Journal List > J Korean Rheum Assoc > v.16(4) > 1003686

Choi, Han, Im, and Baek: The Prevalence and Clinical Features of Musculoskeletal Diseases in Incheon: Results from Chronic Disease Management Surveys

Abstract

Objective

To estimate the prevalence of musculoskeletal diseases in Incheon.

Methods

This study was based on data from chronic disease management surveys of Incheon. The surveys were conducted from 12 Sept 2005 to 7 Oct 2005 on 5,144 households using proportional stratified sampling methods. Three questionnaires were performed on all study subjects. All analyses were done using SPSS version 11.5.

Results

Out of 16,623 subjects, the mean age was 34.5±20.2 (years, ±SD). The crude prevalence rate of musculoskeletal diseases were as follows: osteoarthritis 3.2%, rheumatoid arthritis 1.1%, spondyloarthropathy 0.3%, gouty arthritis 0.1%, Behcet's disease 0.04%, herniated disc 1.1%, and osteoporosis 0.8%. Age-standardized prevalence of rheumatoid arthritis was 1.6%, and osteoarthritis 5.2%. The prevalence of rheumatoid arthritis and osteoarthritis tended to be higher among older age groups, low socioeconomic/education state, and homemakers. The age-standardized prevalence of arthritis was higher in rural than in urban area. There were more concurrent chronic diseases such as hypertension or diabetes mellitus in the arthritis group than in the whole population. Questionnaires were performed on subjects with musculoskeletal disease. It revealed chronic arthralgia at 3%, spine arthralgia 2.5%, and chronic myalgia 2.8%.

Conclusion

The crude prevalence of rheumatoid arthritis and osteoarthritis were 1.1% and 3.2% (age-standardized, 1.6% and 5.2%), respectively. The prevalence of musculoskeletal diseases in Incheon is much lower than previously-reported data indicate. These differences should be confirmed by further epidemiological survey. The prevalence of arthritis is higher in populations of old age, low socioeconomic state, and rural areas.

References

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Fig. 1.
Crude prevalence rate of chronic diseases (A) and arthritides (B) in Incheon. CVA: cerebrovascular accident, Others: asthma, ischemic heart disease, hyperlipidemia, malignancy, and pulmonary tuberculosis.
jkra-16-281f1.tif
Fig. 2A.
Rheumatoid arthritis. Prevalence rate of rheumatoid arthritis (Fig. 2A) and osteoarthritis (Fig. 2B) in terms of demographic variables in Incheon.
jkra-16-281f2a.tif
Fig. 2B.
Osteoarthritis. Prevalence rate of rheumatoid arthritis (Fig. 2A) and osteoarthritis (Fig. 2B) in terms of demographic variables in Incheon.
jkra-16-281f2b.tif
Fig. 3.
Age-adjusted prevalence rate of rheumatoid arthritis (A) and osteoarthritis (B) in each district in Incheon.
jkra-16-281f3.tif
Fig. 4.
Prevalence rate of concurrent chronic diseases in the whole population and patients with rheumatoid arthritis (A) and osteoarthritis (B). CVA: cerebrovascular accident, RA: rheumatoid arthritis, OA: osteoarthritis.
jkra-16-281f4.tif
Table 1.
Questionnaire about musculoskeletal or rheumatic disease (근골격계 및 류마티스질환)
다음(51∼60)은 과거 관절통 등 근골격계 질환과 류마티스 질환을 앓았거나 현재 앓고 계신 분만 답해 주시기 바랍니다.
51. 과거에 사고 혹은 부상과 관련 없는 1주 이내의 심한 관절통이 2회 이상 생긴 적이 있습니까? ① 예 ② 아니오
52. 현재 관절이 아프거나 부어서, 또는 뻣뻣해서 고통 받고 있습니까? ① 예 ② 아니오 (☞ 문56으로 가시오)
53. 그 관절을 다쳤습니까? (사고 혹은 부상) ① 예 (☞ 문56으로 가시오) ② 아니오 ③ 모름
54. 위의 관절 증상은 어떤 관절에 있습니까? (모두 표시해 주십시오.) ① 손가락마디 ② 손등 ③ 손목 ④ 팔꿈치 ⑤ 어깨 ⑥ 발가락마디 ⑦ 발등 ⑧ 발목 ⑨ 무릎 ⑩ 사타구니
55. 위의 관절 증상은 얼마나 오래되었습니까? ① 6주 미만 ② 6주 이상 ③ 모름
56. 엉덩이나 허리, 등, 앞 가슴 또는 목 부위에 통증이나 뻣뻣함이 있거나 있었던 적이 있습니까? ① 예 ② 아니오 ☞ (9. 사고중독조사 항목으로 가세요)
57. 그 부위를 다쳤습니까? (사고 혹은 부상) ① 예 ② 아니오
58. 위의 증상은 얼마 동안 계속되었습니까? ① 3개월 미만 ② 3개월 이상
59. 위의 증상은 언제 처음 시작하였습니까? ① 만16세 이전 ② 만16세∼만44세 ③ 만45세 이상
60. 현재 위의 증상과 더불어 몸이 이곳 저곳의 통증으로 고통 받고 있습니까? ① 예 ② 아니오
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