Presentation: Factors Associated with Utilization of Arthritis Self-Help Programs in Michigan (2007)

721 Factors Associated with Utilization of Arthritis Self-Help Programs in Michigan

Purpose: To identify groups of people with arthritis who have been less likely to participate in arthritis self-management programs and to also characterize groups who reported a relatively higher degree of interest in using these programs.
Methods: Data in this analysis were taken from two telephone surveys of civilian, non-institutionalized adults in Michigan. The first: the Michigan Diabetes, Arthritis and Osteoporosis Survey was a survey of knowledge, opinions, health status and behaviors related to these diseases among a stratified random sample. African-Americans, Hispanics and persons age 45 and older were oversampled. The survey was conducted in November of 2004 through September of 2005 and yielded a final sample size of 2,656 completed interviews. Data from a similar but larger survey (n=6,000), the 2005 Michigan Behavioral Risk Factor Survey, were also utilized.
Results: A relatively low percentage of adult Michigan residents with self-reported doctor-diagnosed arthritis in 2005 (12.5%, 95% CI 10.9%-14.2%) indicated that they had ever taken an arthritis self-management class. Males, non-Hispanic whites, and persons who did not complete high school were less likely than females, non-Hispanic African-Americans and high school graduates, respectively, to report ever taking a class. During approximately the same time period, 47.5% (95% CI 42.4%-52.6%) of Michigan adults with arthritis reported that they would go to a class if it were near where they lived or worked. Persons with arthritis who were <65 years of age, non-Hispanic African-American, did not complete high school and reported household incomes <$35,000 reported higher levels of interest in these programs than other age, racial-ethnic, educational and income groups. The latter three groups also had higher prevalence rates of activity limitations due to their arthritis.
Conclusions: Arthritis self-management programs are underutilized by the Michigan adult population with arthritis, but nearly half of this population reported that they would use these programs if available locally. Strategic expansion of these programs should be targeted to groups of people with arthritis who currently have low levels of participation or high levels of interest. Persons who did not complete high school fall into both categories and would be optimal candidates for recruitment.

 P. DeGuire, None; E.C. Somers, None; S. Springer, None; J. Lyles, None.