Research Centre for Health Promotion and Resources HiST/NTNU, Sør-Trøndelag, University College, Faculty of Nursing, N-7004 Trondheim, Norway.
BMC Womens Health. 2012 Mar 29;12:7. doi: 10.1186/1472-6874-12-7.
Women in deprived socioeconomic situations run a high pain risk. Although number of pain sites (NPS) is considered highly relevant in pain assessment, little is known regarding the relationship between socioeconomic conditions and NPS.
The study population comprised 653 women; 160 recurrence-free long-term gynecological cancer survivors, and 493 women selected at random from the general population. Demographic characteristics and co-morbidity over the past 12 months were assessed. Socioeconomic conditions were measured by Socioeconomic Condition Index (SCI), comprising education, employment status, income, ability to pay bills, self-perceived health, and satisfaction with number of close friends. Main outcome measure NPS was recorded using a body outline diagram indicating where the respondents had experienced pain during the past week. Chi-square test and forward stepwise logistic regression were applied.
There were only minor differences in SCI scores between women with 0, 1-2 or 3 NPS. Four or more NPS was associated with younger age, higher BMI and low SCI. After adjustment for age, BMI and co-morbidity, we found a strong association between low SCI scores and four or more NPS, indicating that there is a threshold in the NPS count for when socioeconomic determinants are associated to NPS in women.
处于贫困社会经济环境中的女性面临着较高的疼痛风险。尽管疼痛部位数量（NPS）在疼痛评估中被认为具有高度相关性，但关于社会经济状况与 NPS 之间的关系知之甚少。
研究人群包括 653 名女性；160 名无复发的长期妇科癌症幸存者，以及从普通人群中随机选择的 493 名女性。评估了人口统计学特征和过去 12 个月的合并症。社会经济状况通过社会经济状况指数（SCI）来衡量，包括教育、就业状况、收入、支付账单的能力、自我感知健康状况和对亲密朋友数量的满意度。主要结局测量指标 NPS 使用身体轮廓图记录，图中标示了受访者在过去一周经历疼痛的部位。采用卡方检验和逐步向前逻辑回归进行分析。
NPS 为 0、1-2 或 3 的女性之间的 SCI 评分差异较小。4 个或更多 NPS 与年龄较小、BMI 较高和 SCI 较低相关。在调整年龄、BMI 和合并症后，我们发现 SCI 评分较低与 4 个或更多 NPS 之间存在强烈关联，表明在 NPS 计数中存在一个阈值，当社会经济决定因素与女性的 NPS 相关时，就会出现这种关联。
