The Effect of Socioeconomic Class and Immigrant Status on Disease Activity in Rheumatoid Arthritis: Data from BARFOT, a Multi-Centre Study of Early RA.

Q4 Medicine

Open Rheumatology Journal Pub Date : 2013-11-15 eCollection Date: 2013-01-01 DOI:10.2174/1874312901307010105

Maria L E Andersson, Stefan Bergman, Maria K Söderlin

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引用次数: 13

Abstract

Background: There have been no reports on the effect of immigrant status and socioeconomic status on outcome in rheumatoid arthritis (RA) in Sweden.

Methods: Between 1992 and 2006, 2,800 patients were included in the BARFOT study on early RA in Sweden. Disease Activity Score 28 joints (DAS28), Health Assessment Questionnaire (HAQ), treatment and European League Against Rheumatism (EULAR) response criteria were registered. In 2010, 1,430 patients completed a questionnaire enquiring about demographics and lifestyle factors.

Results: One hundred and thirty-nine of the 1,430 patients (9.7%) were immigrants. At baseline immigrants had higher mean HAQ (1.2 vs 0.97 for non-immigrants, p=0.001), DAS28 (5.6 vs 5.2, p=0.000), visual analog scale (VAS) pain (56 mm vs 45 mm, p=0.000), VAS global health (53 mm vs 44 mm, p=0.000) and tender joint count (TJC) (10 vs 8, p=0.000). These differences persisted for up to 2 years of follow-up (for HAQ, for up to 8 years of follow-up). Immigrant status did not have any effect on swollen joint count (SJC), ESR, CRP or EULAR response. Socioeconomic class did not have any effect on treatment or outcome.

Conclusions: Immigrants scored worse in pain, function and TJC for up to 2 years of follow-up, but they did not differ from non-immigrants in objective measures of inflammation or EULAR outcome. This could be due to different perceptions of health and pain and/or the stress of immigration. Socioeconomic class had no effect on treatment or outcome, and this could be due to the relatively egalitarian society in Sweden.

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社会经济阶层和移民身份对类风湿关节炎疾病活动性的影响:来自BARFOT的数据，一项早期RA的多中心研究。

背景:在瑞典，没有关于移民身份和社会经济地位对类风湿关节炎(RA)预后影响的报道。方法:1992年至2006年间，瑞典的BARFOT研究纳入了2800例早期RA患者。登记了关节疾病活动评分(DAS28)、健康评估问卷(HAQ)、治疗和欧洲抗风湿病联盟(EULAR)反应标准。2010年，1430名患者完成了人口统计和生活方式因素的问卷调查。结果:1430例患者中有139例为移民，占9.7%。在基线时，移民的平均HAQ (1.2 vs 0.97, p=0.001)、DAS28 (5.6 vs 5.2, p=0.000)、视觉模拟量表(VAS)疼痛(56 mm vs 45 mm, p=0.000)、VAS整体健康(53 mm vs 44 mm, p=0.000)和压痛关节计数(TJC) (10 vs 8, p=0.000)更高。这些差异持续了长达2年的随访(HAQ为长达8年的随访)。移民身份对关节肿胀计数(SJC)、ESR、CRP或EULAR反应没有任何影响。社会经济阶层对治疗或结果没有任何影响。结论:在长达2年的随访中，移民在疼痛、功能和TJC方面得分较差，但在炎症或EULAR结局的客观测量方面，他们与非移民没有差异。这可能是由于对健康和痛苦的不同看法和/或移民的压力。社会经济阶层对治疗或结果没有影响，这可能是由于瑞典社会相对平等。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Open Rheumatology Journal Medicine-Rheumatology

CiteScore

0.80

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0.00%

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