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Racial variations in self-reported osteoarthritis symptom severity among veterans.

Publication ,  Journal Article
Golightly, YM; Dominick, KL
Published in: Aging Clin Exp Res
August 2005

BACKGROUND AND AIMS: This study aimed at examining factors related to osteoarthritis (OA) symptom severity in African American and Caucasian veterans (n=202). METHODS: OA symptom severity (lower extremity pain, stiffness, and physical function) was measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). We also examined whether racial differences existed when controlling for other important demographic and clinical variables, including age, gender, income, educational level, employment status, marital status, number of years with OA symptoms, location of arthritic joints (hip, knee, back, foot/ankle), use of exercise, and current use of OA medications. Lastly, we examined whether factors associated with self-reported OA symptom severity differed in African American and Caucasian veterans. RESULTS: The mean WOMAC score for African American veterans (on a scale of 0-96) was 54.6 (SD=17.2), and the mean score for Caucasian veterans was 48.4 (SD=17.6; p=0.02). In a multivariable regression model including demographic and clinical variables, African American veterans had significantly higher WOMAC scores than Caucasians (3=0.185, p=0.009). In Caucasian veterans, greater number of years with OA, presence of hip OA, and a low income were associated with greater WOMAC scores. In African Americans, no use of exercise and the presence of OA in the hip or back were associated with greater WOMAC scores. CONCLUSIONS: Among this sample of veterans, African Americans had significantly higher WOMAC scores than Caucasians after controlling for other important demographic and clinical factors. Different and more intense treatment strategies may be needed for African American veterans with OA.

Duke Scholars

Published In

Aging Clin Exp Res

DOI

ISSN

1594-0667

Publication Date

August 2005

Volume

17

Issue

4

Start / End Page

264 / 269

Location

Germany

Related Subject Headings

  • White People
  • Veterans
  • Severity of Illness Index
  • Self-Assessment
  • Retrospective Studies
  • Pain Measurement
  • Osteoarthritis
  • Multivariate Analysis
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
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Golightly, Y. M., & Dominick, K. L. (2005). Racial variations in self-reported osteoarthritis symptom severity among veterans. Aging Clin Exp Res, 17(4), 264–269. https://doi.org/10.1007/BF03324608
Golightly, Yvonne M., and Kelli L. Dominick. “Racial variations in self-reported osteoarthritis symptom severity among veterans.Aging Clin Exp Res 17, no. 4 (August 2005): 264–69. https://doi.org/10.1007/BF03324608.
Golightly YM, Dominick KL. Racial variations in self-reported osteoarthritis symptom severity among veterans. Aging Clin Exp Res. 2005 Aug;17(4):264–9.
Golightly, Yvonne M., and Kelli L. Dominick. “Racial variations in self-reported osteoarthritis symptom severity among veterans.Aging Clin Exp Res, vol. 17, no. 4, Aug. 2005, pp. 264–69. Pubmed, doi:10.1007/BF03324608.
Golightly YM, Dominick KL. Racial variations in self-reported osteoarthritis symptom severity among veterans. Aging Clin Exp Res. 2005 Aug;17(4):264–269.
Journal cover image

Published In

Aging Clin Exp Res

DOI

ISSN

1594-0667

Publication Date

August 2005

Volume

17

Issue

4

Start / End Page

264 / 269

Location

Germany

Related Subject Headings

  • White People
  • Veterans
  • Severity of Illness Index
  • Self-Assessment
  • Retrospective Studies
  • Pain Measurement
  • Osteoarthritis
  • Multivariate Analysis
  • Middle Aged
  • Male