Inflammatory Arthritis Prevalence and Health Services Use in the First Nations and Non–First Nations Populations of Alberta, Canada
Objective To estimate prevalence of rheumatoid arthritis (RA), ankylosing spondylitis (AS), psoriatic disease (PsD), and crystal‐related arthritis and health care use for inflammatory arthritis in First Nations and non–First Nations patients in Alberta, Canada. Methods Population‐based cohorts of ad...
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crwiley:10.1002/acr.22959 2024-09-15T18:06:15+00:00 Inflammatory Arthritis Prevalence and Health Services Use in the First Nations and Non–First Nations Populations of Alberta, Canada Barnabe, Cheryl Jones, C. Allyson Bernatsky, Sasha Peschken, Christine A. Voaklander, Don Homik, Joanne Crowshoe, Lynden F. Esdaile, John M. El‐Gabalawy, Hani Hemmelgarn, Brenda Canadian Institutes of Health Research 2017 http://dx.doi.org/10.1002/acr.22959 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Facr.22959 https://onlinelibrary.wiley.com/doi/pdf/10.1002/acr.22959 https://onlinelibrary.wiley.com/doi/full-xml/10.1002/acr.22959 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Arthritis Care & Research volume 69, issue 4, page 467-474 ISSN 2151-464X 2151-4658 journal-article 2017 crwiley https://doi.org/10.1002/acr.22959 2024-08-27T04:25:59Z Objective To estimate prevalence of rheumatoid arthritis (RA), ankylosing spondylitis (AS), psoriatic disease (PsD), and crystal‐related arthritis and health care use for inflammatory arthritis in First Nations and non–First Nations patients in Alberta, Canada. Methods Population‐based cohorts of adults with RA, AS, PsD, and crystal‐related arthritis were defined, with First Nations determination by premium payer status, to estimate prevalence rates. Rates of outpatient primary care, specialist visits, and hospitalizations (all‐cause, inflammatory‐arthritis specific) were estimated. Results RA affected 3 times as many First Nations residents compared to non–First Nations residents (standardized rate ratio [SRR] 3.2, 95% confidence interval [95% CI] 2.9–3.4). AS and PsD were more prevalent in First Nations (AS 0.6 per 100 residents; SRR 2.7, 95% CI 2.3–3.2 and PsD 0.3 per 100 residents; SRR 1.5, 95% CI 1.3–1.9), whereas crystal‐related arthritis was less prevalent (SRR 0.7, 95% CI 0.6–0.7). First Nations patients were more likely to have primary care visits (SRR 1.7, 95% CI 1.6–1.8) and less likely to have specialist visits (SRR 0.6, 95% CI 0.6–0.7) for RA relative to non–First Nations individuals. In PsD and crystal‐related arthritis, First Nations people had higher rates of cause‐specific hospitalizations. Conclusion The estimated prevalence of RA, AS, and PsD was higher in the First Nations population, while crystal‐related arthritis was less prevalent compared to the non–First Nations population. First Nations people were more likely to see primary care physicians and were less likely to see specialists for inflammatory arthritis care. Article in Journal/Newspaper First Nations Wiley Online Library Arthritis Care & Research 69 4 467 474 |
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Wiley Online Library |
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English |
description |
Objective To estimate prevalence of rheumatoid arthritis (RA), ankylosing spondylitis (AS), psoriatic disease (PsD), and crystal‐related arthritis and health care use for inflammatory arthritis in First Nations and non–First Nations patients in Alberta, Canada. Methods Population‐based cohorts of adults with RA, AS, PsD, and crystal‐related arthritis were defined, with First Nations determination by premium payer status, to estimate prevalence rates. Rates of outpatient primary care, specialist visits, and hospitalizations (all‐cause, inflammatory‐arthritis specific) were estimated. Results RA affected 3 times as many First Nations residents compared to non–First Nations residents (standardized rate ratio [SRR] 3.2, 95% confidence interval [95% CI] 2.9–3.4). AS and PsD were more prevalent in First Nations (AS 0.6 per 100 residents; SRR 2.7, 95% CI 2.3–3.2 and PsD 0.3 per 100 residents; SRR 1.5, 95% CI 1.3–1.9), whereas crystal‐related arthritis was less prevalent (SRR 0.7, 95% CI 0.6–0.7). First Nations patients were more likely to have primary care visits (SRR 1.7, 95% CI 1.6–1.8) and less likely to have specialist visits (SRR 0.6, 95% CI 0.6–0.7) for RA relative to non–First Nations individuals. In PsD and crystal‐related arthritis, First Nations people had higher rates of cause‐specific hospitalizations. Conclusion The estimated prevalence of RA, AS, and PsD was higher in the First Nations population, while crystal‐related arthritis was less prevalent compared to the non–First Nations population. First Nations people were more likely to see primary care physicians and were less likely to see specialists for inflammatory arthritis care. |
author2 |
Canadian Institutes of Health Research |
format |
Article in Journal/Newspaper |
author |
Barnabe, Cheryl Jones, C. Allyson Bernatsky, Sasha Peschken, Christine A. Voaklander, Don Homik, Joanne Crowshoe, Lynden F. Esdaile, John M. El‐Gabalawy, Hani Hemmelgarn, Brenda |
spellingShingle |
Barnabe, Cheryl Jones, C. Allyson Bernatsky, Sasha Peschken, Christine A. Voaklander, Don Homik, Joanne Crowshoe, Lynden F. Esdaile, John M. El‐Gabalawy, Hani Hemmelgarn, Brenda Inflammatory Arthritis Prevalence and Health Services Use in the First Nations and Non–First Nations Populations of Alberta, Canada |
author_facet |
Barnabe, Cheryl Jones, C. Allyson Bernatsky, Sasha Peschken, Christine A. Voaklander, Don Homik, Joanne Crowshoe, Lynden F. Esdaile, John M. El‐Gabalawy, Hani Hemmelgarn, Brenda |
author_sort |
Barnabe, Cheryl |
title |
Inflammatory Arthritis Prevalence and Health Services Use in the First Nations and Non–First Nations Populations of Alberta, Canada |
title_short |
Inflammatory Arthritis Prevalence and Health Services Use in the First Nations and Non–First Nations Populations of Alberta, Canada |
title_full |
Inflammatory Arthritis Prevalence and Health Services Use in the First Nations and Non–First Nations Populations of Alberta, Canada |
title_fullStr |
Inflammatory Arthritis Prevalence and Health Services Use in the First Nations and Non–First Nations Populations of Alberta, Canada |
title_full_unstemmed |
Inflammatory Arthritis Prevalence and Health Services Use in the First Nations and Non–First Nations Populations of Alberta, Canada |
title_sort |
inflammatory arthritis prevalence and health services use in the first nations and non–first nations populations of alberta, canada |
publisher |
Wiley |
publishDate |
2017 |
url |
http://dx.doi.org/10.1002/acr.22959 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Facr.22959 https://onlinelibrary.wiley.com/doi/pdf/10.1002/acr.22959 https://onlinelibrary.wiley.com/doi/full-xml/10.1002/acr.22959 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Arthritis Care & Research volume 69, issue 4, page 467-474 ISSN 2151-464X 2151-4658 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1002/acr.22959 |
container_title |
Arthritis Care & Research |
container_volume |
69 |
container_issue |
4 |
container_start_page |
467 |
op_container_end_page |
474 |
_version_ |
1810443732675198976 |