American Journal of Epidemiology Vol. 129, No. 6: 1170-1178
Copyright © 1989 by The Johns Hopkins University School of Hygiene and Public Health
research-article |
HIGH INCIDENCE AND PREVALENCE OF RHEUMATOID ARTHRITIS IN PIMA INDIANS
1National Institute of Arthritis and Musculoskel etal and Skin Diseases, National Institutes of Health Phoenix, AZ
2Diabetes and Arthritis Epidemiology Section, Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kid ney Diseases, National Institutes of Health Phoenix, AZ
A longitudinal epidemiologic study has been conducted to estimate the incidence and prevalence of rheumatoid arthritis in an American Indian population, the Pima and Papago Indians of Arizona. Clinical, serologic, and radiologic data were collected during biennial examinations of subjects aged 20 years or more during the period 1967–1986. Rheumatoid arthritis was diagnosed by criteria for the active and the inactive disease. Age-adjusted to the 1980 US population at least 20 years of age, the prevalence of classical and definite rheumatoid arthritis in 1984 was 5.3% (3.23% in males and 6.95% in females), a rate appreciably higher than that reported in studies in Rochester, Minnesota, and in Hiroshima and Nagasaki, Japan. Among Pimas, during the study period, 70 incident cases of rheumatoid arthritis occurred. The age-adjusted incidence rate was 42.2 cases per 10,000 person-years (29.7 in males and 51.8 in females), 10.3 times as high as the age-adjusted rate in Rochester (4.1/10,000 person-years), and 5.7 times as high as in Japan (7.4/10,000 person-years). Rates generally increased with age. No secular trend was found. On the basis of both prevalence and incidence data, this study confirms that rheumatoid arthritis does not have uniform occurrence in different populations. This has to be taken into account in the search for the factors related to the differences in risk of disease.
arthritis; rheumatoid; Indians; North American
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  D S Majka, K D Deane, L A Parrish, A A Lazar, A E Baron, C W Walker, M V Rubertone, W R Gilliland, J M Norris, and V M Holers Duration of preclinical rheumatoid arthritis-related autoantibody positivity increases in subjects with older age at time of disease diagnosis Ann Rheum Dis, June 1, 2008; 67(6): 801 - 807. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Turesson and E. L. Matteson Genetics of Rheumatoid Arthritis Mayo Clin. Proc., January 1, 2006; 81(1): 94 - 101. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T Uhlig and T K Kvien Is rheumatoid arthritis disappearing? Ann Rheum Dis, January 1, 2005; 64(1): 7 - 10. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C Turesson, A Jarenros, and L Jacobsson Increased incidence of cardiovascular disease in patients with rheumatoid arthritis: results from a community based study Ann Rheum Dis, August 1, 2004; 63(8): 952 - 955. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Sattar, D. W. McCarey, H. Capell, and I. B. McInnes Explaining How "High-Grade" Systemic Inflammation Accelerates Vascular Risk in Rheumatoid Arthritis Circulation, December 16, 2003; 108(24): 2957 - 2963. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T Korpilahde, M Heliovaara, O Kaipiainen-Seppanen, P Knekt, and K Aho Regional differences in Finland in the prevalence of rheumatoid factor in the presence and absence of arthritis Ann Rheum Dis, April 1, 2003; 62(4): 353 - 355. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M K Soderlin, O Borjesson, H Kautiainen, T Skogh, and M Leirisalo-Repo Annual incidence of inflammatory joint diseases in a population based study in southern Sweden Ann Rheum Dis, October 1, 2002; 61(10): 911 - 915. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. H. Dessein, A. E. Stanwix, Z. Moomal, D. Symmons, and B. Harrison Rheumatoid arthritis and cardiovascular disease may share similar risk factors Rheumatology, June 1, 2001; 40(6): 703 - 704. [Full Text] [PDF]
|
|
|
|
|
|
O Kaipiainen-Seppanen, K Aho, and M Nikkarinen Regional differences in the incidence of rheumatoid arthritis in Finland in 1995 Ann Rheum Dis, February 1, 2001; 60(2): 128 - 132. [Abstract] [Full Text] [PDF]
|
|