title: Quality of life in American Indian women with arthritis or diabetes.
abstract: OBJECTIVE
  We investigated quality of life (QOL) in American Indian women with different chronic diseases.
  
  
  METHODS
  Sixty American Indian women with diabetes mellitus (DM), rheumatoid arthritis (RA), or both DM and RA (DM + RA), and healthy control women received evaluations of joint motion, hand strength dexterity, pain, activity and participation limitations and QOL.
  
  
  RESULTS
  The DM + RA and RA groups had significantly more pain, less joint motion, decreased hand strength, and more activity limitations. Participation was similar for all groups except the DM + RA group. Past and present QOL were similar; however, the DM + RA group reported significantly decreased future QOL.
  
  
  CONCLUSIONS
  Results suggest that the presence of more than one chronic disease affects activity and participation. Factors that related to QOL were different for each disease group, with the exception of pain. Identification of factors related to QOL can help occupational therapists identify areas for intervention.
authors.affiliation: Department of Pediatrics, Occupational Therapy Graduate Program, University of New Mexico, MSCO9 5240, Albuquerque, NM 87131-0001, USA. jpoole@salud.unm.edu
authors.forename: Janet L
authors.initials: JL
authors.lastname: Poole
authors.forename: Jennifer Schukar
authors.initials: JS
authors.lastname: Cordova
authors.forename: Wilmer L
authors.initials: WL
authors.lastname: Sibbitt
authors.forename: Betty
authors.initials: B
authors.lastname: Skipper
mesh_terms: D000328:Adult; D001168:Arthritis / Q000208:ethnology / Q000523:psychology*; D001294:Attitude to Health; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000208:ethnology / Q000523:psychology*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D008875:Middle Aged; D011788:Quality of Life