Navigation Links
Socioeconomic Status Plays A Role In Juvenile Rheumatoid Arthritis

A group of autoimmune diseases, named Juvenile rheumatoid arthritis (JRA), causes chronic inflammation of the joints, which inversely affect health-related quality of life// , during adulthood. Socioeconomic status suggests patient prognosis in adults – study finds. But nothing regarding children was found.

Arthritis Care & Research journal published a study in the June 2006 issue, which examined the relationship between patient health insurance coverage (as an indicator of socioeconomic status) and disease outcomes for children with JRA and found that those on Medicaid had significantly lower health-related quality of life (HRQOL) and higher disability than who doesn’t have.

Led by Hermine I. Brunner, Janalee Taylor and Murray Passo of the Cincinnati Children's Hospital Medical Center in Cincinnati, Ohio, researchers assessed children with JRA who were seen at the hospital's rheumatology clinic between July 2003 and March 2004. Medicaid coverage (or similar coverage under state programs for low-income families of children with chronic diseases) was considered to be an indicator of low socioeconomic status, while having private insurance was considered to be an indicator of middle to high socioeconomic status.

Children were evaluated based on age, disease duration, type of JRA onset, course of the disease, number of joints affected, current disease activity, pain, disability and HRQOL. Health care resource utilization was also assessed based on billing for events such as radiology testing, laboratory testing, clinic visits, and inpatient care.

The findings showed that there was a trend toward a higher number of joints affected by arthritis in the Medicaid group, which comprised 40 (14%) of the 295 children evaluated. They also had somew hat higher disease activity, more pain, and a lower level of well-being than children with private health insurance.

In addition, the Medicaid group had higher disability and a lower proportion of children with normal physical function, although they had similar access to health care services compared to the privately insured children. ‘Similar to results found in studies of other pediatric diseases, the results of this study support the theory that Medicaid status is associated with more disability and lower HRQOL, even in the absence of apparent differences in health care resource utilization,’ the authors state. They add that these differences are not only statistically significant, but clinically significant as well.

The reasons why insurance status is associated with disability and HRQOL in JRA is not clear, since health care resource utilization did not appear to be affected by the type of health insurance the children were using. The authors hypothesize that non-treatment-related factors such as poverty and non-adherence to prescribed treatments might account in part for the differences seen between the Medicaid versus the privately insured children.

‘We believe the current study is the first to document a clinically important association between patient insurance status and disease outcome in JRA,’ the authors conclude. Further studies are needed to determine the mechanisms that lead to the differences observed in the two groups, and to determine whether access to and utilization of health care resources are truly equitable in patients with different health insurance status.

Source: Eurekaert
'"/>




Related medicine news :

1. Low Socioeconomic Status May Lead To Mental Illness
2. Prostate Cancer Outcomes Determined By Socioeconomic Status
3. Hormone Levels Increase Due To Socioeconomic Stress
4. Age and Socioeconomic Factors Are Strongest Determinants of Sunburn
5. Status of some prescription drugs
6. Low Socioeconomic Status May Lead To Mental Illness
7. Post-Menopausal Status May Cause Tooth Decay
8. Ruling On Non Disclosure Of HIV Positive Status Is Not Ethical
9. Treatment For Prostate Cancer Relapse Linked To Marital Status
10. Study Finds Low Socio-Economic Status Linked to Poor Dental Health
11. Prostate Cancer Outcomes Determined By Socioeconomic Status
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/12/2019)... ... June 12, 2019 , ... ... relationships with caregivers and dementia patients to deteriorate. , Researchers from the ... a survey with professional caregivers who care for people who have dementia and ...
(Date:6/12/2019)... ... ... In September of 2018, NVNA and Hospice (NVNA) partnered with Health Recovery ... its full-scale launch in March, NVNA has expanded its program with HRS to provide ... has achieved an average all-cause hospital readmissions rate of 7.3% and has seen a ...
(Date:6/12/2019)... YORK (PRWEB) , ... June 12, 2019 , ... ... disability that significantly impacts their life, preventing them from participating in education or ... Project (ICP) will urge policymakers to recognize communication as a human right and ...
(Date:6/11/2019)... ... 11, 2019 , ... CareSet announced today that co-founder Ashish Patel has been ... through the TMCx Accelerator startup program and into expanded new offices located in Uptown, ... grown into a company of 18 and climbing. , “Ashish’s passion and work ...
(Date:6/6/2019)... ... June 06, 2019 , ... Dr. Eugene A. Isola III is an ... Hackensack Meridian Raritan Bay Medical Center. For Dr. Isola, dentistry is not just a ... Isola knows the importance of providing five-star services and treats his patients as if ...
Breaking Medicine News(10 mins):
(Date:6/13/2019)... LONE TREE, Colo. (PRWEB) , ... June 13, ... ... CO, is thrilled to open its doors to a wellness center dedicated to ... A. Atagi of Atagi Plastic Surgery & Skin Aesthetics, BESANA Health & Wellness ...
(Date:6/13/2019)... ... June 13, 2019 , ... IPVideo Corporation ... visual weapons detection systems, is proud to announce its verified integration with its ... verified technology partner IPVideo’s award-winning HALO sensor is now available on the Milestone ...
(Date:6/13/2019)... ... June 13, 2019 , ... The American Psychiatric Nurses Association announced ... current executive director Nicholas Croce Jr., MS. The search will be led by an ... past APNA Presidents, and Council and Chapter leaders. , The job description and more ...
Breaking Medicine Technology: