Disease activity and severity in patients with rheumatoid arthritis: relations to socioeconomic inequality
The aim of this study was to investigate possible differences in measures on disease process, joint damage, health status and self-efficacy between patients with rheumatoid arthritis (RA) living in an affluent and in a less affluent area in the same city. We analyzed data collected on patients enrol...
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| Veröffentlicht in: | Social science & medicine (1982) 1999-06, Vol.48 (12), p.1743-1750 |
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| creator | Brekke, Mette Hjortdahl, Per Thelle, Dag S Kvien, Tore K |
| description | The aim of this study was to investigate possible differences in measures on disease process, joint damage, health status and self-efficacy between patients with rheumatoid arthritis (RA) living in an affluent and in a less affluent area in the same city. We analyzed data collected on patients enrolled in a community-based register of patients with RA in Oslo, Norway. 246 patients were examined by questionnaire in 1994 and 133 patients were examined clinically in 1997. Measures on disease process, joint damage, health status and self-efficacy were compared between patients from two residential areas.
There was no significant difference regarding joint counts, patients' or investigator's evaluation of disease severity, blood test results and number of joint replacements. Significant differences were observed for disability and for various dimensions of health measured by the arthritis impact measurement scales and the short form-36: patients in the less affluent area reported poorer health status. Patients in this area also showed significantly lower scores on the arthritis self-efficacy scale.
Patients with RA in two socioeconomically different areas in Oslo thus were found to be equal regarding disease process and joint damage measures. However, in the measures reflecting physical and psychosocial health status, patients in the less affluent area seemed to be more seriously ill. They also showed less confidence in their ability to influence the disease. Even in a welfare society with universal access to health care the impact of a well-defined chronic disease seems to be closely linked to the patient's socioeconomic situation. |
| doi_str_mv | 10.1016/S0277-9536(99)00075-1 |
| format | Article |
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There was no significant difference regarding joint counts, patients' or investigator's evaluation of disease severity, blood test results and number of joint replacements. Significant differences were observed for disability and for various dimensions of health measured by the arthritis impact measurement scales and the short form-36: patients in the less affluent area reported poorer health status. Patients in this area also showed significantly lower scores on the arthritis self-efficacy scale.
Patients with RA in two socioeconomically different areas in Oslo thus were found to be equal regarding disease process and joint damage measures. However, in the measures reflecting physical and psychosocial health status, patients in the less affluent area seemed to be more seriously ill. They also showed less confidence in their ability to influence the disease. Even in a welfare society with universal access to health care the impact of a well-defined chronic disease seems to be closely linked to the patient's socioeconomic situation.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/S0277-9536(99)00075-1</identifier><identifier>PMID: 10405013</identifier><identifier>CODEN: SSMDEP</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Arthritis ; Arthritis, Rheumatoid - economics ; Arthritis, Rheumatoid - epidemiology ; Arthritis, Rheumatoid - physiopathology ; Arthritis, Rheumatoid - psychology ; Biological and medical sciences ; Chi-Square Distribution ; Chronic Disease ; Chronic Illness ; Cost of Illness ; Cross-Sectional Studies ; Disadvantaged ; Disease ; Disease process measures ; Diseases ; Diseases of the osteoarticular system ; Female ; Health ; Health Problems ; Health Status ; Health status measures ; Health Surveys ; Humans ; Illness ; Income Inequality ; Inequality ; Inflammatory joint diseases ; Linear Models ; Low Income Areas ; Male ; Medical sciences ; Middle Aged ; Norway - epidemiology ; Oslo, Norway ; Patients ; Quality of Life ; Rheumatoid arthritis ; Self Efficacy ; Severity of Illness Index ; Social Conditions - statistics & numerical data ; Social Inequality ; Socioeconomic Factors ; Socioeconomic inequality ; Socioeconomic inequality Disease process measures Health status measures Self-efficacy Rheumatoid arthritis ; Socioeconomic status</subject><ispartof>Social science & medicine (1982), 1999-06, Vol.48 (12), p.1743-1750</ispartof><rights>1999 Elsevier Science Ltd</rights><rights>1999 INIST-CNRS</rights><rights>Copyright Pergamon Press Inc. Jun 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c610t-2594c95882fb693bfd1e1d35487565d24f7ffac90446241ee144fa518a825a5b3</citedby><cites>FETCH-LOGICAL-c610t-2594c95882fb693bfd1e1d35487565d24f7ffac90446241ee144fa518a825a5b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0277953699000751$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,3994,27901,27902,33751,33752,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1804942$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10405013$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://econpapers.repec.org/article/eeesocmed/v_3a48_3ay_3a1999_3ai_3a12_3ap_3a1743-1750.htm$$DView record in RePEc$$Hfree_for_read</backlink></links><search><creatorcontrib>Brekke, Mette</creatorcontrib><creatorcontrib>Hjortdahl, Per</creatorcontrib><creatorcontrib>Thelle, Dag S</creatorcontrib><creatorcontrib>Kvien, Tore K</creatorcontrib><title>Disease activity and severity in patients with rheumatoid arthritis: relations to socioeconomic inequality</title><title>Social science & medicine (1982)</title><addtitle>Soc Sci Med</addtitle><description>The aim of this study was to investigate possible differences in measures on disease process, joint damage, health status and self-efficacy between patients with rheumatoid arthritis (RA) living in an affluent and in a less affluent area in the same city. We analyzed data collected on patients enrolled in a community-based register of patients with RA in Oslo, Norway. 246 patients were examined by questionnaire in 1994 and 133 patients were examined clinically in 1997. Measures on disease process, joint damage, health status and self-efficacy were compared between patients from two residential areas.
