Being a woman is the primary risk factor for the rheumatic diseases, yet many researchers and clinicians seldom focus on the link between women and arthritis. This paper reviews the extent and impact of rheumatic disease on women, incidence and prevalence rates of selected rheumatic diseases with sex differences, the major findings of musculoskeletal epidemiologic studies including well-known risk factors, and current theories of the basis and rationale for sex differences. This basic foundation should indicate why it is important to consider women and rheumatic disease.Women are more susceptible than men to some rheumatic diseases. Also, there are rheumatic diseases in mates for a population, or information on the scope of the problem. These estimates are often difficult to provide in the rheumatic diseases, because the prevalence or incidence rates are not always population-based. Secondly, and perhaps more commonly, epidemiologic studies examine risk factors, leading to inferences on causality and perhaps allowing insight into disease biology, or encouraging preventive action through modification of risk factors. Third, rheumatic disease epidemiology allows one to look at social and functional consequences of disease.
Overall pattern of rheumatic diseasewhich women are more likely to develop more severe matic diseases vary between women and men, often differing with respect to susceptibility, underlying pathogenic mechanisms, or extent of disability. Bench sciences as well as rheumatic disease epidemiology provide additional insight to the explanation of these sex differences.Rheumatic disease epidemiology provides several vantage points to examine rheumatic diseases. First, epidemiologic studies may provide prevalence estiRheumatic disorders are extremely common, affectdifferent conditions (1,Z). Nearly one-third of United States adults are affected by arthritis signs or s~p -toms, such as swelling, pain, or limited range of motion (I), and arthritis is cited as the leading health problem for US adults over age 50 (3). More than two-thirds of those affected by rheumatic disease are women. Rheumatic diseases destroy joints, weaken bones and internal organs, adversely affect strength and independence, and can shorten life exuectancv. The symptoms* The extent and impact Of rheuing Over 37 million Americans, and include over 100