Department of Medicine, UNC Chapel Hill, North Carolina; Cecil G Sheps Center for Health Services Research, UNC Chapel Hill, North Carolina, USA.
J Pain. 2010 Apr;11(4):343-50. doi: 10.1016/j.jpain.2009.08.003. Epub 2009 Oct 22.
We analyzed a statewide survey of individuals with chronic back and neck pain to determine whether prevalence and care use varied by patient race or ethnicity. We conducted a telephone survey of a random sample of 5,357 North Carolina households in 2006. Adults with chronic (>3 months duration or >24 episodes of pain per year), impairing back or neck pain were identified and were asked to complete a survey about their health and care utilization. 837 respondents (620 white, 183 black, 34 Latino) reported chronic back or neck pain. Whites and blacks had similar rates of chronic back pain. Back pain prevalence was lower in Latinos (10.4% [9.3-11.6] vs 6.3% [3.8-8.8]), likely due to their younger age; and the prevalence of chronic, disabling neck pain was lower in blacks (2.5% [1.9-3.1] vs 1.1% [.04-1.9]). Blacks had higher pain scores in the previous 3 months (5.2 vs 5.9 P < .05), and higher Roland disability scores (0-23 point scale): 14.2 vs 16.8, P < .05. Care seeking was similar among races (83% white, 85% black, 72% Latino). Use of opioids was also similar between races, at 49% for whites, 52% for blacks, and trended lower at 35% for Latinos. We found few racial/ethnic differences in care seeking, treatment use, and use of narcotics for the treatment of chronic back and neck pain.
This article presents new, population-based data on the issue of racial and ethnic disparities in neck- and back-pain prevalence and care. Few disparities were found; care quality issues may affect all ethnic groups similarly. Previous findings of disparities in chronic-pain management may be decreasing, or may perhaps be site specific.
我们分析了一项针对患有慢性背痛和颈痛的个体的全州范围调查，以确定患者的种族或族裔是否会影响患病率和护理的使用情况。我们于 2006 年对北卡罗来纳州的 5357 户家庭进行了电话调查。确定患有慢性（>3 个月持续时间或>24 次疼痛发作/年）、有损伤的背痛或颈痛的成年人，并要求他们完成一项关于其健康和护理使用情况的调查。837 名受访者（620 名白人、183 名黑人、34 名拉丁裔）报告患有慢性背痛或颈痛。白人患者和黑人患者的慢性背痛发生率相似。拉丁裔患者的慢性背痛发生率较低（10.4%[9.3-11.6]比 6.3%[3.8-8.8]），这可能是由于他们更年轻；黑人患者的慢性、致残性颈痛发生率较低（2.5%[1.9-3.1]比 1.1%[0.04-1.9]）。在过去的 3 个月中，黑人患者的疼痛评分更高（5.2 比 5.9，P<0.05），且 Roland 残疾评分更高（0-23 分制）：14.2 比 16.8，P<0.05。不同种族患者寻求护理的情况相似（白人 83%，黑人 85%，拉丁裔 72%）。不同种族患者使用阿片类药物的情况也相似，白人患者为 49%，黑人患者为 52%，拉丁裔患者略低，为 35%。我们发现，在寻求护理、治疗使用以及使用阿片类药物治疗慢性背痛和颈痛方面，种族/民族差异很小。几乎没有发现差异；护理质量问题可能会以相似的方式影响所有族裔群体。以前发现的慢性疼痛管理方面的差异可能在减少，或者可能是特定部位的差异。
本文提供了关于颈痛和背痛患病率和护理方面种族和民族差异问题的新的、基于人群的资料。几乎没有发现差异；护理质量问题可能会以相似的方式影响所有族裔群体。以前发现的慢性疼痛管理方面的差异可能在减少，或者可能是特定部位的差异。
