Online Program

330592
Perceptions of health among adults with arthritis in North Carolina


Monday, November 2, 2015

Crystal Piper, MPH, MHA, PhD, Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC
Shweta Shah, MHA, Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC
Jyoti Bankapur, MSPH, Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte
Elizabeth Racine, DrPH, RD, Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC
Elena Platonova, PhD, Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC
Background: In the US, arthritis and other rheumatic conditions are the number one leading cause of disability and a major public health concern. Arthritis can affect an individual’s self-rated health status due to limited physical, social, and mental functioning.  We examined perceptions of health among adults with doctor-diagnosed arthritis.

Methods:  Using a cross-sectional study of the 2009 Behavioral Risk Factor Surveillance System, we examined the differences in race/ethnicity and socioeconomic status (SES) in self-rated health status among North Carolina adults diagnosed with arthritis. The relationship between self-rated health status and the covariates was examined using univariate, bivariate, and multivariate analysis. Unadjusted and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were determined using survey logistic regression analyses.

Results: Among adults with arthritis in North Carolina, low SES was associated with a non-favorable self-rated health status. Individuals with less than a high school diploma and individuals with a high school diploma had lower odds of favorable self-rated health status (OR = 0.48; 95% CI: 0.29, 0.79) and (OR = 0.67; 95% CI: 050, 0.91), respectively. Individuals with less than $24,999 household income and $25,000-$49,999 household income had lower odds of favorable self-rated health status (OR = 0.28; 95% CI: 0.20, 0.41).

Conclusions: Public health efforts and policy recommendations should focus on the needs of low SES individuals with doctor-diagnosed arthritis through the promotion of healthy lifestyles. SES differences due to environmental and/or lifestyle factors should be further examined to determine their influence on the risk of developing arthritis.

Learning Areas:

Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Describe the perceptions of health among adults with doctor-diagnosed arthritis Assess the relationship between race/ethnicity and socioeconomic status and its effect on the self-rated health status of arthritic adults in North Carolina List predisposing and enabling factors related to patient characteristics that impact health related quality of life in arthritis Discuss the role of evidence-based public health interventions and policy recommendations that focus on the needs of low socioeconomic status patients with arthritis

Keyword(s): Chronic Disease Management and Care, Health Disparities/Inequities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a doctoral student in Health Services Research with an emphasis on chronic diseases. I have worked on several research studies in chronic diseases (Arthritis, Diabetes, HIV, Lung Cancer, Pancreatic Cancer) related to behavioral health, epidemiology, and health disparities. In addition, I have a Bachelors degree in Medicine from India and a Masters degree in Health Administration from Houston, TX.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.