ArticleBMC musculoskeletal disorders2013
Independent associations of socioeconomic factors with disability and pain in adults with knee osteoarthritis.
Article in BMC musculoskeletal disorders, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Racial-Ethnic Differences in Osteoarthritis Pain and Disability: A Meta-Analysis.The journal of pain · 2019Pooled it
- Change in physical activity level and clinical outcomes in older adults with knee pain: a secondary analysis from a randomised controlled trial.BMC musculoskeletal disorders · 2018Trial
- The association of comorbid conditions with patient-reported outcomes in Veterans with hip and knee osteoarthritis.Clinical rheumatology · 2015Trial
- Applying the health belief model to understand the usage and experience of self-management techniques in knee osteoarthritis: A mixed-methods observational study.International journal of nursing studies advances · 2026Article
- Low Back Pain in Korea: Survey Weighted Analysis with Age Sex and Lumbar Radiographic Grade Matching.Healthcare (Basel, Switzerland) · 2026Article
- Health-Related Social Needs Are Associated With Worse Physical Function, Pain, and Mobility in Hip and Knee Osteoarthritis Patients at Presentation.Arthroplasty today · 2026Article
- Social and Demographic Health Disparities in Knee Osteoarthritis and Total Knee Arthroplasty.Arthroplasty today · 2026Review
- Are physical activity, sleep, and joint pain associated with physical function and quality of life in individuals with multimorbidity? A cross-sectional analysis of the MOBILIZE trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Relations of Social Determinants of Health to Pain and Function in Individuals with Knee Osteoarthritis in a Hispanic-dominant Community.Journal of racial and ethnic health disparities · 2025Article
- An evaluation of a low-cost platelet-rich plasma for osteoarthritis of the knee: A pilot study.Journal of experimental orthopaedics · 2025Article
- Explanatory factors for the survival benefit among hip and knee arthroplasty patients with osteoarthritis.Osteoarthritis and cartilage open · 2025Article
- Zoledronic Acid in the Treatment of Primary Knee Osteoarthritis: A Randomized Clinical Trial.Cureus · 2025Article
- Social determinants of health and all-cause or cardiovascular mortality on osteoarthritis adults in the USA: a national cohort study.Frontiers in public health · 2025Article
- Association of neighborhood-level disadvantage beyond individual sociodemographic factors in patients with or at risk of knee osteoarthritis.BMC musculoskeletal disorders · 2024Article
- Associations of current and childhood socioeconomic status and health outcomes amongst patients with knee or hip osteoarthritis in a Mexico City family-practice setting.BMC musculoskeletal disorders · 2024Article
- Rural-Urban Differences in Non-Local Primary Care Utilization among People with Osteoarthritis: The Role of Area-Level Factors.International journal of environmental research and public health · 2022Article
- The association between lower socioeconomic position and functional limitations is partially mediated by obesity in older adults with symptomatic knee osteoarthritis: Findings from the English Longitudinal Study of Ageing.Frontiers in public health · 2022Article
- Prospective, Single-blind, Randomized Controlled Trial to Evaluate the Effectiveness of a Digital Exercise Therapy Application Compared With Conventional Physical Therapy for the Treatment of Nonoperative Knee Conditions.Archives of rehabilitation research and clinical translation · 2021Article
- Effects of education, income, and occupation on prevalence and symptoms of knee osteoarthritis.Scientific reports · 2021Article
- Lower education is an associated factor with the combination of pain catastrophizing and kinesiophobia in patients with knee osteoarthritis?Clinical rheumatology · 2021Article
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7 authors.
Funding
Abstract
backgroundThe purpose of this study is to explore the relationship between function, pain and stiffness outcomes with individual and community socioeconomic status (SES) measures among individuals with radiographic knee osteoarthritis (rOA).
methodsCross-sectional data from the Johnston County Osteoarthritis Project were analyzed for adults age 45 and older with knee rOA (n = 782) and a subset with both radiographic and symptomatic knee OA (n = 471). Function, pain and stiffness were measured using the Western Ontario and McMasters Universities Index of Osteoarthritis (WOMAC). Individual SES measures included educational attainment (<12 years, ≥12 years) and occupation type (managerial, non-managerial), while community SES was measured using Census block group poverty rate (<12%, 12-25%, ≥25%). SES measures were individually and simultaneously examined in linear regression models adjusting for age, gender, race, body mass index (BMI), occupational physical activity score (PAS), comorbidity count, and presence of hip symptoms.
resultsIn analyses among all individuals with rOA, models which included individual SES measures were observed to show that occupation was significantly associated with WOMAC Function (β =2.91, 95% Confidence Interval (CI) = 0.68-5.14), WOMAC Pain (β =0.93, 95% CI = 0.26-1.59) and WOMAC Total scores (β =4.05, 95% CI = 1.04-7.05), and education was significantly associated with WOMAC Function (β =3.57, 95% CI = 1.25-5.90) and WOMAC Total (β =4.56, 95% CI = 1.41-7.70) scores. In multivariable models including all SES measures simultaneously, most associations were attenuated. However, statistically significant results for education remained between WOMAC Function (β =2.83, 95% CI = 0.38-5.28) and WOMAC Total (β =3.48, 95% CI = 0.18-6.78), as well as for the association between occupation and WOMAC Pain (β =0.78, 95% CI = 0.08-1.48). In rOA subgroup analyses restricted to those with symptoms, we observed a significant increase in WOMAC Pain (β =1.36, 95% CI = 0.07-2.66) among individuals living in a block group with poverty rates greater than 25%, an association that remained when all SES measures were considered simultaneously (β =1.35, 95% CI = 0.06-2.64).
conclusionsLower individual and community SES are both associated with worse function and pain among adults with knee rOA.
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