The Burden of Chronic Pain on Women: A Secondary Analysis of Data From the National Study on Disability (ENDISC) in Chile

IF 3.4 2区医学 Q1 ANESTHESIOLOGY

European Journal of Pain Pub Date : 2025-07-15 DOI:10.1002/ejp.70080

Marina Carvalho Arruda Barreto, Mariana Arias Ávila, Ricardo Cartes-Velásquez, Shamyr Sulyvan de Castro

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引用次数: 0

Abstract

Background

Chronic pain is a prevalent condition that disproportionately affects women, significantly impairing their functioning. Understanding its prevalence and impact is essential for designing effective interventions. This study aimed to determine the prevalence of chronic pain among women and assess its effects on functioning.

Methods

This cross-sectional analysis utilised data from the National Study on Disability (ENDISC-2022) in Chile, focusing on women aged 18 years and older. Chronic pain was assessed through self-reported data, and functioning was evaluated using performance indicators derived from the Model Disability Survey (MDS). Generalised Linear Models (GLM) were applied to examine associations with sociodemographic and psychosocial variables, and stratified analyses compared women with and without chronic pain.

Results

Among the 30,010 participants in the ENDISC study, 14.8% reported chronic pain, with 67.1% of those affected being women. Women experiencing chronic pain exhibited significantly poorer performance scores across all evaluated domains compared to their counterparts without pain. The GLM regression analysis revealed that women with chronic pain had a significantly higher risk of worse functioning scores compared to those without chronic pain.

Conclusions

Sociodemographic factors such as age, education level, and employment status further influenced outcomes, underscoring the vulnerability of women with chronic pain. Chronic pain is a significant and pervasive issue among women in Chile, markedly impairing their functioning and well-being. Gender-sensitive approaches and policies are crucial to reducing the burden of chronic pain and improving the quality of life for affected women, particularly those in vulnerable sociodemographic groups.

Significance

The findings highlight the need for targeted interventions that address the multifaceted nature of chronic pain, including its physical, psychological, and social dimensions in women with pain and a more sensitive look at the difficulties encountered by this population, such as work issues.

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慢性疼痛对女性的负担：对智利国家残疾研究（ENDISC）数据的二次分析

慢性疼痛是一种普遍的疾病，对女性的影响尤为严重，严重损害了她们的功能。了解其流行程度和影响对于设计有效的干预措施至关重要。本研究旨在确定女性慢性疼痛的患病率，并评估其对功能的影响。该横断面分析利用了智利国家残疾研究（ENDISC-2022）的数据，重点关注18岁及以上的女性。慢性疼痛通过自我报告的数据进行评估，功能使用来自模型残疾调查（MDS）的性能指标进行评估。应用广义线性模型（GLM）来检查与社会人口学和心理社会变量的关联，并对有和没有慢性疼痛的女性进行分层分析。结果在ENDISC研究的30,010名参与者中，14.8%的人报告了慢性疼痛，其中67.1%的患者是女性。与没有疼痛的女性相比，经历慢性疼痛的女性在所有评估领域的表现得分都明显较差。GLM回归分析显示，与没有慢性疼痛的女性相比，患有慢性疼痛的女性有明显更高的功能评分风险。结论年龄、教育程度和就业状况等社会人口因素进一步影响了结果，强调了慢性疼痛妇女的易感性。慢性疼痛是智利妇女普遍存在的严重问题，严重影响她们的身体机能和健康。对性别问题敏感的做法和政策对于减轻慢性疼痛负担和改善受影响妇女的生活质量至关重要，特别是弱势社会人口群体中的妇女。研究结果强调了有针对性的干预措施的必要性，以解决慢性疼痛的多面性，包括疼痛女性的身体、心理和社会层面，以及更敏感地看待这一人群遇到的困难，如工作问题。

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.