence was 11% (5.7 million) of adults with arthritis. After initial multivariable adjustment by ICF domain, Serious Psychological Distress (Impairments) (PR=2.5, 95% CI=2.0-3.2, ≥5 medical office visits (Environmental) (PR=3.4, 95% CI=2.5-4.4) , and physical inactivity (Personal) (PR=4.8, 95% CI=3.6=6.4) were most strongly associated with SPR. A combined measure, Key Limitations (walking, standing, or carrying) (PR=31.2 (22.3-43.5) represented the Activity Limitations domain. After final multivariable adjustment incorporating all ICF domains simultaneously, the strongest associations with SPR were Key Limitations (PR= 24.3 (16.8-35.1), ≥9 hours sleep (PR=1.6, 95% CI=1.3-2.0), and income-to-poverty ratio <2.00 and severe joint pain (PR=1.4, 95% CI=1.2-1.6 for both).
  
  Conclusion
  
  SPR affects 1-in-9 adults with arthritis. This work is the first to use the ICF framework in a population-based sample to identify specific functional activities, pain, sleep, and other areas for priority intervention to reduce negative arthritis impacts, including SPR. Increased use of existing clinical and public health interventions is warranted.
  
  
• Keywords:
  Adolescent Adult Aged Arthralgia Arthritis Cost Of Illness Cross-Sectional Studies Disability Evaluation Female Health Status Indicators Health Surveys Humans Income Male Middle Aged Mobility Limitation Multivariate Analysis Pain Measurement Poverty Prevalence Severity Of Illness Index Sleep Social Participation United States Young Adult

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• Source:
  Arthritis Care Res (Hoboken). 2013; 65(7):1059-1069
• Pubmed ID:
  23401463
• Pubmed Central ID:
  PMC4466902
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  65
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:2bc28997a1311682c3ca12d409973fe391fb16b8c10dddaf17a7e56bd378e7b1
• Download URL:
  https://stacks.cdc.gov/view/cdc/31616/cdc_31616_DS1.pdf
• File Type:
  [PDF - 574.82 KB ]