Abstract
Objectives:
To: 1) estimate U.S. state-specific prevalence of serious psychological distress (SPD) and fair/poor health status (FPH), and 2) identify correlates of FPH among adults with arthritis (ARTH+).
Methods:
Data were from the 2007 Behavioral Risk Factor Surveillance System (n = 414,719). State-specific weighted prevalence estimates of SPD (≥ 13 on the Kessler 6 scale) and FPH status were calculated, and multivariate logistic regression was used to identify correlates of FPH in four domains (physical health, mental health, sociodemographics, behaviors).
Results:
Prevalence of SPD and FPH were 2 and 3 times higher, respectively, among ARTH+ compared to those without. Among ARTH+, the state-specific prevalence of SPD ranged from 2.7 % to 12.2 % and FPH from 22.1 % to 43.5 %. Health behaviors (physical activity, smoking, heavy drinking) and physical health indicators (e.g. activity limitation, physically unhealthy days, co-morbidity) were the strongest correlates of FPH status. After adjustment, physically active ARTH+ were 50–66 % less likely to report FPH compared to inactive ARTH+.
Conclusions:
Psychological distress and poor health status are common in arthritis; increasing physical activity may be an intervention point to improve health status.
Similar content being viewed by others
Author information
Authors and Affiliations
Corresponding author
Additional information
Submitted: 12 October 2008; revised: 26 January 2009; accepted: 31 January 2009
The findings and conclusions in this report are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
An erratum to this article is available at http://dx.doi.org/10.1007/s00038-009-9012-6.
Rights and permissions
About this article
Cite this article
Hootman, J.M., Cheng, W.Y. Psychological distress and fair/poor health among adults with arthritis: state-specific prevalence and correlates of general health status, United States, 2007. Int J Public Health 54 (Suppl 1), 75–83 (2009). https://doi.org/10.1007/s00038-009-0010-5
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00038-009-0010-5