探索社会经济因素与类风湿性关节炎之间的联系:来自奥地利一项大型研究的见解。

IF 3 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Mathias Ausserwinkler, Maria Flamm, Sophie Gensluckner, Kathrin Bogensberger, Bernhard Paulweber, Eugen Trinka, Patrick Langthaler, Christian Datz, Boris Lindner, Bernhard Iglseder, Elmar Aigner, Bernhard Wernly
{"title":"探索社会经济因素与类风湿性关节炎之间的联系:来自奥地利一项大型研究的见解。","authors":"Mathias Ausserwinkler, Maria Flamm, Sophie Gensluckner, Kathrin Bogensberger, Bernhard Paulweber, Eugen Trinka, Patrick Langthaler, Christian Datz, Boris Lindner, Bernhard Iglseder, Elmar Aigner, Bernhard Wernly","doi":"10.1016/j.annepidem.2025.07.025","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Austria, a country with a high standard of living and a well-developed healthcare system, still experiences socioeconomic status (SES) disparities that impact health outcomes. Rheumatoid arthritis (RA) is a chronic autoimmune disease associated with significant disability and comorbidities. While SES has been linked to RA prevalence and disease severity, its role in a high-income country like Austria remains underexplored. This study investigates the association between SES factors-education, income, employment status and migration background-and RA prevalence and outcomes.</p><p><strong>Methods: </strong>This population-based study used data from the Paracelsus 10,000 cohort in Salzburg, Austria and a cross-sectional design. A total of 9256 participants aged 40-77 years were analyzed, including 289 individuals diagnosed with RA based on the ACR/EULAR classification criteria. SES was assessed through self-reported education, income, employment status and country of birth. Logistic regression models were used to evaluate the association between SES and RA, adjusting for age, sex, metabolic syndrome, smoking and alcohol consumption.</p><p><strong>Results: </strong>RA prevalence was significantly lower among individuals with higher education (OR = 0.55, 95 % CI: 0.37-0.82 for medium education; OR = 0.41, 95 % CI: 0.25-0.68 for high education). Lower household income correlated with higher RA prevalence. Employment disparities were evident, with RA patients exhibiting higher rates of unemployment and work disability.</p><p><strong>Conclusion: </strong>Despite Austria's high standard of living, SES remains a key determinant of RA prevalence. Lower levels of education, income and employment are associated with higher rates of RA, highlighting the need for targeted public health interventions. Strengthening healthcare access, promoting early screening and offering economic support to vulnerable groups could be important steps toward reducing these disparities. Further research should explore the underlying mechanisms of this association and examine whether socioeconomic disparities also influence disease progression and patient outcomes.</p>","PeriodicalId":50767,"journal":{"name":"Annals of Epidemiology","volume":" ","pages":"66-71"},"PeriodicalIF":3.0000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring the link between socioeconomic factors and rheumatoid arthritis: Insights from a large Austrian study.\",\"authors\":\"Mathias Ausserwinkler, Maria Flamm, Sophie Gensluckner, Kathrin Bogensberger, Bernhard Paulweber, Eugen Trinka, Patrick Langthaler, Christian Datz, Boris Lindner, Bernhard Iglseder, Elmar Aigner, Bernhard Wernly\",\"doi\":\"10.1016/j.annepidem.2025.07.025\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Austria, a country with a high standard of living and a well-developed healthcare system, still experiences socioeconomic status (SES) disparities that impact health outcomes. Rheumatoid arthritis (RA) is a chronic autoimmune disease associated with significant disability and comorbidities. While SES has been linked to RA prevalence and disease severity, its role in a high-income country like Austria remains underexplored. This study investigates the association between SES factors-education, income, employment status and migration background-and RA prevalence and outcomes.</p><p><strong>Methods: </strong>This population-based study used data from the Paracelsus 10,000 cohort in Salzburg, Austria and a cross-sectional design. A total of 9256 participants aged 40-77 years were analyzed, including 289 individuals diagnosed with RA based on the ACR/EULAR classification criteria. SES was assessed through self-reported education, income, employment status and country of birth. Logistic regression models were used to evaluate the association between SES and RA, adjusting for age, sex, metabolic syndrome, smoking and alcohol consumption.</p><p><strong>Results: </strong>RA prevalence was significantly lower among individuals with higher education (OR = 0.55, 95 % CI: 0.37-0.82 for medium education; OR = 0.41, 95 % CI: 0.25-0.68 for high education). Lower household income correlated with higher RA prevalence. Employment disparities were evident, with RA patients exhibiting higher rates of unemployment and work disability.</p><p><strong>Conclusion: </strong>Despite Austria's high standard of living, SES remains a key determinant of RA prevalence. Lower levels of education, income and employment are associated with higher rates of RA, highlighting the need for targeted public health interventions. Strengthening healthcare access, promoting early screening and offering economic support to vulnerable groups could be important steps toward reducing these disparities. Further research should explore the underlying mechanisms of this association and examine whether socioeconomic disparities also influence disease progression and patient outcomes.</p>\",\"PeriodicalId\":50767,\"journal\":{\"name\":\"Annals of Epidemiology\",\"volume\":\" \",\"pages\":\"66-71\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-07-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Epidemiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.annepidem.2025.07.025\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Epidemiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.annepidem.2025.07.025","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

