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Differences in Self-Reported Health in the Osteoarthritis Initiative (OAI) and Third National Health and Nutrition Examination Survey (NHANES-III)

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  • William M Reichmann
  • Jeffrey N Katz
  • Elena Losina

Abstract

Objective: To assess self-reported health status (SRHS) in two cohorts of participants with radiographic knee osteoarthritis (OA) and examine the extent that differences in SRHS are due to study design. Method: We used data from the Third National Health and Nutritional Examination Survey (NHANES-III; population-based national survey) and the Osteoarthritis Initiative (OAI; prospective cohort study). Inclusion criteria for this analysis were age 60–79 and presence of radiographic knee OA. SRHS, elicited as a five-item domain (excellent, very good, good, fair, poor), was analyzed by dichotomizing the general health status measure as “fair/poor” versus all other states. We estimated the proportion of participants in fair/poor health from each study. Propensity score methodology was used to adjust for the differences in sampling strategies between the two studies. Results: Thirty-four percent (N = 1,608) of OAI and 29% (N = 756) of NHANES-III participants satisfied inclusion criteria. The proportion in fair/poor health was higher in NHANES-III (28%) than in OAI (5%). After adjusting for the propensity score, the proportion in fair/poor health was four times higher in NHANES-III than in OAI. Conclusion: SRHS was substantially better in OAI than in NHANES-III. Self-selection bias may contribute to overestimation of SRHS in prospective cohort studies such as OAI.

Suggested Citation

  • William M Reichmann & Jeffrey N Katz & Elena Losina, 2011. "Differences in Self-Reported Health in the Osteoarthritis Initiative (OAI) and Third National Health and Nutrition Examination Survey (NHANES-III)," PLOS ONE, Public Library of Science, vol. 6(2), pages 1-7, February.
    • Handle: RePEc:plo:pone00:0017345
    DOI: 10.1371/journal.pone.0017345
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    1. McCallum, J. & Shadbolt, B. & Wang, D., 1994. "Self-rated health and survival: A 7-year follow-up study of Australian elderly," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1100-1105.
    2. Dennis G. Fryback & Erik J. Dasbach & Ronald Klein & Barbara E.K. Klein & Norma Dorn & Kathy Peterson & Patrica A. Martin, 1993. "The Beaver Dam Health Outcomes study," Medical Decision Making, , vol. 13(2), pages 89-102, June.
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    1. Tae Keun Yoo & Deok Won Kim & Soo Beom Choi & Ein Oh & Jee Soo Park, 2016. "Simple Scoring System and Artificial Neural Network for Knee Osteoarthritis Risk Prediction: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-17, February.

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