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...
Published in: | Arthritis Care & Research |
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John Wiley & Sons
2017
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ftunivqespace:oai:espace.library.uq.edu.au:UQ:417411 2023-05-15T16:13:52+02:00 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 2017-04-01 https://espace.library.uq.edu.au/view/UQ:417411/UQ417411_OA.pdf https://espace.library.uq.edu.au/view/UQ:417411 eng eng John Wiley & Sons doi:10.1002/acr.22959 issn:2151-4658 issn:2151-464X Not set Rheumatology 2745 Rheumatology Journal Article 2017 ftunivqespace https://doi.org/10.1002/acr.22959 2020-12-08T01:05:09Z 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 The University of Queensland: UQ eSpace Canada Arthritis Care & Research 69 4 467 474 |
institution |
Open Polar |
collection |
The University of Queensland: UQ eSpace |
op_collection_id |
ftunivqespace |
language |
English |
topic |
Rheumatology 2745 Rheumatology |
spellingShingle |
Rheumatology 2745 Rheumatology 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 |
topic_facet |
Rheumatology 2745 Rheumatology |
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. |
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 |
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 |
John Wiley & Sons |
publishDate |
2017 |
url |
https://espace.library.uq.edu.au/view/UQ:417411/UQ417411_OA.pdf https://espace.library.uq.edu.au/view/UQ:417411 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
doi:10.1002/acr.22959 issn:2151-4658 issn:2151-464X Not set |
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_ |
1765999732431257600 |