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《Inactivity-Associated Medical Costs Among USAdults With Arthritis我們之間的不活動(dòng)醫(yī)療費(fèi)用 成人關(guān)節(jié)炎》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。
1、ARTHRITISCARE&RESEARCH45:439–445,2001ORIGINALARTICLEInactivity-AssociatedMedicalCostsAmongUSAdultsWithArthritis12121GUIJINGWANG,CHARLESG.HELMICK,CAROLMACERA,PINGZHANG,ANDMIKEPRATTObjective.ToanalyzedirectmedicalcostsamongUSadultswitharthritisandestimatethep
2、roportionassociatedwithinactivity.Methods.Inthe1987NationalMedicalExpenditureSurvey,arthritiswasde?nedusingquestionsonself-reported,doctor-diagnosedarthritisorrheumatism.Physicalactivitywasde?nedusingaself-reportquestiononlevelofactivity.Inactivity-associat
3、edmedicalcostswerederivedbysubtractingcostsforactiveadultsfromcostsforinactiveadultsaftercontrollingforfunctionallimitation.Results.Among5,486adultswitharthritis,inactivepersonshadhighermedicalcoststhandidactivepersonsinalldemographicgroupsexamined.Inmultiv
4、ariatemodelsadjustingforkeycovariates,theproportionofcostsassociatedwithinactivityaveraged12.4%($1,250in2000dollars)andrangedfrom7.8%to14.3%amongvariousdemographicgroups.Conclusion.Inactivity-associatedmedicalcostsamongpersonswitharthritisareconsiderable.Ph
5、ysicalactivityinter-ventionsmaybeacost-effectivestrategyforreducingtheburdenofarthritis.KEYWORDS.Arthritis;Costs;Economic;Physicalactivity.INTRODUCTIONTheeconomicburdenofarthritisisalsoenormous.Di-rectandindirectcostshavebeenincreasingintheUS,Arthritisandot
6、herrheumaticconditionsareamajorfrom$21billion(about1%ofthegrossnationalproduct)healthproblemintheUnitedStates,affecting15%ofthein1980to$54.6billionin1988and$65billionin1992population(43millionpersons)in1990andaprojected(6–8).About23%ofthecostswereattributab
7、letothe18.2%(60millionpersons)by2020(1).Arthritisisadirectcostsofmedicalcare;theremainderre?ectedindi-leadingcauseofchronicpain;isassociatedwithavarietyrectcostsduetolostproductivity(8).ofhealthproblemssuchasobesity,physicalinactivity,Becauseofthelargeecono
8、micandhealthburdensofandgastrointestinalbleedingrelatedtouseofnonsteroidalarthritis,interestinarthritisasapublichealthproblemisantiin?ammatorydrugs;isassociatedwithpoorhealth-growing.Recently,theArthri