There was no significant difference regarding joint counts, patients' or investigator's evaluation of disease severity, blood test results and number of joint replacements. Significant differences were observed for disability and for various dimensions of health measured by the arthritis impact measurement scales and the short form-36: patients in the less affluent area reported poorer health status. Patients in this area also showed significantly lower scores on the arthritis self-efficacy scale.
Patients with RA in two socioeconomically different areas in Oslo thus were found to be equal regarding disease process and joint damage measures. However, in the measures reflecting physical and psychosocial health status, patients in the less affluent area seemed to be more seriously ill. They also showed less confidence in their ability to influence the disease. Even in a welfare society with universal access to health care the impact of a well-defined chronic disease seems to be closely linked to the patient's socioeconomic situation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Arthritis</subject><subject>Arthritis, Rheumatoid - economics</subject><subject>Arthritis, Rheumatoid - epidemiology</subject><subject>Arthritis, Rheumatoid - physiopathology</subject><subject>Arthritis, Rheumatoid - psychology</subject><subject>Biological and medical sciences</subject><subject>Chi-Square Distribution</subject><subject>Chronic Disease</subject><subject>Chronic Illness</subject><subject>Cost of Illness</subject><subject>Cross-Sectional Studies</subject><subject>Disadvantaged</subject><subject>Disease</subject><subject>Disease process measures</subject><subject>Diseases</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Health</subject><subject>Health Problems</subject><subject>Health Status</subject><subject>Health status measures</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Illness</subject><subject>Income Inequality</subject><subject>Inequality</subject><subject>Inflammatory joint diseases</subject><subject>Linear Models</subject><subject>Low Income Areas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Norway - epidemiology</subject><subject>Oslo, Norway</subject><subject>Patients</subject><subject>Quality of Life</subject><subject>Rheumatoid arthritis</subject><subject>Self Efficacy</subject><subject>Severity of Illness Index</subject><subject>Social Conditions - statistics & numerical data</subject><subject>Social Inequality</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomic inequality</subject><subject>Socioeconomic inequality Disease process measures Health status measures Self-efficacy Rheumatoid arthritis</subject><subject>Socioeconomic status</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>X2L</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkkuLFDEUhQtRnHb0JyiFDD4WpXk_3IiMTxhxoa5DOnWLTlNVqUlSLf3vTU03M-DCXuQF3znc3Huq6ilGbzDC4u1PRKRsNKfildavEUKSN_hetcJK0oZTJu9Xq1vkrHqU0rZAGCn6sDrDiCGOMF1V248-gU1QW5f9zud9bce2TrCDuDz8WE82exhzqv_4vKnjBubB5uDb2sa8KZBP7-oIfaHCmOoc6hScD-DCGAbvigNcz7YvZo-rB53tEzw5nufV78-ffl1-ba5-fPl2-eGqcQKj3BCumdNcKdKthabrrsWAW8qZklzwlrBOdp11GjEmCMMAmLHOcqysItzyNT2vXh58pxiuZ0jZDD456Hs7QpiTkYIhwTnXhXzxX1JopRgrDTwJYkGIEvIkSMt0CJeogM__AbdhjmPpiyEUsdIJsrjxA-RiSClCZ6boBxv3BiOzpMDcpMAsIzZam5sUGFx03w-6CBO4WxEAlNkM0JqdoZapsu3LwrpIqfXLlZRtWi6SUYMlR2aTh-L37FjsvF7kd1UcYlSAiyNgk7N9F-3ofLrjFGKakYK9P2BQxr_zEE1yJVsOWh_BZdMGf-JnfwFwyefx</recordid><startdate>19990601</startdate><enddate>19990601</enddate><creator>Brekke, Mette</creator><creator>Hjortdahl, Per</creator><creator>Thelle, Dag S</creator><creator>Kvien, Tore K</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Pergamon Press Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>19990601</creationdate><title>Disease activity and severity in patients with rheumatoid arthritis: relations to socioeconomic inequality</title><author>Brekke, Mette ; Hjortdahl, Per ; Thelle, Dag S ; Kvien, Tore K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c610t-2594c95882fb693bfd1e1d35487565d24f7ffac90446241ee144fa518a825a5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Arthritis</topic><topic>Arthritis, Rheumatoid - economics</topic><topic>Arthritis, Rheumatoid - epidemiology</topic><topic>Arthritis, Rheumatoid - physiopathology</topic><topic>Arthritis, Rheumatoid - psychology</topic><topic>Biological and medical sciences</topic><topic>Chi-Square Distribution</topic><topic>Chronic Disease</topic><topic>Chronic Illness</topic><topic>Cost of Illness</topic><topic>Cross-Sectional Studies</topic><topic>Disadvantaged</topic><topic>Disease</topic><topic>Disease process measures</topic><topic>Diseases</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Health</topic><topic>Health Problems</topic><topic>Health Status</topic><topic>Health status