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首页> 外文期刊>Occupational and environmental medicine >Primary osteoarthritis and occupations: a national cross sectional survey of 10 412 symptomatic patients.
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Primary osteoarthritis and occupations: a national cross sectional survey of 10 412 symptomatic patients.

机译:原发性骨关节炎和职业:对10 412名有症状患者的全国性横断面调查。

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AIMS: To describe the age standardised prevalence of symptomatic osteoarthritis (OA) in a nationwide cross sectional survey of 10 412 patients in France, and their functional and work limitations. METHODS: Cases in the survey were compared with their expected counterpart by age, gender, and occupational groupings using data from the 1998 French National Survey on Health Impairment and Disability. RESULTS: Women represented 66.2% of the sample; mean age was 66.2 years. One third of patients had OA of the knee, 16% of the hip, and 12% of the hand; a third had multiple joint OA. Peak prevalence of symptomatic OA was in the 60-69 year category in women and in the 70-79 year category in men. Agricultural workers showed a significant excess prevalence of OA, with an observed to expected (O/E) ratio of 1.7 in women and 2.3 in men. Linear trends in prevalences between white collar, "mixed" collar, and blue collar workers were also significant, with odds ratios respectively of 1.0, 2.9, and 2.6 in women and 1.0, 1.2, and 1.7 in men. Specific excess prevalence was found in women among housekeepers (O/E 4.4), and in men among unskilled labour workers (O/E 10.3) and truck drivers (O/E 6.7). Total work disability was highest among blue collar workers and partial disability among agricultural workers. CONCLUSION: Results contribute to the mounting evidence that OA is potentially aetiologically linked to occupation in a sizeable segment of the population and that OA can no longer be considered an inevitable disease of ageing.
机译:目的:在一项针对法国10 412例患者的全国性横断面调查中,描述有症状的骨关节炎(OA)的年龄标准化患病率及其功能和工作限制。方法:使用1998年法国全国健康障碍与残疾调查得出的数据,将调查中的病例与按年龄,性别和职业分组的预期病例进行比较。结果:妇女占样本的66.2%;平均年龄为66.2岁。三分之一的患者患有膝骨关节炎,16%的髋关节和12%的手;三分之一有多个联合OA。女性有症状OA的峰值患病率为60-69岁,男性为70-79岁。农业工人的OA患病率明显过高,观察到的预期(O / E)比为女性1.7和男性2.3。白领,“混合”领和蓝领工人之间患病率的线性趋势也很显着,女性的比值比分别为1.0、2.9和2.6,男性的比值比分别为1.0、1.2和1.7。在管家中,妇女(O / E 4.4),在非熟练劳工中(O / E 10.3)和卡车司机(O / E 6.7)的男性中有特定的过度流行。蓝领工人的总工作残疾最高,而农业工人中的部分残疾最高。结论:结果有助于越来越多的证据表明,OA在病因学上与大量人口的占领有潜在的病因学联系,并且OA不再被视为不可避免的老龄化疾病。

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