Baker Tamara A
Center for Research on Ethnicity, Culture, and Health, School of Public Health, University of Michigan, Ann Arbor, Michigan 48104-3028, USA.
Ethn Dis. 2003 Fall;13(4):513-20.
Pain may affect racial and ethnic populations differently, while diminishing their physical and psychological health. Research also shows that the prevalence of pain is increasing in older Americans, yet few studies have examined factors associated with pain in older community-dwelling African Americans. This study examined the relationship between pain intensity, specific arthritis symptoms, and various demographic characteristics (eg, age, gender, education) as well as psychosocial factors (eg, depression) in a sample of older African Americans (N=176). Participants were older community-dwelling African Americans with a mean age of 70.1+/-9.01 years. Pain located in the knee(s) (77%) was the most frequently reported pain location. Joint pain (95%) was the most frequently reported arthritis symptom. The multivariate analysis showed that reporting more depressive symptoms and experiencing limited joint movement were significant indicators of pain intensity and accounted for 31% of its variation. The results of this study reinforce the importance of examining the relationship between pain, psychosocial factors, and demographic characteristics among older African Americans. Furthermore, this study identifies the need for continued research on the relationship between pain and various social and psychological factors in racially and ethnically diverse aging populations.
疼痛对不同种族和族裔人群的影响可能不同,同时会损害他们的身心健康。研究还表明,美国老年人中疼痛的患病率正在上升,但很少有研究探讨与社区居住的老年非裔美国人疼痛相关的因素。本研究在一个老年非裔美国人样本(N = 176)中,考察了疼痛强度、特定关节炎症状与各种人口统计学特征(如年龄、性别、教育程度)以及心理社会因素(如抑郁)之间的关系。参与者是社区居住的老年非裔美国人,平均年龄为70.1 ± 9.01岁。膝关节疼痛(77%)是最常报告的疼痛部位。关节疼痛(95%)是最常报告的关节炎症状。多变量分析表明,报告更多抑郁症状和关节活动受限是疼痛强度的显著指标,占其变异性的31%。本研究结果强化了考察老年非裔美国人疼痛、心理社会因素和人口统计学特征之间关系的重要性。此外,本研究确定了有必要继续研究种族和族裔多样化的老年人群中疼痛与各种社会和心理因素之间的关系。