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. 2018 Mar 16;67(4):1–28. doi: 10.15585/mmwr.ss6704a1

TABLE 12. Unadjusted and age-standardized* percentages of arthritis-attributable severe joint pain among adults aged ≥18 years with arthritis,§ by area — Behavioral Risk Factor Surveillance System, United States, 2015.

Area Weighted population with arthritis (rounded to 1,000s) Weighted population with arthritis and arthritis-attributable severe joint pain (rounded to 1,000s) Unadjusted % (95% CI) Age-standardized % (95% CI)
Alabama
1,248,000
433,000
39.2 (36.8–41.6)
39.7 (35.7–43.8)
Alaska
117,000



Arizona
1,222,000
328,000
30.6 (28.0–33.3)
32.9 (28.0–38.2)
Arkansas
672,000
218,000
36.3 (32.6–40.1)
41.6 (35.3–48.3)
California
5,719,000
1,510,000
30.2 (27.9–32.7)
29.3 (25.8–33.0)
Colorado
949,000
194,000
24.0 (21.9–26.2)
26.2 (22.3–30.4)
Connecticut
690,000
153,000
25.3 (23.3–27.4)
25.9 (22.3–29.8)
Delaware
207,000
57,000
30.8 (27.3–34.4)
31.6 (25.2–38.7)
District of Columbia
101,000
36,000
40.5 (35.0–46.3)
36.5 (26.5–47.9)
Florida
4,154,000
1,195,000
34.0 (31.5–36.6)
38.0 (32.7–43.7)
Georgia
1,890,000
573,000
34.1 (30.8–37.4)
31.2 (25.7–37.4)
Hawaii
211,000
41,000
21.7 (19.0–24.7)
23.6 (18.9–29.2)
Idaho
309,000
59,000
21.8 (19.1–24.9)
21.9 (17.4–27.3)
Illinois
2,308,000
576,000
27.4 (24.6–30.5)
24.4 (20.2–29.3)
Indiana
1,390,000
302,000
25.5 (22.8–28.4)
26.0 (20.6–32.2)
Iowa
619,000
122,000
22.3 (20.0–24.8)
24.3 (19.7–29.6)
Kansas
536,000
121,000
25.7 (24.4–27.1)
26.2 (23.8–28.6)
Kentucky
1,087,000
349,000
36.3 (33.5–39.1)
36.7 (32.0–41.7)
Louisiana
989,000
356,000
41.1 (37.8–44.4)
41.2 (35.8–46.9)
Maine
332,000
69,000
23.9 (21.6–26.3)
30.3 (25.6–35.4)
Maryland
1,096,000
249,000
26.1 (23.3–29.1)
28.5 (22.8–35.0)
Massachusetts
1,300,000
310,000
28.0 (25.4–30.8)
28.4 (24.1–33.2)
Michigan
2,305,000
605,000
28.7 (26.7–30.8)
30.5 (27.1–34.1)
Minnesota
907,000
181,000
21.8 (20.1–23.5)
23.3 (19.9–27.1)
Mississippi
647,000
270,000
45.5 (42.5–48.5)
46.0 (40.8–51.3)
Missouri
1,372,000
375,000
30.1 (27.6–32.8)
34.0 (29.2–39.2)
Montana
216,000
47,000
23.2 (20.5–26.1)
24.3 (19.7–29.6)
Nebraska
334,000
67,000
21.6 (19.9–23.5)
22.8 (19.4–26.6)
Nevada
477,000
130,000
30.6 (25.6–36.1)
30.2 (22.3–39.3)
New Hampshire
282,000
58,000
23.0 (20.7–25.6)
26.6 (21.6–32.3)
New Jersey
1,590,000
424,000
30.0 (27.5–32.6)
33.6 (28.9–38.7)
New Mexico
386,000
110,000
32.2 (29.3–35.2)
32.7 (27.4–38.5)
New York
3,629,000
821,000
30.9 (28.6–33.3)
32.3 (27.8–37.2)
North Carolina
2,089,000
687,000
35.8 (33.2–38.6)
34.5 (30.3–38.9)
North Dakota
134,000
21,000
19.2 (16.3–22.4)
23.4 (17.8–30.2)
Ohio
2,547,000
695,000
30.4 (28.1–32.8)
30.1 (25.8–34.6)
Oklahoma
813,000
259,000
35.0 (32.3–37.9)
36.9 (32.2–41.9)
Oregon
838,000
178,000
24.3 (21.6–27.2)
25.7 (21.2–30.8)
Pennsylvania
2,937,000
723,000
28.1 (25.5–30.9)
28.7 (23.9–34.0)
Rhode Island
226,000
59,000
29.9 (27.1–33.0)
34.7 (28.6–41.4)
South Carolina
1,105,000
361,000
36.1 (34.0–38.2)
36.7 (32.9–40.7)
South Dakota
158,000
36,000
24.1 (20.9–27.6)
27.3 (21.4–34.2)
Tennessee
1,630,000
481,000
34.2 (31.1–37.4)
35.3 (30.1–40.8)
Texas
4,055,000
1,138,000
33.3 (30.5–36.3)
32.0 (27.5–36.9)
Utah
407,000
77,000
21.2 (19.4–23.2)
20.3 (17.7–23.2)
Vermont
136,000
29,000
23.2 (20.8–25.9)
25.5 (21.0–30.7)
Virginia
1,513,000
381,000
27.5 (25.2–29.9)
26.7 (23.0–30.7)
Washington
1,346,000
282,000
23.0 (21.3–24.6)
22.7 (19.6–26.1)
West Virginia
557,000
204,000
39.8 (37.5–42.1)
41.6 (37.9–45.3)
Wisconsin
1,104,000
232,000
24.0 (21.3–27.0)
23.7 (19.1–28.9)
Wyoming
116,000
22,000
20.7 (17.7–24.2)
22.7 (17.3–29.3)
Median (Range)**


28.4 (19.2–45.5)
29.7 (20.3–46.0)
Guam
17,000
5,000
31.3 (24.0–39.6)
27.0 (19.8–35.8)
Puerto Rico 635,000 340,000 56.0 (52.9–59.0) 58.2 (52.1–64.1)

Abbreviation: CI = confidence interval.

* Age standardized to the 2000 U.S. projected population, using three age groups: 18–44, 45–64, and ≥65 years.

Respondents with arthritis who answered 7, 8, 9, or 10 to the question “Please think about the past 30 days, keeping in mind all of your joint pain or aching and whether or not you have taken medication. During the past 30 days, how bad was your joint pain on average? Please answer on a scale of 0 to 10 where 0 is no pain or aching and 10 is pain or aching as bad as it can be.” Severe joint pain was defined as a pain level of 7–10.

§ Doctor-diagnosed arthritis was defined as a yes response to the question “Has a doctor, nurse, or other health professional ever told you that you have some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?”

Estimates with a relative standard error ≥30% or unweighted denominator <50 were suppressed as unreliable.

** Median and range were calculated from estimates for the 50 states and the District of Columbia.