Arthritis in Indian Country: Determining the Prevalence and Effects

Abstract

Objectives: This project was designed to determine the prevalence of selfreported arthritis and its effect on the daily lives of Chippewa Indian people on tribal lands in WI. 2 Design and Methods: After review and approval by the LCO Tribal Council and University Human Subjects Committee, interviews with randomly selected tribal residents, followed by focus groups and medical chart reviews were done. Results: Eighty-one percent (n=82) of the eligible sample were interviewed. Fifty-six percent (n=46) of them self-reported a diagnosis of arthritis, either by physician report or description of symptoms confirmed by a rheumatologist. Eighty percent of this group (n=37) reported limitations in their activities that can be attributed to arthritis. Only half of the medical charts included the diagnosis of arthritis or any tests to document its diagnosis. Conclusions: In this Chippewa population, the prevalence of and limitations due to arthritis are extremely high. Reasons for this need further investigation. The implications of these findings for Tribal and health planning include housing, community activities, and medical services needed to accommodate the needs of this group.