RTI Health Solutions, Waltham, Massachusetts 02451, USA.
J Pain. 2010 Nov;11(11):1230-9. doi: 10.1016/j.jpain.2010.07.002. Epub 2010 Aug 25.
UNLABELLED: A cross-sectional, Internet-based survey was conducted in a nationally representative sample of United States (US) adults to estimate the point prevalence of chronic pain and to describe sociodemographic correlates and characteristics of chronic pain. The survey was distributed to 35,718 members (aged 18 years and older) of a Web-enabled panel that is representative of the US population, and 27,035 individuals responded. Crude and weighted prevalence estimates were calculated and stratified by age, sex, and type of chronic pain. The weighted point-prevalence of chronic pain (defined as chronic, recurrent, or long-lasting pain lasting for at least 6 months) was 30.7% (95% CI, 29.8-31.7). Prevalence was higher for females (34.3%) than males (26.7%) and increased with age. The weighted prevalence of primary chronic lower back pain was 8.1% and primary osteoarthritis pain was 3.9%. Half of respondents with chronic pain experienced daily pain, and average (past 3 months) pain intensity was severe (≥ 7 on a scale ranging from 0 to 10) for 32%. Multiple logistic regression analysis identified low household income and unemployment as significant socioeconomic correlates of chronic pain. Chronic pain is prevalent among US adults and is related to indicators of poorer socioeconomic status. PERSPECTIVE: The results of this cross-sectional Internet-based survey suggest a considerable burden of chronic pain in US adults. Chronic pain, experienced by about a third of the population, was correlated with indicators of poorer socioeconomic status. Primary chronic pain was most commonly attributed to lower back pain, followed by osteoarthritis pain.
未加标签:本研究在美国成年人中进行了一项基于互联网的横断面调查,以评估慢性疼痛的时点患病率,并描述其社会人口学相关性和慢性疼痛的特征。该调查向一个具有互联网接入功能的面板的 35718 名成员(年龄在 18 岁及以上)发放,该面板在美国人群中具有代表性,共有 27035 人做出回应。计算了未加权和加权的患病率估计值,并按年龄、性别和慢性疼痛类型进行分层。慢性疼痛(定义为持续、反复发作或持续至少 6 个月的疼痛)的加权时点患病率为 30.7%(95%CI,29.8-31.7)。女性(34.3%)的患病率高于男性(26.7%),且随年龄增长而升高。原发性慢性腰痛的加权患病率为 8.1%,原发性骨关节炎疼痛的加权患病率为 3.9%。有慢性疼痛的受访者中,有一半人每天都感到疼痛,过去 3 个月平均疼痛强度为重度(疼痛评分范围为 0 到 10,得分≥7)的占 32%。多变量逻辑回归分析确定低收入和失业是慢性疼痛的重要社会经济相关性因素。慢性疼痛在美国成年人中较为普遍,与较差的社会经济地位指标相关。
观点:本基于互联网的横断面调查结果表明,美国成年人慢性疼痛负担相当大。约三分之一人群经历的慢性疼痛与较差的社会经济地位指标相关。原发性慢性疼痛最常见的病因是腰痛,其次是骨关节炎疼痛。
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