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首页> 外文期刊>The Journal of rheumatology >Arthritis prevalence and symptoms among US non-veterans, veterans, and veterans receiving Department of Veterans Affairs Healthcare.
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Arthritis prevalence and symptoms among US non-veterans, veterans, and veterans receiving Department of Veterans Affairs Healthcare.

机译：美国非退伍军人，退伍军人和接受退伍军人事务医疗部的退伍军人的关节炎患病率和症状。

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OBJECTIVE:. Studies suggest arthritis and rheumatic diseases are common among military veterans, but prior research has not directly compared arthritis between veterans and the general population. This study compared arthritis prevalence and symptoms between veterans of the US Armed Forces and non-veterans, and between veterans who are US Department of Veterans Affairs (VA) healthcare users and veteran nonusers. METHODS: Study participants were 123,395 respondents from 36 states that completed the 2000 Behavioral Risk Factor Surveillance System arthritis module. Analyses compared self-reports of doctor-diagnosed arthritis, chronic joint symptoms, and activity limitation according to veteran status. Analyses also compared relationships of demographic characteristics to arthritis according to veteran status. RESULTS: US veterans were more likely to report doctor-diagnosed arthritis than non-veterans (32% vs 22%; p < 0.001), and VA healthcare users were more likely to report doctor-diagnosed arthritis than veteran nonusers (43% vs 30%; p < 0.001). Differences remained in analyses controlling for demographic characteristics. Among respondents with arthritis, veterans were more likely to report chronic joint symptoms and activity limitation than non-veterans, and VA healthcare users were more likely to report chronic symptoms and activity limitation than veteran nonusers. Demographic factors predicting doctor-diagnosed arthritis were similar among the 3 groups. CONCLUSION: This study shows a significant burden of arthritis among US veterans, particularly VA healthcare users. Increased prevention of orthopedic injuries in the military may reduce the risk of arthritis in veterans. Within the VA healthcare system, self-management interventions may help to improve outcomes among the many patients with arthritis.
机译：目的：。研究表明，关节炎和风湿性疾病在退伍军人中很常见，但是先前的研究并未直接比较退伍军人与普通人群之间的关节炎。这项研究比较了美国武装部队退伍军人与非退伍军人之间以及美国退伍军人事务部（VA）医疗保健使用者和退伍军人之间的关节炎患病率和症状。方法：研究参与者是来自36个州的123,395名受访者，他们完成了2000年行为危险因素监视系统关节炎模块。分析根据老兵的状况比较了医生诊断出的关节炎，慢性关节症状和活动受限的自我报告。分析还根据退伍军人身份比较了人口统计学特征与关节炎的关系。结果：美国退伍军人比非退伍军人更有可能报告医生诊断出的关节炎（32％vs 22％; p <0.001），VA医疗保健使用者比非退伍军人更容易报告医生诊断出的关节炎（43％vs 30 ％; p <0.001）。在控制人口统计学特征的分析中仍然存在差异。在患有关节炎的受访者中，退伍军人比非退伍军人更有可能报告慢性关节症状和活动受限，而VA医疗保健使用者比非退伍军人更容易报告慢性症状和活动受限。在三组中，预测医生诊断为关节炎的人口统计学因素相似。结论：本研究显示美国退伍军人，特别是弗吉尼亚州医疗保健使用者中严重的关节炎负担。在军队中加强对骨伤的预防可能会降低退伍军人患关节炎的风险。在VA医疗保健系统中，自我管理干预措施可能有助于改善许多关节炎患者的预后。

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