Association between living environmental quality and risk of arthritis in middle-aged and older adults
A national study in China
Bibliographic Data
| ID | 22070647 |
|---|---|
| Authors | Ri Liu (0000-0001-8491-0578, Second Hospital of Tangshan), Yuefei Zhou (0000-0002-5371-298X, First Hospital of China Medical University), Yang Liu (0000-0003-1220-7044, China Medical University), Run Guo (Capital Medical University), Lishu Gao (Tangshan People's Hospital, corresponding author) |
| Year | 2023 |
| Volume | 11 |
| Pages | 1181625-1181625 |
| Publication date | 2023-06-16 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2023.1181625 |
| PMID | 37397775 |
| OpenAlex | W4380986597 |
| Language | EN |
| Citations received | 4 |
| References cited | 58 |
Background: The association between combined environmental factors and the risk of arthritis is still scarcely studied. The present study performed cross-sectional and cohort studies to explore the association between risk score of living environment quality and the risk of arthritis in middle-aged and older adults in China. Methods: The study was based on China Health and Retirement Longitudinal Study (CHARLS), and it recruited 17,218 participants in the cross-sectional study and 11,242 participants in the seven-year follow-up study. The living environment quality was measured by household fuel types, household water sources, room temperature, residence types, and ambient concentration of PM2.5. Logistic regression and Cox proportional hazard regression models were utilized to examine the association between the living environment quality and the risk of arthritis. Competing risk models and stratified analyses were applied to further verify our results. Results: Compared with individuals in the suitable environment group, people who lived in moderate (OR:1.28, 95%CI: 1.14-1.43) and unfavorable environments (OR:1.49, 95%CI:1.31-1.70) showed higher risks of arthritis when considering the multiple living environmental factors (P for trend <0.001) in the cross-sectional analysis. In the follow-up study, similar results (P for trend = 0.021), moderate environment group (HR:1.26, 95%CI:1.01-1.56) and unfavorable environment group (HR: 1.36, 95%CI: 1.07-1.74), were founded. Conclusion: Inferior living environment might promote the development of arthritis. It is necessary for the public, especially old people, to improve the living environment, which may be the key to the primary prevention of arthritis
Activities of daily living · Cohort · Cohort study · Confidence interval · Cross-sectional study · Environmental health · Hazard ratio · Logistic regression · Longitudinal study · Physical therapy · Proportional hazards model · Residence · Advanced Technologies in Various Fields · Air Quality and Health Impacts · Demography · Medicine · Rheumatoid Arthritis Research and Therapies · Gerontology · Internal Medicine
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| Citations per year | 2 |
|---|---|
| Citation span | 2024 - 2025 (2) |
| Highly cited | No |