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Self-reported Arthritis-Related Disruptions in Sleep and Daily Life and the Use of Medical, Complementary, and Self-care Strategies for Arthritis
The National Survey of Self-care and Aging
Joanne M. Jordan, MD, MPH;
Shulamit L. Bernard, PhD;
Leigh F. Callahan, PhD;
Jean E. Kincade, PhD;
Thomas R. Konrad, PhD;
Gordon H. DeFriese, PhD
Arch Fam Med. 2000;9:143-149.
Objective To assess relations between self-reported arthritis-related disruptions in sleep, physical activity, and social functioning and use of medical care, complementary therapies, and self-care for arthritis in older adults.
Design A survey of self-reported arthritis-related disruptions in sleep and daily life as risk factors for use of 15 medical, complementary, and self-care modalities for relief of arthritis symptoms.
Setting General community from 38 urban and 12 rural areas in the contiguous United States.
Participants Nine hundred thirty-seven older persons reporting arthritis; of the 1925 in the 1993 to 1994 follow-up of the National Survey of Self-care and Aging, a population-based, stratified, random sample of noninstitutionalized Medicare beneficiaries aged 65 years and older.
Main Outcome Measures Use of 15 medical, self-care, and complementary modalities for relief of arthritis symptoms.
Results Most respondents reported use of at least 1 medical, complementary, or self-care strategy for arthritis. Arthritis was reported to disrupt sleep and leisure in 32.8% and 33.4% of respondents, respectively. Individuals with sleep disruption were more likely than those without sleep disturbance to use medical, complementary, and self-care strategies (adjusted odds ratio [95% confidence interval], 2.31 [1.59-3.37] for seeing a physician; and 2.23 [1.60-3.10] for using physical modalities). Reported disruption in sleep from arthritis was associated with use of more medical, complementary, and self-care strategies than was any other disruption.
Conclusions Self-reported arthritis-related disruption in sleep is associated with use of a wide range of medical, complementary, and self-care strategies. Physicians, other health care providers, and researchers should not overlook the importance of this common and often-neglected symptom.
From the Departments of Medicine (Drs Jordan and Callahan), Epidemiology (Drs Jordan, Callahan, and DeFriese), Health Policy and Administration (Drs Bernard, Konrad, and DeFriese), and Social Medicine (Drs Konrad and DeFriese), the Thurston Arthritis Research Center (Drs Jordan and Callahan), the Cecil G. Sheps Center for Health Services Research (Drs Bernard, Konrad, and DeFriese), and the Program on Aging, Schools of Medicine and Nursing (Dr Kincade), The University of North Carolina at Chapel Hill.
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