IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-6-19608 Original Research Paper ASSOCIATION OF HISTORY OF DISEASES/LIFESTYLE WITH TREATMENT DELAY IN RHEUMATOID ARTHRITIS PATIENTS Arup Mahapatra Dr. Dr Bhaskar Thakur Dr. June 2019 8 6 01 02 ABSTRACT

Introduction: Rheumatoid arthritis (RA) is a chronic systemic autoimmune inflammatory disease that affects mainly the small joints of the hands and feet. RA is one of the most common inflammatory joint diseases and causes premature mortality, disability and compromised quality of life. RA is widely prevalent throughout the world. RA affects approximately 1% of the adult population in general, but this percentage increases with age. Women suffer three times more often than men in rheumatoid arthritis. The authors discuss one class of barriers in help seeking of RA which are due history of diseases and lifestyles which are high risk factors of RA. Aims & Objectives: The aims and objectives of the study are to identify the time interval between onset of symptom and presentation to a health care provider (rheumatologist) among RA patients and to analyze delay in help seeking due to history of diseases and lifestyle of RA patients before seeing the doctor. Materials & Methods: The study tool consisted of a predesigned pretested questionnaire. Data collected were fed in Microsoft Excel and the analysis was carried out using standard statistical software Stata 15.1. Results: Majority of participants tried to delay consulting rheumatologist who had a history of diseases or lifestyles having high risk of developing RA. There was a significant association between menopause with treatment delay (p≤0.05). Conclusion: The RA patients may be educated to promptly consult a rheumatologist if they have a history of diseases or adapting to lifestyles which has high risk to RA, because comorbid conditions can delay treatment outcome.