louise murphy phd arthritis program, centers for disease control and prevention, atlanta ga national...
TRANSCRIPT
Louise Murphy PhD
Arthritis Program, Centers for Disease Control and Prevention,
Atlanta GA
National Center for Chronic Disease Prevention and Health Promotion
Division of Adult and Community Health
Update
ACHESCDC Chronic Disease Calculator
Lifetime risk
ACHES overview Arthritis Conditions Health Effects Survey
Conducted 2005/2006 US adults aged ≥ 45 years
• Nationally representative• Doctor diagnosed arthritis (1,793 participants)
Interview administered telephone survey Questionnaire
• Socio-demographic, physical function, self-management, mental health
Impact of arthritis on volunteering
One-third of respondents reported volunteering. 41% (4.9 million) reported arthritis attributable
volunteer limitations. 27% (6.8 million) of non-volunteers
Arthritis was main reason that they did not volunteer.
Theis KA et al. Arthritis restricts volunteer participation: Prevalence and correlates of volunteer status among adults with arthritis. Arthritis Care Res. 2010 Jul;62(7):907-16.
Most respondents with depression
also have anxiety
Murphy et al. Coexistence of Anxiety and Depression
AnxietyOnly
(16%)
Anxiety and
Depression
(15%)
Depression only (3%)
Self-management education (SME) participation
Of those who attended a SME, half had received a recommendation
Attended a SME
(5%)
SME recommended by health
care provider(5%)
SME recommende
d and attended
(5%)
Characteristics of SME attendees
Multivariable logistic regression models
Statistically significant associations College education
• Odds ratio =4.3 (95% confidence interval=1.9-4.6)
Recommendation from their health care provider• Odds ratio=18.5 (95% confidence interval=11.3-30.2)
Murphy L, et al. A Health Care Provider’s Recommendation is the Most Influential Factor in Taking an Arthritis Self-Management Course (SMC): A National Perspective from the Arthritis Conditions Health Effects Survey (ACHES). Arthritis Rheum. 56(9): S307-S308. 2007
Work limitations 3 measures of arthritis impact on work Among employed respondents
Arthritis or joint symptoms affected1) Whether you work for pay or not -- 30% 2) Type of work – 42%3) Amount of work – 43%
Limitations were highest among those with limited physical function
Theis KA, et al. Arthritis impact on 3 work measures. Arthritis Rheum. 58(9): S643. 2008.
Other abstracts
Theis KA et al. Arthritis treatment among US adults: Prevalence and satisfaction. Arthritis Rheum. 58(9): S931 . 2008.
Johnson T et al. Arthritis: Additional joint sites lead to at least additively worse outcomes. 136th APHA Annual Meeting & Exposition (October 25-29, 2008) in San Diego, CA
CDC Chronic Disease Cost Calculator
Version 2 State specific estimates
• Medical costs, absenteeism and projections• Medicaid, Medicare, All payers
Conditions• Arthritis; Asthma; Cancer; Cardiovascular disease (CVD)
[including congestive heart failure, coronary heart disease, hypertension, stroke, and other CVD (e.g., other cerebrovascular disease)]; Depression; and Diabetes
Calculator release Manuscript describing methodology Calculator tool
Late 2010/early 2011
http://www.cdc.gov/chronicdisease/resources/calculator/index.htm -- version 1
Lifetime risk of symptomatic osteoarthritis
Knee Nearly 1 in 2 people
• 2 in 3 among those who are obeseMurphy et al. Lifetime risk of symptomatic knee osteoarthritis. Arthritis Care Res. 2008 Sep 15;59(9):1207-13.
Hip 1 in 4 people No differences across subgroups
Murphy et al. One in four may develop symptomatic hip OA in their lifetime. Osteoarthritis and Cartilage (under review)
For more information please contact Centers for Disease Control and Prevention1600 Clifton Road NE, Atlanta, GA 30333Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: [email protected] Web: www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Thank you.
Contact information:[email protected]
National Center for Chronic Disease Prevention and Health Promotion
Division of Adult and Community Health