How are socio-demographic and psycho-social factors associated with the prevalence and chronicity of severe pain in 14 different body sites? A cross-sectional population-based survey

被引:20
作者
Dorner, Thomas Ernst [1 ]
Stein, Katharina Viktoria [2 ]
Hahne, Julia [3 ]
Wepner, Florian [3 ]
Friedrich, Martin [3 ]
Mittendorfer-Rutz, Ellenor [4 ]
机构
[1] Med Univ Vienna, Inst Social Med, Ctr Publ Hlth, Kinderspitalgasse 15-1, A-1090 Vienna, Austria
[2] Int Fdn Integrated Care, Oxford Business Pk North,Garsington Rd 7200, Oxford, England
[3] Ctr Excellence Orthopaed Pain Management, Dept Orthopaed Pain Management, Spine Unit, Speisinger Str 109, A-1130 Vienna, Austria
[4] Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, Berzelius Vag 3, S-17177 Stockholm, Sweden
关键词
Epidemiology; Socio-economic; Chronic pain; Body location; Depression; LOW-BACK-PAIN; CHRONIC WIDESPREAD PAIN; LOW SOCIOECONOMIC-STATUS; QUALITY-OF-LIFE; MUSCULOSKELETAL PAIN; DISABILITY PENSION; EUROLIGHT PROJECT; SICKNESS ABSENCE; NEUROPATHIC PAIN; SWEDISH COHORT;
D O I
10.1007/s00508-017-1223-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Severe pain and chronic pain have a high impact on individuals and society. Body location of pain is important with regard to perception, articulation, and underlying biological, mental or social causes of pain. Methods A cross-sectional survey was performed in the general Austrian population with 15,474 personally interviewed subjects aged 15 years and older. Results The 1-year period prevalence of severe pain in any body site was 38.6% and of chronic pain 24.9%. In all, 8.1% had pain in at least three body sites. Subjects aged 65 years and older (52.2%), those with low education (43.4%), unemployed subjects (50.4%), retired subjects (52.4%), those with anxiety/depression (67.7%), and subjects with lack of social support (49.6%) were sub-populations with high pain prevalence. In multivariate analyses, depression/anxiety was associated with prevalence and chronicity of severe pain in all body sites (range of ORs 1.89-5.01), while such associations were found for lack of social support (range of ORs 1.33-1.65), female sex (range of ORs 1.38-2.34), higher age (range of ORs 1.09-1.18 for 5 year intervals), as well as low educational (range of ORs 1.47-2.06 primary vs. tertiary education) and unemployment status (range of ORs 1.50-2.62) in most body sites. Being born in non-EU or EFTA states was associated with pain in many body sites (range of ORs 1.38-2.10). Conclusions Psychosocial factors are associated with pain presence in similar ways irrespective of location. Regarding socio-demographic factors, differences towards the magnitude and the direction in the association with pain frequency and chronicity in different body sites emerged.
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页码:14 / 22
页数:9
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