Article Figures & Data
Tables
- Table 1
Estimated Age-Standardized, Weighted Prevalence of Adults Aged 18 Years and Older With Doctor-Diagnosed Arthritis and the Proportion of Those Adults Meeting Healthy People 2010 Arthritis Management Objectives, by Selected Characteristics: National Health Interview Survey, United States, 2006
Selected Characteristic National Prevalence of Doctor-Diagnosed Arthritis % (95% CI) Proportion Receiving Specified Arthritis Intervention (Among Those With Doctor-Diagnosed Arthritis) Clinician Weight Counseling (Healthy People Objective 2–4a)a % (95% CI) Clinician Physical Activity Counseling (Healthy People Objective 2–4b) % (95% CI) Arthritis Education (Healthy People Objective 2–8) % (95% CI) Age-group, y 18–44 6.9 (6.4–7.5) 38.9 (34.3–43.8) 50.3 (46.4–54.2) 10.5 (8.2–13.3) 45–64 28.7 (27.6–29.9) 46.8 (43.9–49.8) 55.8 (53.5–58.1) 11.9 (10.5–13.5) ≥65 49.5 (47.6–51.5) 39.1 (36.2–42.0) 50.0 (47.5–52.5) 8.5 (7.2–10.0) Sex Men 17.9 (17.1–18.7) 34.6 (30.9–38.6) 47.8 (43.5–52.0) 11.1 (8.9–13.8) Women 23.2 (22.4–24.1) 47.1 (43.3–50.9) 54.8 (51.9–57.6) 10.3 (8.8–12.0) Race/ethnicity White, non-Hispanic 22.2 (21.4–22.9) 39.1 (35.9–42.3) 50.0 (47.3–52.7) 10.1 (8.5–11.9) Black, non-Hispanic 21.3 (19.8–22.8) 53.0 (46.0–59.9) 57.7 (51.6–63.5) 8.8 (6.4–12.0) Hispanic 14.9 (13.5–16.4) 47.4 (40.2–54.7) 62.4 (55.9–68.6) 16.3 (11.8–22.1) Other 13.8 (11.9–16.0) 35.1 (23.0–49.6) 51.6 (39.6–63.5) 13.8 (7.9–22.9) Education Level Less than high school graduate 22.1 (20.6–23.8) 40.6 (34.0–47.6) 49.1 (42.5–55.6) 9.2 (6.2–13.5) At least high school graduate 20.6 (19.9–21.2) 41.5 (38.5–44.5) 52.6 (50.2–55.0) 10.9 (9.4–12.6) Body mass Index <25.0 16.7 (15.8–17.7) — 41.7 (37.9–45.6) 8.3 (6.4–10.8) 25.0–29.9 (overweight) 19.6 (18.7–20.5) 19.8 (17.2–22.6) 44.8 (40.6–49.1) 10.7 (8.5–13.5) ≥30.0 (obese) 28.2 (26.9–29.5) 59.8 (56.2–63.4) 64.9 (61.0–68.7) 12.5 (9.9–15.6) Physical activity level Inactive 20.8 (19.8–21.7) 43.6 (38.7–48.6) 47.7 (43.7–51.8) 10.2 (8.1–12.6) Active 20.7 (20.0–21.5) 39.8 (36.6–43.1) 54.5 (51.6–57.3) 10.8 (9.1–12.7) Arthritis-attributable activity limitationb Yes — 49.9 (45.9–53.9) 61.1 (57.0–65.0) 16.5 (14.0–19.4) No — 35.9 (32.6–39.3) 46.4 (43.6–49.3) 7.1 (5.7–8.8) Total 20.7 (20.1–21.3) 41.3 (38.7–44.0) 51.9 (49.6–54.2) 10.6 (9.2–12.1) -
CI=confidence interval.
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Note: Age-standardized to the (standard) projected 2000 US population.20
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↵a Includes only persons with a body mass index of ≥25.0 (calculated as weight in kilograms divided by height in meters squared).
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↵b Includes only adults aged 18 years and older with doctor-diagnosed arthritis.
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- Table 2
Estimated Age-Standardized, Weighted Proportion of Adults Aged 18 Years or Older With Doctor-Diagnosed Arthritis Who Had Each of 3 Interventions, and the Healthy People 2010 Targets—National Health Interview Survey, United States, 2002 and 2006
Age-Standardized Proportion Arthritis Management Objective Survey Question 2002a % (95% CI) 2006 % (95% CI) 2010 Target % Weight counseling (objective 2–4a)
Increase the proportion of adults with doctor- diagnosed arthritis who receive health care provider (clinician) counseling for weight reduction among overweight and obese personsbHas a doctor or other health professional ever suggested losing weight to help your arthritis or joint symptoms? 35.0 (32.8–37.2) 41.3 (38.7–44.0) 46 Weight counseling among overweight persons 18.1 (15.8–20.7) 19.8 (17.2–22.6) Weight counseling among obese persons 50.4 (47.3–53.6) 59.8 (56.2–63.4) Physical activity counseling (objective (2–4b)
Increase the proportion of adults with doctor- diagnosed arthritis who receive health care provider (clinician) counseling for physical activity or exerciseHas a doctor or other health professional ever suggested physical activity or exercise to help your arthritis or joint symptoms? 51.9 (50.0–53.8) 51.9 (49.6–54.2) 67 Arthritis education (objective (2–8)
Increase the proportion of persons with doctor- diagnosed arthritis who have had effective, evidence-based arthritis education as an integral part of the management of their conditionHave you ever taken an educational course or class to teach you how to manage problems related to your arthritis or joint symptoms? 11.2 (10.0–12.3) 10.6 (9.2–12.1) 13
Additional Files
Supplemental Appendix and Tables
Supplemental Table 1a. Estimated Age-Standardized,a Weighted Proportion of Adults Aged 18 Years and Older With Doctor-Diagnosed Arthritis Meeting HP2010 Arthritis Management Objectives, by Years of Data�Behavioral Risk Factor Surveillance Survey (BRFSS),b 17 States, 2003 and 2007; Supplemental Table 1b. Estimated Age-Standardized,a Weighted Proportion of Adults Aged 18 Years and Older With Doctor-Diagnosed Arthritis Meeting HP2010 Arthritis Management Objectives, by Years of Data�Behavioral Risk Factor Surveillance Survey (BRFSS),b 16 States, 2003 or 2007; Supplemental Appendix 1. List of Local Resources Health Care Professionals Can Reference When Counseling Patients With Arthritis
Files in this Data Supplement:
- Supplemental data: Appendix and Tables - PDF file, 3 pages, 348 KB
The Article in Brief
Monitoring Healthy People 2010 Arthritis Management Objectives: Education and Physician Counseling for Weight Loss and Exercise
Barbara T. Do , and colleagues
Background This study provides an update on US progress toward three objectives for arthritis management as part of the Healthy People 2010 initiaitive. These objectives encourage self-management education and clinician counseling for weight loss and physical activity among adults with doctor-diagnosed arthritis.
What This Study Found Clinicians have made significant progress in weight loss counseling of overweight and obese adults with arthritis. There has been no change, however, in the proportion of adults with arthritis who have taken a self-management education class or been counseled to engage in physical activity.
Implications
- The authors call for additional research to fully understand the obstacles and barriers faced by primary care physicians in meeting objectives for physical activity counseling and encouraging self-management education among patients with arthritis.
