Neighbourhood socioeconomic status and pain among older adults—A cross-sectional study

IF 3.5 2区医学 Q1 ANESTHESIOLOGY

European Journal of Pain Pub Date : 2024-01-12 DOI:10.1002/ejp.2238

Kenta Okuyama, Sven-Erik Johansson, Kristina Sundquist

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引用次数: 0

Abstract

Background

Pain is associated with falls, disability and a poor quality of life among older adults. It is highly prevalent in many societies, and studies have shown that pain could be preventable or managed more effectively at the population level. However, few studies have investigated who is at higher risk of pain in the general population, which is important for development of effective interventions. The purpose of this study was to investigate, by using nationally representative samples in Sweden, whether neighbourhood socioeconomic status (SES) is associated with pain among older adults after considering other important risk factors.

Methods

The study used the Statistics on Income and Living Conditions (EU-SILC), which is a nationwide annual survey of the living conditions of residents in Sweden. We used the data of individuals who were over 65 years of age between 2008 and 2013. Multivariable logistic regression was conducted to investigate the association between neighbourhood SES and severe pain.

Results

Those who resided in low SES neighbourhoods had a 30% higher odds of having severe pain than those who resided in high SES neighbourhoods after controlling for individual risk factors, such as the sex, age, individual SES, smoking, exercise habits and body mass index. Exercise was protective against severe pain.

Conclusion

Given the high prevalence of pain across populations, interventions targeting geographic areas (such as those in the current study) in combination with individual risk factors could be effective to reduce the burden of pain at the population level.

Significance

Those who reside in neighbourhoods with low SES may have higher risks of pain due to a lack of health-promoting resources as well as psychological stress. Further studies identifying the specific mechanisms behind the association between neighbourhood SES and pain would be useful in order to develop effective interventions.

Abstract Image

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老年人的邻里社会经济地位与疼痛--一项横断面研究。

背景：疼痛与老年人跌倒、残疾和生活质量低下有关。疼痛在许多社会中都非常普遍，研究表明，疼痛是可以预防的，或者可以在人群中得到更有效的控制。然而，很少有研究对普通人群中哪些人的疼痛风险较高进行调查，而这对于制定有效的干预措施非常重要。本研究的目的是通过瑞典具有全国代表性的样本，在考虑其他重要风险因素后，调查邻里社会经济地位（SES）是否与老年人的疼痛有关：研究使用了收入和生活条件统计（EU-SILC），这是一项关于瑞典居民生活条件的全国性年度调查。我们使用了 2008 年至 2013 年间 65 岁以上老年人的数据。我们采用了 2008 年至 2013 年期间 65 岁以上老年人的数据，并进行了多变量逻辑回归，以研究邻里社会经济地位与剧烈疼痛之间的关系：结果：在控制了性别、年龄、个人社会经济地位、吸烟、运动习惯和体重指数等个体风险因素后，居住在低社会经济地位社区的人患严重疼痛的几率比居住在高社会经济地位社区的人高出30%。运动对剧烈疼痛有保护作用：结论：鉴于疼痛在不同人群中的高发率，针对地理区域（如本研究中的地理区域）的干预措施与个体风险因素相结合，可有效减轻人群的疼痛负担：意义：由于缺乏促进健康的资源和心理压力，居住在社会经济地位低的社区的人可能会有更高的疼痛风险。进一步研究确定邻里社会经济地位与疼痛之间关系的具体机制将有助于制定有效的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Pain 医学-临床神经学

CiteScore

7.50

自引率

5.60%

发文量

163

审稿时长

4-8 weeks

期刊介绍： European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.

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