measures</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Illness</topic><topic>Income Inequality</topic><topic>Inequality</topic><topic>Inflammatory joint diseases</topic><topic>Linear Models</topic><topic>Low Income Areas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Norway - epidemiology</topic><topic>Oslo, Norway</topic><topic>Patients</topic><topic>Quality of Life</topic><topic>Rheumatoid arthritis</topic><topic>Self Efficacy</topic><topic>Severity of Illness Index</topic><topic>Social Conditions - statistics & numerical data</topic><topic>Social Inequality</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomic inequality</topic><topic>Socioeconomic inequality Disease process measures Health status measures Self-efficacy Rheumatoid arthritis</topic><topic>Socioeconomic status</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brekke, Mette</creatorcontrib><creatorcontrib>Hjortdahl, Per</creatorcontrib><creatorcontrib>Thelle, Dag S</creatorcontrib><creatorcontrib>Kvien, Tore K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Social science & medicine (1982)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brekke, Mette</au><au>Hjortdahl, Per</au><au>Thelle, Dag S</au><au>Kvien, Tore K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disease activity and severity in patients with rheumatoid arthritis: relations to socioeconomic inequality</atitle><jtitle>Social science & medicine (1982)</jtitle><addtitle>Soc Sci Med</addtitle><date>1999-06-01</date><risdate>1999</risdate><volume>48</volume><issue>12</issue><spage>1743</spage><epage>1750</epage><pages>1743-1750</pages><issn>0277-9536</issn><eissn>1873-5347</eissn><coden>SSMDEP</coden><abstract>The aim of this study was to investigate possible differences in measures on disease process, joint damage, health status and self-efficacy between patients with rheumatoid arthritis (RA) living in an affluent and in a less affluent area in the same city. We analyzed data collected on patients enrolled in a community-based register of patients with RA in Oslo, Norway. 246 patients were examined by questionnaire in 1994 and 133 patients were examined clinically in 1997. Measures on disease process, joint damage, health status and self-efficacy were compared between patients from two residential areas.
There was no significant difference regarding joint counts, patients' or investigator's evaluation of disease severity, blood test results and number of joint replacements. Significant differences were observed for disability and for various dimensions of health measured by the arthritis impact measurement scales and the short form-36: patients in the less affluent area reported poorer health status. Patients in this area also showed significantly lower scores on the arthritis self-efficacy scale.
Patients with RA in two socioeconomically different areas in Oslo thus were found to be equal regarding disease process and joint damage measures. However, in the measures reflecting physical and psychosocial health status, patients in the less affluent area seemed to be more seriously ill. They also showed less confidence in their ability to influence the disease. Even in a welfare society with universal access to health care the impact of a well-defined chronic disease seems to be closely linked to the patient's socioeconomic situation.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>10405013</pmid><doi>10.1016/S0277-9536(99)00075-1</doi><tpages>8</tpages></addata></record> |
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| ispartof | Social science & medicine (1982), 1999-06, Vol.48 (12), p.1743-1750 |
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| subjects | Adolescent Adult Aged Arthritis Arthritis, Rheumatoid - economics Arthritis, Rheumatoid - epidemiology Arthritis, Rheumatoid - physiopathology Arthritis, Rheumatoid - psychology Biological and medical sciences Chi-Square Distribution Chronic Disease Chronic Illness Cost of Illness Cross-Sectional Studies Disadvantaged Disease Disease process measures Diseases Diseases of the osteoarticular system Female Health Health Problems Health Status Health status measures Health Surveys Humans Illness Income Inequality Inequality Inflammatory joint diseases Linear Models Low Income Areas Male Medical sciences Middle Aged Norway - epidemiology Oslo, Norway Patients Quality of Life Rheumatoid arthritis Self Efficacy Severity of Illness Index Social Conditions - statistics & numerical data Social Inequality Socioeconomic Factors Socioeconomic inequality Socioeconomic inequality Disease process measures Health status measures Self-efficacy Rheumatoid arthritis Socioeconomic status |
| title | Disease activity and severity in patients with rheumatoid arthritis: relations to socioeconomic inequality |
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