Dominick Clare, Blyth Fiona, Nicholas Michael
Pain Management and Research Institute, University of Sydney, Australia.
N Z Med J. 2011 Jun 24;124(1337):63-76.
This study describes the prevalence and impact of chronic and recent pain in the New Zealand population and the groups most likely to report and use treatment for their chronic pain. Results are compared with international estimates.
Data from the 2006/07 New Zealand Health Survey were analysed covering chronic pain, sociodemographic characteristics, chronic pain treatment use and health related quality of life. Prevalence estimates are presented. Chi-squared and logistic regression analyses were used to identify factors most strongly associated with chronic pain.
One in six (16.9%) New Zealanders reported chronic pain. Prevalence increased with age from 8.6% to 28.1%. People in the lowest two levels of three economic living standards categories had much higher adjusted odds (3.5 and 1.9) of reporting chronic pain than those with high economic living standards. Pacific and Asian peoples had much lower odds of reporting chronic pain compared with European/Other. Over a third (36%) did not use any treatment for their chronic pain while nearly half (48%) used some form of medical treatment. People with greater severity of recent pain, women and older age groups had much higher odds of using medical treatment for their chronic pain. A substantial minority did not report any treatment for their chronic pain. Higher numbers of chronic pain sites and greater severity of recent pain were associated with much lower scores across all the SF-36 physical and mental health domains.
Patterns of chronic pain in the New Zealand are similar to those found internationally and indicate that chronic pain represents a major health issue in New Zealand.
本研究描述了新西兰人群中慢性疼痛和近期疼痛的患病率及影响，以及最有可能报告慢性疼痛并寻求治疗的群体。并将结果与国际估计数据进行比较。
分析了2006/07年新西兰健康调查的数据，内容涵盖慢性疼痛、社会人口学特征、慢性疼痛治疗的使用情况以及与健康相关的生活质量。给出了患病率估计值。采用卡方检验和逻辑回归分析来确定与慢性疼痛最密切相关的因素。
六分之一（16.9%）的新西兰人报告有慢性疼痛。患病率随年龄增长从8.6%升至28.1%。在三个经济生活水平类别中处于最低两个水平的人群报告慢性疼痛的调整后几率（分别为3.5和1.9）比经济生活水平高的人群高得多。与欧洲/其他族裔相比，太平洋和亚洲族裔报告慢性疼痛的几率要低得多。超过三分之一（36%）的慢性疼痛患者未接受任何治疗，而近一半（48%）使用了某种形式的药物治疗。近期疼痛更严重的人群、女性和老年人群体因慢性疼痛接受药物治疗的几率要高得多。相当一部分人未报告针对其慢性疼痛的任何治疗情况。慢性疼痛部位数量越多以及近期疼痛越严重，在SF - 36所有生理和心理健康领域的得分就越低。
新西兰慢性疼痛的模式与国际上发现的模式相似，表明慢性疼痛是新西兰的一个主要健康问题。
