性和性别少数人群局部和广泛的慢性疼痛- PRIDE研究的分析

Andrea L. Chadwick, Nadra E. Lisha, Micah E. Lubensky, Zubin Dastur, Mitchell R. Lunn, Juno Obedin-Maliver, Annesa Flentje
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引用次数: 0

摘要

在过去的几十年里,人们对慢性疼痛的性别相关差异(不考虑性别)进行了广泛的研究,研究对象主要是顺性人群(性别与出生时的生理性别相符的人)和异性恋人群。历史上,慢性疼痛在顺性女性中有较高的发病率和患病率,包括但不限于纤维肌痛、肠易激综合征和偏头痛。本研究的目的是利用PRIDE研究的数据来识别和描述SM和GM人群中慢性疼痛的存在和特征,PRIDE研究是第一个大规模的、长期的全国性队列健康研究,研究对象是女同性恋、男同性恋、双性恋、变性人、酷儿(LGBTQ+)或其他性取向或性别少数群体。在数据分析时,共有6189名成年参与者完成了PRIDE研究的2022年年度问卷调查。共有2462名(45.6%)参与者报告没有慢性疼痛,剩下2935名(54.6%)参与者报告有慢性疼痛。这项研究的结果强调了慢性疼痛在参加PRIDE研究的性少数和性别少数(SGM)成年人中存在的显著程度,慢性脊柱疼痛(颈椎、胸椎和腰椎)是最常见的疼痛部位/区域。值得注意的是,超过三分之一的非二元性人、跨性别男性和选择其他性别的人经历了慢性广泛性疼痛,定义为有3个或更多的慢性疼痛区域。慢性广泛性疼痛患病率最低的是跨性别女性和顺性别男性。当考虑到性取向时,广泛疼痛的患病率最高的是选择另一种性取向的参与者,其次是酷儿和无性恋/半性恋/灰色ace,慢性广泛疼痛的患病率最低的是那些自认为是直/异性恋、双性恋/泛性恋和同性恋者。未来的研究计划阐明各种生物心理社会机制如何影响SGM患者的慢性疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Localized and Widespread Chronic Pain in Sexual and Gender Minority People – An Analysis of The PRIDE Study
Sex-related differences (without taking gender into account) in chronic pain have been widely researched over the past few decades in predominantly cisgender (persons whose gender corresponds to their sex assigned at birth) and heterosexual populations. Historically, chronic pain conditions have a higher incidence and prevalence in cisgender women, including but not limited to fibromyalgia, irritable bowel syndrome, and migraine. The goal of the present study was to identify and characterize the presence and characteristics of chronic pain in SM and GM persons using data from The PRIDE Study, which is the first large-scale, long-term national cohort health study of people who identify as lesbian, gay, bisexual, transgender, queer (LGBTQ+), or as another sexual or gender minority person. A total of 6189 adult participants completed The PRIDE Study’s 2022 Annual Questionnaire at the time of data analysis. A total of 2462 (45.6%) participants reported no chronic pain, leaving 2935 (54.6%) participants who reported experiencing chronic pain. The findings from this study highlight that chronic pain is present to a significant degree in sexual and gender minority (SGM) adults who participated in The PRIDE Study with chronic spine pain (cervical, thoracic, and lumbar) being the most common location/region of pain. Notably, more than one-third of non-binary persons, transgender men, and people who selected another gender experienced chronic widespread pain, defined by having 3 or more total regions of chronic pain. The lowest prevalence of chronic widespread pain was among transgender women and cisgender men. When considering sexual orientation, the highest prevalence of widespread pain was in participants who selected another sexual orientation, followed by queer and asexual/demisexual/gray-ace, with the lowest prevalence of chronic widespread pain being in those who identify as straight/heterosexual, bisexual/pansexual, and gay/lesbian. Future studies are planned to elucidate how a variety of biopsychosocial mechanisms may influence chronic pain in SGM persons.
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