The authors declare that they have no competing interests.
SO, CR and EMB contributed to the design of the study; SO and CR analyzed the data; SO drafted the manuscript; All authors reviewed and critically revised the initial and subsequent drafts; All authors have read and approved the final version of the manuscript.
There is a perception that the impacts of arthritis are greatest among older adults. However, the effect of age on health-related outcomes in individuals with arthritis has not been explicitly studied. This study examined whether the physical and mental health impacts of arthritis are greater in older (75+ years) versus younger (20–44, 45–64 and 65–74 years) Canadian adults.
Data were from the arthritis component of the 2009 Survey on Living with Chronic Diseases in Canada. The responses were weighted to be representative of Canadians (≥20 years) with arthritis. Associations between age and the prevalence of severe/frequent joint pain, severe/frequent fatigue, sleep limitations, instrumental activities of daily living (IADLs) limitations, high levels of stress, suboptimal general and suboptimal mental health, were examined descriptively prior to conducting multivariate log-binomial regression analyses.
A total of 4565 respondents completed the survey (78 % response rate). Individuals with arthritis were mostly female (63 %), of working age (57 %) and overweight or obese (67 %). Upon adjusting for covariates, younger (20–44 years) and/or middle aged (45–64 years) adults were more likely than those older (75+ years) to report severe/frequent joint pain, sleep limitations, high levels of stress and suboptimal mental health. After adjusting for covariates, age was not associated with IADL limitations, severe/frequent fatigue or suboptimal general health.
Contrary to the belief that older adults with arthritis experience more severe physical and mental health outcomes, we found that older adults were less likely to report worse outcomes than younger adults. In light of these findings, public health messaging should stress that arthritis does not just affect the elderly and emphasize the importance of timely diagnosis and management at all ages in order to prevent or, minimize arthritis-related impairment.
Public Health Agency of Canada. Life with Arthritis in Canada: A personal and public health challenge. Ottawa: Public Health Agency of Canada; 2010. Catalogue no. HP35-17/1-2010E.
Australian Institute of Health and Welfare, Rahman N, Bhatia K. Impairments and disability associated with arthritis and osteoporosis, Arthritis, vol. 4. Canberra, Australia: Australian Institute of Health and Welfare; 2007. Catalogue no. PHE 90.
Geusken GA, Burdorf A, Hazes JM. Consequences of rheumatoid arthritis for performance of social roles—a literature review. J Rheumatol. 2007;34:1248–60.
Centers for Disease Control and Prevention (CDC). Prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation --- United States, 2007--2009. MMWR Morb Mortal Wkly Rep. 2010;59:1261–5.
Statistics Canada. Survey on Living with Chronic Diseases in Canada: Arthritis Component, 2009 Questionnaire. Ottawa: Statistics Canada, 2009. URL: www.statcan.gc.ca/imdb-bmdi/instrument/5160_Q3_V1-eng.htm.
Statistics Canada. Data Users Guide 2009: Survey on Living with Chronic Diseases in Canada. Ottawa: Statistics Canada, 2009. URL: www.statcan.gc.ca/imdb-bmdi/document/5160_D5_T1_V1-eng.htm#a11.
Stineman MG, Henry-Sánchez JT, Kurichi JE, Pan Q, Xie D, Saliba D, et al. Staging Activity Limitation and Participation Restriction in Elderly Community-Dwelling Persons According to Difficulties in Self-Care and Domestic Life Functioning. Am J Phys Med Rehabil. 2012;91(2):126–40. CrossRefPubMedPubMedCentral
Ahmad F, Jhajj AK, Stewart DE, Burghardt M, Bierman AS. Single item measures of self-rated mental health: a scoping review. BMC Health Serv Res. 2014;17:14–398. doi: 10.1186/1472-6963-14-398.
World Health Organization. Fact Sheet: Obesity and overweight. Geneva, Switzerland: World Health Organization; 2006; URL: www.who.int/mediacentre/factsheets/fs311/en/
Rust K, Rao JNK. Variance estimation for complex surveys using replication techniques. Stats Methods Med Res. 1996;5:283–310. CrossRef
Bell BA, Onwuegbuzie AJ, Ferron JM, Jiao QG, Hibbard ST, Kromrey JD. Use of design effects and sample weights in complex health survey data: a review of published articles using data from 3 commonly used adolescent health surveys. Am J Public Health. 2012;102(7):1399–405. CrossRefPubMedPubMedCentral
Health Canada. Arthritis in Canada: An Ongoing Challenge. Ottawa: Health Canada; 2003. Cat no. H 39-4/14-2003E.
Furner SE, Hootman JM, Helmick CG, Bolen J, Zack MM. Health-related quality of life of US adults with arthritis: analysis of data from the behavioral risk factor surveillance system, 2003, 2005, and 2007. Arthritis Care Res. 2011;63:788–99. CrossRef
Centers for Disease Control and Prevention (CDC). Prevalence of Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation - United States, 2003–2005. MMWR Morb Mortal Wkly Rep. 2006;55:1089–92.
Louie GH, Tektonidou MG, Caban-Martinez AJ, Ward MM. Sleep disturbances in adults with arthritis: prevalence, mediators, and subgroups at greatest risk. Data from the 2007 National Health Interview Survey. Arthritis Care Res. 2011;63:247–60. CrossRef
Hawker GA, Gignac MA, Badley E, Davis AM, French MR, Li Y, et al. A longitudinal study to explain the pain-depression link in older adults with osteoarthritis. Arthritis Care Res. 2011;63:1382–90. CrossRef
Murphy LB, Sacks JJ, Brady TJ, Hootman JM, Chapman DP. Anxiety and depression among US adults with arthritis: prevalence and correlates. Arthritis Care Res. 2012;64:968–76.
Sanders C, Donovan J, Dieppe P. The significance and consequences of having painful and disabled joints in older age: co-existing accounts of normal and disrupted biographies. Sociol Health Illn. 2002;24(2):227–53. CrossRef
Appelt CJ, Burant CJ, Siminoff LA, Kwoh CK, Ibrahim SA. Arthritis-Specific Health Beliefs Related to Aging Among Older Male Patients With Knee and/or Hip Osteoarthritis. The Journals of Gerontology Series A. 2007; 62(2): 184-190. CrossRef
Cornally N. Chronic Pain: The help-seeking behaviour, attitudes and beliefs of older adults living in the community. Pain Manag Nurs. 2001;12(4):206–17. CrossRef
Sacks JJ, Harrold LR, Helmick CG, Gurwitz JH, Emani S, Yood RA. Validation of a surveillance case definition for arthritis. J Rheumatol. 2005;32:340–7. PubMed
Star VL, Scott JC, Sherwin R, Lane N, Nevitt MC, Hochberg MC. Validity of self-reported rheumatoid arthritis in elderly women. J Rheumatol. 1996;23:1862–5. PubMed
Kvien TK, Glennas A, Knudsrod OG, Smedstad LM. The validity of self-reported diagnosis of rheumatoid arthritis: results from a population survey followed by clinical examinations. J Rheumatol. 1996;23:1866–71. PubMed
Canizares M, Badley EM. Comparison of health-related outcomes for arthritis, chronic joint symptoms, and sporadic joint symptoms: A population-based study. Arthritis Care Res. 2012;64:1708–14. CrossRef
- Arthritis has an impact on the daily lives of Canadians young and old: results from a population-based survey
Gillian A. Hawker
Elizabeth M. Badley
- BioMed Central
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