Riley Joseph L, Gilbert Gregg H
Division of Public Health Services and Research, College of Dentistry, University of Florida, Gainesville, 32610-0404, USA.
J Pain. 2002 Aug;3(4):284-91. doi: 10.1054/jpai.2002.124898.
This study investigated racial differences in the subjective report of orofacial pain in a stratified sample of adults dwelling in the community. The subjects were 724 participants in the Florida Dental Care Study, a longitudinal study of oral health among dentate adults aged 45 years and older at baseline. Pain prevalence and subjective ratings were assessed for a range of orofacial pain sites by means of a standardized telephone interview. The results suggest that white respondents were more likely to report painful oral sores than were black respondents (19.0% vs 6.3%). As was consistent with findings from patients seeking health care and laboratory-based experimental pain studies, a higher percentage of black subjects rated pain as severe enough to have an impact on behavior for temperature sensitivity (59.6% vs 30.3%), pain when chewing (70.0% vs 40.0%), and painful oral sores (53.8% vs 27.9%). These racial differences were most apparent within male sex for temperature sensitivity, pain when chewing, and toothache pain, with black men rating pain as more severe than white men. For jaw joint pain and painful oral sores, both black and white women rated pain as more severe than did white men. This study has documented race by sex interactions in the impact from orofacial pain across multiple symptoms in a community-based sample.
本研究调查了居住在社区的成年分层样本中口面部疼痛主观报告方面的种族差异。研究对象为佛罗里达牙科护理研究中的724名参与者，该研究是一项针对基线时年龄在45岁及以上有牙成年人的口腔健康纵向研究。通过标准化电话访谈，对口面部一系列疼痛部位的疼痛患病率和主观评分进行了评估。结果表明，白人受访者比黑人受访者更有可能报告口腔疼痛性溃疡（19.0%对6.3%）。与寻求医疗保健的患者以及基于实验室的实验性疼痛研究结果一致，更高比例的黑人受试者将温度敏感性疼痛、咀嚼时疼痛和口腔疼痛性溃疡的疼痛程度评为严重到足以影响行为（59.6%对30.3%、70.0%对40.0%、53.8%对27.9%）。这些种族差异在男性中对于温度敏感性疼痛、咀嚼时疼痛和牙痛最为明显，黑人男性对疼痛的评分比白人男性更高。对于颞下颌关节疼痛和口腔疼痛性溃疡，黑人女性和白人女性对疼痛的评分均比白人男性更高。本研究记录了在基于社区的样本中，口面部疼痛对多种症状的影响方面存在的性别与种族交互作用。
