{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T22:43:27Z","timestamp":1790981007346,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,3,9]],"date-time":"2017-03-09T00:00:00Z","timestamp":1489017600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To estimate prevalence of rheumatoid arthritis (RA), ankylosing spondylitis (AS), psoriatic disease (PsD), and crystal\u2010related arthritis and health care use for inflammatory arthritis in First Nations and non\u2013First Nations patients in Alberta, Canada.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Population\u2010based cohorts of adults with RA, AS, PsD, and crystal\u2010related arthritis were defined, with First Nations determination by premium payer status, to estimate prevalence rates. Rates of outpatient primary care, specialist visits, and hospitalizations (all\u2010cause, inflammatory\u2010arthritis specific) were estimated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>RA affected 3 times as many First Nations residents compared to non\u2013First Nations residents (standardized rate ratio [SRR] 3.2, 95% confidence interval [95% CI] 2.9\u20133.4). AS and PsD were more prevalent in First Nations (AS 0.6 per 100 residents; SRR 2.7, 95% CI 2.3\u20133.2 and PsD 0.3 per 100 residents; SRR 1.5, 95% CI 1.3\u20131.9), whereas crystal\u2010related arthritis was less prevalent (SRR 0.7, 95% CI 0.6\u20130.7). First Nations patients were more likely to have primary care visits (SRR 1.7, 95% CI 1.6\u20131.8) and less likely to have specialist visits (SRR 0.6, 95% CI 0.6\u20130.7) for RA relative to non\u2013First Nations individuals. In PsD and crystal\u2010related arthritis, First Nations people had higher rates of cause\u2010specific hospitalizations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The estimated prevalence of RA, AS, and PsD was higher in the First Nations population, while crystal\u2010related arthritis was less prevalent compared to the non\u2013First Nations population. First Nations people were more likely to see primary care physicians and were less likely to see specialists for inflammatory arthritis care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.22959","type":"journal-article","created":{"date-parts":[[2016,6,22]],"date-time":"2016-06-22T19:12:28Z","timestamp":1466622748000},"page":"467-474","source":"Crossref","is-referenced-by-count":55,"title":["Inflammatory Arthritis Prevalence and Health Services Use in the First Nations and Non\u2013First Nations Populations of Alberta, Canada"],"prefix":"10.1002","volume":"69","author":[{"given":"Cheryl","family":"Barnabe","sequence":"first","affiliation":[{"name":"University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Allyson","family":"Jones","sequence":"additional","affiliation":[{"name":"University of Alberta Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasha","family":"Bernatsky","sequence":"additional","affiliation":[{"name":"Research Institute of the McGill University Health Centre Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine A.","family":"Peschken","sequence":"additional","affiliation":[{"name":"University of Manitoba Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Don","family":"Voaklander","sequence":"additional","affiliation":[{"name":"University of Alberta Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Homik","sequence":"additional","affiliation":[{"name":"University of Alberta Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynden F.","family":"Crowshoe","sequence":"additional","affiliation":[{"name":"University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M.","family":"Esdaile","sequence":"additional","affiliation":[{"name":"University of British Columbia, Vancouver, Canada, Arthritis Research Centre of Canada, Richmond, British Columbia, Canada, and University of Queensland  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hani","family":"El\u2010Gabalawy","sequence":"additional","affiliation":[{"name":"University of Manitoba Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Hemmelgarn","sequence":"additional","affiliation":[{"name":"University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,9]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Life with arthritis in Canada: a personal and public health challenge","author":"Public Health Agency of Canada","year":"2010"},{"key":"e_1_2_6_3_1","first-page":"1145","article-title":"Arthritis in Aboriginal Manitobans: evidence for a high burden of disease","volume":"35","author":"Barnabe C","year":"2008","journal-title":"J Rheumatol"},{"key":"e_1_2_6_4_1","first-page":"22","article-title":"Arthritis in the Canadian Aboriginal population: North\u2010South differences in prevalence and correlates","volume":"31","author":"Ng C","year":"2010","journal-title":"Chron Dis Canada"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2005.12.010"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.110207"},{"key":"e_1_2_6_7_1","volume-title":"Comparison of Alberta population counts between the AHCIP registry and the 2006 census","author":"Alberta Health and Wellness","year":"2009"},{"key":"e_1_2_6_8_1","volume-title":"Defining and validating chronic diseases: an administrative data approach","author":"Lix L","year":"2006"},{"key":"e_1_2_6_9_1","volume-title":"Defining and validating chronic diseases: an administrative data approach","author":"Lix L","year":"2008"},{"key":"e_1_2_6_10_1","volume-title":"First Nations in Alberta: a focus on health service use","author":"Cardinal JC","year":"2004"},{"key":"e_1_2_6_11_1","volume-title":"First Nations health services study technical documentation","author":"Alberta Health and Wellness","year":"2004"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.080063"},{"key":"e_1_2_6_13_1","volume-title":"2006 Aboriginal population profile","author":"Statistics Canada","year":"2012"},{"key":"e_1_2_6_14_1","unstructured":"Statistics Canada. 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