Publications by authors named "Kristina Theis"

Objective: Depression is common in individuals with chronic cutaneous lupus erythematosus (CCLE). However, how CCLE may impact patients' psychological well-being is poorly understood, particularly among disproportionally affected populations. We examined the relationships between depression and psychosocial factors in a cohort of predominantly Black patients with primary CCLE (CCLE without systemic manifestations).

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Pain has been established as a major public health problem in the United States (U.S.) with 50 million adults experiencing chronic pain and 20 million afflicted with high-impact chronic pain (ie, chronic pain that interferes with life or work activities).

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Article Synopsis
  • Arthritis is common among U.S. adults, leading to functional limitations and severe joint pain that negatively impact health and quality of life.
  • Self-management education and physical activity can significantly alleviate pain and enhance overall well-being, but participation rates are low, with only 11.4% in self-management classes and 61.0% engaging in physical activity as of 2014.
  • In 2019, CDC data showed that only 16.2% of adults with arthritis attended a self-management class, while 69.3% received physical activity counseling, with variations based on state, education level, and demographic factors, highlighting the need for health care providers to encourage these resources.
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Primary care providers (PCPs) can offer counseling to adults with arthritis on physical activity, which can reduce pain and improve physical function, mental health, and numerous other health outcomes. We analyzed cross-sectional 2018 DocStyles data for 1,366 PCPs who reported they always or sometimes recommend physical activity to adults with arthritis. Most PCPs sampled (88.

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Article Synopsis
  • Arthritis is the leading cause of disability among U.S. adults for over 15 years, with annual costs exceeding $300 billion in 2013 and a projected 49% increase in prevalence by 2040.
  • Current data from 2016-2018 estimates that 58.5 million U.S. adults (23.7%) have arthritis, with 25.7 million (10.4% overall) experiencing arthritis-attributable activity limitation (AAAL), especially among those with physical limitations and poor health.
  • Strategies to lessen arthritis prevalence should focus on expanding evidence-based community interventions and addressing social factors affecting health, such as economic opportunities and mental health support.*
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The numerous health benefits of physical activity include reduced risk for chronic disease and improved mental health and quality of life (1). Physical activity can improve physical function and reduce pain and fall risk among adults with arthritis, a group of approximately 100 conditions affecting joints and surrounding tissues (most commonly osteoarthritis, fibromyalgia, gout, rheumatoid arthritis, and lupus) (1). Despite these benefits, the 54.

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Purpose: To examine primary care providers' (PCPs) physical activity assessment and recommendation behaviors for adults with arthritis.

Design: Cross-sectional.

Setting: 2018 DocStyles online national market research survey of US physicians and nurse practitioners.

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Article Synopsis
  • A study examined opioid prescription use among U.S. adults with arthritis, revealing that 29.6% of these individuals received at least one prescription in 2015, nearly double the 15.4% prevalence among all adults.
  • Adults with arthritis accounted for over half (55.3%) of all adults prescribed opioids, with many receiving multiple prescriptions (43.2% had 4 or more).
  • The research identified strong links between the number of healthcare visits (both ambulatory and emergency room) and opioid prescriptions, highlighting the need for improved pain management strategies for this population.
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Objective: To examine the relationship between depressive symptoms, arthritis, and employment, and to determine whether this relationship differs across young, middle-age, and older working-age adults with arthritis.

Methods: Data from the US National Health Interview Survey from 2013-2017 were analyzed. Analyses were restricted to adults with doctor-diagnosed arthritis of working age (ages 18-64 years) with complete data on depressive symptoms (n = 11,380).

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Background: Patients only benefit from clinical management of arthritis if they are under the care of a physician or other health professional.

Objectives: We profiled adults who reported doctor-diagnosed arthritis who are not currently being treated for it to understand better who they are.

Methods: Individuals with no current treatment (NCT) were identified by "no" to "Are you currently being treated by a doctor or other health professional for arthritis or joint symptoms?" Demographics, current symptoms, physical functioning, arthritis limitations and interference in life activities, and level of agreement with treatment and attitude statements were assessed in this cross-sectional, descriptive study of noninstitutionalized US adults aged 45 years or older with self-reported, doctor-diagnosed arthritis (n = 1793).

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Objective: Self-management education programs are recommended for many chronic conditions. We studied which adults with arthritis received a health care provider's recommendation to take a self-management education class and who attended.

Methods: We analyzed data from a 2005--2006 national telephone survey of US adults with arthritis ≥45 years ( = 1793).

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Background: Quantifying the number of people with and types of disabilities is helpful for medical, policy, and public health planning.

Objective/hypothesis: To update prior estimates on types, prevalence, and main causes of disability among U.S.

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Objective: Walking is a joint-friendly activity for adults with arthritis. The aim of this study was to estimate, among adults with arthritis, the prevalence of leisure and transportation walking overall (by arthritis status and by sociodemographic and health characteristics), the number of total minutes walking per week in each domain, and the distributions of walking bout length (i.e.

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Problem/condition: Doctor-diagnosed arthritis is a common chronic condition affecting an estimated 23% (54 million) of adults in the United States, greatly influencing quality of life and costing approximately $300 billion annually. The geographic variations in arthritis prevalence, health-related characteristics, and management among states and territories are unknown. Therefore, public health professionals need to understand arthritis in their areas to target dissemination of evidence-based interventions that reduce arthritis morbidity.

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Rural populations in the United States have well documented health disparities, including higher prevalences of chronic health conditions (1,2). Doctor-diagnosed arthritis is one of the most prevalent health conditions (22.7%) in the United States, affecting approximately 54.

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Background: Chronic conditions are among the major causes of work disability (WD), which is associated with lower employment, less economic activity, and greater dependence on social programs, while limiting access to the benefits of employment participation.

Objective/hypothesis: We estimated the overall prevalence of WD among working-age (18-64 years) U.S.

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Objective: To examine the association between arthritis diagnosis and education and employment participation among young adults, and to determine whether findings differ by self-rated health and age.

Methods: Data from the National Health Interview Survey, in the years 2009-2015, were combined and analyzed. The study sample was restricted to those ages 18-29 years, either diagnosed with arthritis (n = 1,393) or not (n = 40,537).

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Objective: Self-management education (SME) programs teach people with chronic conditions skills to manage their health conditions. We examined patterns in SME program participation among US adults with arthritis ages ≥18 years.

Methods: Respondents with arthritis were those who reported ever being diagnosed with arthritis by a doctor or health care provider.

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Introduction: Racial/ethnic disparities have been studied extensively. However, the combined influence of geographic location and economic status on specific health outcomes is less well studied. This study's objective was to examine 1) the disparity in chronic disease prevalence in the United States by county economic status and metropolitan classification and 2) the social gradient by economic status.

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Objective: To update the projected prevalence of arthritis and arthritis-attributable activity limitations among US adults, using a newer baseline for estimates.

Methods: Baseline prevalence data were obtained from the 2010-2012 National Health Interview Survey. Arthritis was defined as an answer of "yes" to the question "Have you ever been told by a doctor or other health professional that you have some form of arthritis, rheumatoid arthritis, gout, lupus or fibromyalgia?" Arthritis-attributable activity limitation was defined as an answer of "yes" to the question "Are you limited in any way in any of your usual activities because of arthritis or joint symptoms?" The baseline prevalence of arthritis and arthritis-attributable activity limitation was stratified according to age and sex and was statistically weighted to account for the complex survey design.

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