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Prevalence and associated factors of knee osteoarthritis in a community-based population in Heilongjiang, Northeast China

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Abstract

Few data exist concerning the prevalence of knee OA and associated factors in Northeast China. This study was undertaken to estimate the prevalence of radiographic and symptomatic knee OA among community residents and to elucidate relevant risk factors. Unmatched case–control study was adopted to study risk factors of knee OA. Radiographic OA was evaluated according to the Kellgren and Lawrence grading scheme. Statistical analyses included tests and logistic model regressions. A total of 1,196 people aged 40–84 years participated in the community-based health survey in Northeast China in 2005. Survey participants completed an interviewer-based questionnaire. The standardized prevalence of symptomatic knee OA was 16.05% and it was significantly higher in women than in men (19.87% vs. 11.91%, = 13.76, P < 0.001). There was also an increased tendency with age in both sex (men:  x 2 = 29.67, P trend < 0.001; women: x 2 = 40.26, P trend < 0.001). The prevalence of symptomatic knee OA was significantly higher than that in Beijing and Shantou, while lower than that in Wuchuan county of inner Mongolia with nonsignificant difference. Logistic regressions revealed that age, sex, BMI, and work status might be risk factors for knee OA in urban residents, whereas age, BMI, and smoking habits might be risk factors in rural dwellers. Symptomatic knee OA is extremely common with preponderance for elderly women and constitutes a major public health problem. The findings will be useful to guide the distribution of future health care resources and preventive strategies.

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Acknowledgments

The study was supported by Grant research from Chinese National Programs for Science and Technology Development in the Tenth Five-Year Plan. We would like to thank all general practitioners who participated in the project. All authors participated in the design of the study and drafting the manuscript. All authors have read and approved the final manuscript.

Conflict of interest

The authors declare that they have no competing interest.

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Authors and Affiliations

  1. Department of Epidemiology, Public Health College, Harbin Medical University, Harbin, Heilongjiang Province, People’s Republic of China

    Liying Jiang, Fulan Hu, Xia Li & Yashuang Zhao

  2. Department of Orthopedics Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, People’s Republic of China

    Jiesheng Rong & Tianzun Tao

  3. Department of Medical Statistics, Public Health College, Harbin Medical University, Harbin, Heilongjiang Province, People’s Republic of China

    Qiuju Zhang

  4. Department of Radiography, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, People’s Republic of China

    Shide Zhang

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  1. Liying Jiang
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  2. Jiesheng Rong
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  3. Qiuju Zhang
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  4. Fulan Hu
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  5. Shide Zhang
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  6. Xia Li
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  7. Yashuang Zhao
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Correspondence to Yashuang Zhao or Tianzun Tao.

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Jiang, L., Rong, J., Zhang, Q. et al. Prevalence and associated factors of knee osteoarthritis in a community-based population in Heilongjiang, Northeast China. Rheumatol Int 32, 1189–1195 (2012). https://doi.org/10.1007/s00296-010-1773-y

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  • DOI: https://doi.org/10.1007/s00296-010-1773-y

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