摘要

简介:奥地利,一个国家与高水平的生活和一个发达的医疗保健系统,仍然经历社会经济地位(SES)差距,影响健康结果。类风湿性关节炎(RA)是一种慢性自身免疫性疾病,具有显著的残疾和合并症。虽然SES与类风湿性关节炎患病率和疾病严重程度有关,但其在奥地利等高收入国家的作用仍未得到充分探讨。本研究探讨社会经济地位因素(教育、收入、就业状况和移民背景)与RA患病率和结局的关系。方法:这项基于人群的研究使用了来自奥地利萨尔茨堡Paracelsus 10,000队列的数据和横断面设计。共分析了9256名年龄在40-77岁之间的参与者,包括289名根据ACR/EULAR分类标准诊断为RA的个体。通过自我报告的教育程度、收入、就业状况和出生国家来评估SES。在调整年龄、性别、代谢综合征、吸烟和饮酒等因素后,采用Logistic回归模型评估SES与RA之间的关系。结果:高等教育人群RA患病率显著低于中等教育人群(OR = 0.55, 95% CI: 0.37-0.82;OR = 0.41, 95% CI: 0.25-0.68(高等教育)。较低的家庭收入与较高的RA患病率相关。就业差异很明显,类风湿性关节炎患者表现出更高的失业率和工作残疾率。结论:尽管奥地利的生活水平很高,但SES仍然是RA患病率的关键决定因素。教育、收入和就业水平较低与类风湿关节炎发病率较高有关,这突出表明需要采取有针对性的公共卫生干预措施。加强医疗保健服务、促进早期筛查和向弱势群体提供经济支持可能是缩小这些差距的重要步骤。进一步的研究应该探索这种关联的潜在机制,并检查社会经济差异是否也影响疾病进展和患者预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the link between socioeconomic factors and rheumatoid arthritis: Insights from a large Austrian study.

Introduction: Austria, a country with a high standard of living and a well-developed healthcare system, still experiences socioeconomic status (SES) disparities that impact health outcomes. Rheumatoid arthritis (RA) is a chronic autoimmune disease associated with significant disability and comorbidities. While SES has been linked to RA prevalence and disease severity, its role in a high-income country like Austria remains underexplored. This study investigates the association between SES factors-education, income, employment status and migration background-and RA prevalence and outcomes.

Methods: This population-based study used data from the Paracelsus 10,000 cohort in Salzburg, Austria and a cross-sectional design. A total of 9256 participants aged 40-77 years were analyzed, including 289 individuals diagnosed with RA based on the ACR/EULAR classification criteria. SES was assessed through self-reported education, income, employment status and country of birth. Logistic regression models were used to evaluate the association between SES and RA, adjusting for age, sex, metabolic syndrome, smoking and alcohol consumption.

Results: RA prevalence was significantly lower among individuals with higher education (OR = 0.55, 95 % CI: 0.37-0.82 for medium education; OR = 0.41, 95 % CI: 0.25-0.68 for high education). Lower household income correlated with higher RA prevalence. Employment disparities were evident, with RA patients exhibiting higher rates of unemployment and work disability.

Conclusion: Despite Austria's high standard of living, SES remains a key determinant of RA prevalence. Lower levels of education, income and employment are associated with higher rates of RA, highlighting the need for targeted public health interventions. Strengthening healthcare access, promoting early screening and offering economic support to vulnerable groups could be important steps toward reducing these disparities. Further research should explore the underlying mechanisms of this association and examine whether socioeconomic disparities also influence disease progression and patient outcomes.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Annals of Epidemiology
Annals of Epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
7.40
自引率
1.80%
发文量
207
审稿时长
59 days
期刊介绍: The journal emphasizes the application of epidemiologic methods to issues that affect the distribution and determinants of human illness in diverse contexts. Its primary focus is on chronic and acute conditions of diverse etiologies and of major importance to clinical medicine, public health, and health care delivery.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信