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The association between low socioeconomic status with high physical limitations and low illness self-perception in patients with juvenile idiopathic arthritis: results from the Childhood Arthritis Prospective Study.
- Source :
-
Arthritis care & research [Arthritis Care Res (Hoboken)] 2015 Mar; Vol. 67 (3), pp. 382-9. - Publication Year :
- 2015
-
Abstract
- Objective: To examine the association between socioeconomic status (SES) and delay to a pediatric rheumatology clinic, disease severity, and illness perception in patients with juvenile idiopathic arthritis in England.<br />Methods: Using the Index of Multiple Deprivation, 923 consecutive children from the Childhood Arthritis Prospective Study were assigned to SES groups: high-SES (19.1%), middle-SES (44.5%), or low-SES (36.4%). At baseline, disease activity was assessed, and the Childhood Health Assessment Questionnaire (C-HAQ), the Illness Perception Questionnaire, and the Child Health Questionnaire, version Parent Form 50, were completed. Linear median regression analyses or zero-inflated negative binominal (ZINB) regression analyses were used.<br />Results: Delay to first pediatric rheumatology consultation was the same between the 3 SES groups. Although disease activity scores assessed by the pediatric rheumatologist did not differ between the 3 SES groups, persons in the low-SES group recorded higher C-HAQ scores compared to the high-SES group (zero-inflated part of ZINB odds ratio 0.28 [95% confidence interval (95% CI) 0.14, 0.55], count part of ZINB β 0.26 [95% CI 0.05, 0.48]). Parents with low SES also reported more often that their children's school work or activities with friends had been limited. Furthermore, the low-SES group had a worse perception about the consequences of the disease and the effect of treatment than those in the high-SES group.<br />Conclusion: Patients from a low-SES background report more problems with daily activities and have a lower perception of the consequences of the disease than patients from a high-SES background, warranting special attention from a multidisciplinary team.<br /> (Copyright © 2015 by the American College of Rheumatology.)
- Subjects :
- Activities of Daily Living
Adolescent
Arthritis, Juvenile physiopathology
Arthritis, Juvenile psychology
Arthritis, Juvenile therapy
Child
Child, Preschool
Cost of Illness
Cross-Sectional Studies
England
Female
Health Services Accessibility economics
Humans
Linear Models
Male
Odds Ratio
Predictive Value of Tests
Prognosis
Prospective Studies
Referral and Consultation
Severity of Illness Index
Arthritis, Juvenile diagnosis
Arthritis, Juvenile economics
Disability Evaluation
Health Status Disparities
Motor Activity
Rheumatology methods
Self Concept
Social Class
Surveys and Questionnaires
Subjects
Details
- Language :
- English
- ISSN :
- 2151-4658
- Volume :
- 67
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Arthritis care & research
- Publication Type :
- Academic Journal
- Accession number :
- 25187470
- Full Text :
- https://doi.org/10.1002/acr.22466