DefinitionIndividuals with arthritis who reported having poor mental health defined as seven or more days when their mental health was not good during the past 30 days.
NumeratorNumber of survey respondents who reported doctor-diagnosed arthritis and seven or more days when their mental health was not good in the past 30 days.
DenominatorTotal number of respondents who reported they had some form of arthritis. Responses of "Don't know/Not Sure," "Refused," and those with "Missing" responses were excluded.
Data Interpretation IssuesThe estimates used in this report are based on self-reported data. Such reported information has been shown to be acceptable for surveillance purposes.
Why Is This Important?Having a long-term illness such as arthritis may contribute to stress, depression, and problems with emotions. Adults with arthritis are limited in their everyday activities, have lower employment than those without arthritis, and have other chronic diseases such as diabetes or heart disease.^1^ All of these integrated factors may impact their mental and emotional well-being. In addition, poor mental health can exacerbate functional disabilities, affect adherence to treatment, and be a barrier to self-care.
Health care providers can help by screening all adults with arthritis for depression, anxiety, and other emotional problems. Health care providers can also refer those suffering from arthritis and other chronic conditions to a Living Well with Chronic Disease Workshop or exercise classes that help participants learn techniques to deal with problems such as frustration, fatigue, pain and isolation and that improve their quality of life. These workshops are not meant to replace existing treatment, but rather to support it. Schedules and locations of the workshops and classes can be found at:
1. Centers for Disease Control and Prevention (2017, March 7). Arthritis in America. Retrieved from [https://www.cdc.gov/vitalsigns/pdf/2017-03-vitalsigns.pdf]
Healthy People Objective AOCBC-5:Reduce the proportion of adults with doctor-diagnosed arthritis who report serious psychological distress
U.S. Target: 6.6 percent
How Are We Doing?In 2017, adults with arthritis were more likely to report seven or more days of poor mental health in the past 30 days (28.5 percent) compared to adults without arthritis (15.2 percent; age-adjusted rates). Women with arthritis are even more likely to report poor mental health (34.4 percent) than men (21.6 percent).
Younger persons with arthritis also report poor mental health more often than their older counterparts. Among adults ages 18-34 years old with arthritis, 41.7 percent reported seven or more days of poor mental health compared to 12.4 percent among adults aged 65 and older with arthritis (2015-2017 combined data). The increased risk of poor mental health for women with arthritis compared to men with arthritis is seen across all age groups.
What Is Being Done?The Utah Arthritis Program focuses on measuring the occurrence of arthritis in Utah, increasing arthritis awareness and educational opportunities, and promoting participation in programs proven to help persons with arthritis, pain, and other chronic conditions.
Additionally, the Utah Arthritis Program supports health systems, clinics, and physicians use strategies and resources that support healthcare provider-patient counseling to increase physical activity and referrals to the evidence-based workshops and exercise classes [https://www.selfmanagementresource.com/programs/small-group/chronic-disease-self-management/ proven] to help patients improve their mental and physical health. Physicians can use the [http://livingwell.utah.gov/docs/physicianPortal_Instructions.pdf Living Well physician portal] to refer patients to the evidence-based classes.
Evidence-based PracticesThe Utah Arthritis Program partners with healthcare, nonprofit, and government organizations across Utah to deliver evidence-based workshops to help people better manage arthritis, pain, and other chronic conditions. Schedules and locations of these workshops can be found at [http://livingwell.utah.gov/].
The UAP recommends and supports the *Chronic Disease Self-Management Programs, EnhanceFitness, Walk With Ease, Living Well with a Disability, and the Arthritis Foundation Exercise Program which have been proven to improve the quality of life for people with arthritis and other chronic conditions.
*Chronic Disease Self-Management programs include:[[br]]
- Chronic Disease Self-Management Program (CDSMP) as known as Living Well with Chronic Conditions[[br]]
- Diabetes Self-Management Program (DSMP) also known as Living Well with Diabetes[[br]]
- Chronic Pain Self-Management Program (CPSMP) also known as Living Well with Chronic Pain[[br]]
- Tomando Control de su Salud (Spanish CDSMP)[[br]]
- Better Choices Better Health (online CDSMP)[[br]]
For additional information on these programs visit [https://www.cdc.gov/arthritis/interventions/index.htm] or [http://livingwell.utah.gov/].
Health Program InformationThe vision of the Utah Arthritis Program is to increase self-management skills and improve the quality of life for all Utahns affected by arthritis and other chronic conditions.
The Utah Arthritis Program provides technical assistance and coordination to increase awareness, expand reach, and achieve sustainability of evidence-based self-management programs for all Utahns affected by arthritis and other chronic conditions through statewide [https://arthritis.health.utah.gov/partners/ partnerships].
Contact email@example.com for questions about providing, referring, or increasing physician counseling for patients into evidence-based programs.