バイタルサイン：医師により診断された関節炎の有病率と関節炎による活動制限― アメリカ、2013年～2015年

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ホーム IMICライブラリ MMWR抄訳 2017年（Vol.66)バイタルサイン：医師により診断された関節炎の有病率･･･

MMWR抄訳

2017/03/10Vol. 66 / No. 9

MMWR66(9):246－253
Vital Signs: Prevalence of Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation — United States, 2013–2015

バイタルサイン：医師により診断された関節炎の有病率と関節炎による活動制限― アメリカ、2013年～2015年

2013年～2015年のNational Health Interview Surveyデータの分析では、アメリカ成人の22.7％ (5,440万人、年齢補正有病率：21.0％)の成人が医師により関節炎と診断された。そのうち49.6％（2,220万人)が65歳以上の高齢者であり、18～44歳が7.1％(800万人)、45～64歳が29.3％(2,420万人)であった。年齢補正有病率は女性(23.5％)が男性(18.1％)に比べて有意に高く、人種別ではヒスパニック系(15.4％)やアジア系(11.8％)に比べて、非ヒスパニック系白人(22.6％)にて有意に高かった。学歴別では大卒以上(17.9％)に比べ、高卒未満(21.2％)にて有意に有病率が高かった。就業状態別では失業者にて43.9％と高く、身体活動別では推奨される身体活動を満たす人(18.1％)に比べ、不十分な人(23.1％)、活動しない人(23.6％)にて高かった。また、健康状態別では普通/不健康で40.5％、良好/非常に良好で15.4％であった。肥満、心臓病、糖尿病患者における関節炎の有病率はそれぞれ30.6％、49.3％、47.1％(年齢補正有病率：27.7％、36.4％、33.7％)であり、それぞれの基礎疾患を持たない人比比べ11.3倍、17.3倍、13.9倍高値であった。関節炎による活動制限は2,370万人(43.5％、年齢補正有病率:41.7％)に認められ、女性：43.8％、男性：38.5％と女性にて高く、人種別では非ヒスパニック系黒人：48.6％、ヒスパニック系：44.3％、非ヒスパニック系他民族：50.5％、非ヒスパニック系白人：40.1％であった。学歴別では高卒未満にて52.1％と高卒以上(32.1～43.6％)に比べ高かった。就業状態別では労働不可能者：80％、失業者(48.4％)にて就業者(28.3％)に比べ高く、身体活動別では活動しない人(54.0％)にて推奨される身体活動を満たす人(30.1％)に比べ高かった。また、健康状態別では普通/不健康が70.6％、良好/非常に良好が23.2％であり、肥満、心臓病、糖尿病患者ではそれぞれ45.2％、54.8％、52.5％であった。以上、関節炎は心疾患、糖尿病、肥満などの合併症のある成人にて有病率が高く、関節炎による活動制限があることから、疼痛軽減、身体機能やQOLの改善のため、自己管理に関する教育的介入の必要性が示唆された。

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