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    Disease Burden and Health-Related Quality of Life Among Women and Men with Spondyloarthritis: An Exploratory Analysis of a Population-Based Sample

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    Authors
    Shridharmurthy, Divya
    Zhao, Danni
    Lapane, Kate L.
    Baek, Jonggyu
    Kay, Jonathan
    Liu, Shao-Hsien
    UMass Chan Affiliations
    Division of Rheumatology, Department of Medicine
    Division of Biostatistics and Health Services Research, Department of Population and Quantitative Health Sciences
    Clinical and Population Health Research Program, Graduate School of Biomedical Sciences
    Division of Epidemiology, Department of Population and Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2021-01-15
    Keywords
    health-related quality of life
    population-based study
    sex
    spondyloarthritis
    Epidemiology
    Gender and Sexuality
    Health Services Research
    Mental and Social Health
    Musculoskeletal Diseases
    Rheumatology
    
    Metadata
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    Link to Full Text
    https://doi.org/10.1089/jwh.2020.8763
    Abstract
    Objectives: We described the burden of illness and health-related quality of life (HRQoL) in adults with spondyloarthritis (SpA) using a nationally representative sample. Materials and Methods: We identified participants with SpA using the Amor classification criteria (probable: score 5 or definite: > /=6) and complete data on HRQoL from the 2009 to 2010 National Health and Nutrition Examination Survey (n = 231). HRQoL was measured using the Healthy Days Measures including self-rated health status (excellent/very good, good, fair/poor), number of activity-restricted days, and number of unhealthy mental and physical health days in the past month (range: 0-30). Other domains including clinical assessments, comorbidities, physical functioning, and medication use were also explored. Results: Only 39% of the sample met the Amor criteria for definite SpA. Although 58% of those with definite SpA had seen a doctor > 3 times in the past year, 2.5% women and 4.1% men had ever been told by a physician that they have ankylosing spondylitis. Among those with definite SpA, racial/ethnic diversity was observed in women (13.6% non-Hispanic Black, 23.2% Hispanic) and men (11.6% non-Hispanic Black, 11.2% Hispanic). Overall, 41.6% women and 49.7% men rated their health as fair/poor. For other HRQoL measures, 25.4% women and 20.4% men reported > /=15 activity-restricted days and 39.7% women and 41.4% men reported > /=15 physically unhealthy days. Conclusion: Both men and women rank health as poor with indications that it affects QoL. Although our small sample size limits definitive statements, we observed trends that warrant further confirmation in larger population-based samples.
    Source

    Shridharmurthy D, Zhao D, Lapane KL, Baek J, Kay J, Liu SH. Disease Burden and Health-Related Quality of Life Among Women and Men with Spondyloarthritis: An Exploratory Analysis of a Population-Based Sample. J Womens Health (Larchmt). 2021 Jan 15. doi: 10.1089/jwh.2020.8763. Epub ahead of print. PMID: 33450162. Link to article on publisher's site

    DOI
    10.1089/jwh.2020.8763
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46918
    PubMed ID
    33450162
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1089/jwh.2020.8763
    Scopus Count
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    Morningside Graduate School of Biomedical Sciences Scholarly Publications
    Population and Quantitative Health Sciences Publications

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