dos Santos Franco Andrius Ache, de Souza Juliana Barcellos, Antes Danielle Ledur, d'Orsi Eleonora
Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.
Rev Bras Epidemiol. 2015 Jan-Mar;18(1):234-47. doi: 10.1590/1980-5497201500010018. Epub 2015 Mar 1.
To estimate the prevalence of chronic pain and its association with socioeconomic and demographic status, and leisure physical activity in the elderly population.
This study is part of an epidemiological cross-sectional population-based household survey called EpiFloripa Elderly 2009-2010, which was conducted with 1,705 elderly individuals (≥ 60 years) residents of Florianópolis, Santa Catarina. From the positive response to chronic pain, the associations with the variables were investigated through a structured interview. Descriptive statistics were conducted, including ratio calculation and 95% confidence intervals. In crude and adjusted analysis, Poisson regression was utilized, estimating prevalence ratios, with 95% confidence intervals and ≤ 0.05 p-values.
Among the subjects, 29.3% (IC95% 26.5 - 32.2) reported chronic pain. Adjusted analysis showed that being female, having less years of schooling, and being in worse economic situation were significantly associated with a higher prevalence of chronic pain. Being physically active during leisure time was significantly associated with lower prevalence of the outcome.
Therefore, it is clear that chronic pain affects a considerable amount of elderly individuals. Social inequalities are a harmful influence in these individuals' quality of life, inasmuch as those inequalities increase the frequency with which chronic pain afflicts them. At the same time, physical activity during leisure time decreases chronic pain frequency. It is fundamental that public health policies subsidize multidisciplinary pain management programs, which should include health targeted physical activity for the elderly, thus preventing the decrease in quality of life that chronic pain brings to this population.
评估老年人群中慢性疼痛的患病率及其与社会经济和人口统计学状况以及休闲体育活动的关联。
本研究是一项名为“2009 - 2010年弗洛里亚诺波利斯老年人群流行病学横断面家庭调查”的一部分，该调查针对圣卡塔琳娜州弗洛里亚诺波利斯市1705名60岁及以上的老年居民进行。对于慢性疼痛的阳性应答者，通过结构化访谈研究其与各变量的关联。进行了描述性统计，包括比率计算和95%置信区间。在粗分析和校正分析中，采用泊松回归，估计患病率比，并给出95%置信区间和p值≤0.05。
在研究对象中，29.3%（95%置信区间26.5 - 32.2）报告有慢性疼痛。校正分析表明，女性、受教育年限较少以及经济状况较差与慢性疼痛的较高患病率显著相关。休闲时间进行体育活动与该结果的较低患病率显著相关。
因此，显然慢性疼痛影响着相当数量的老年人。社会不平等对这些个体的生活质量有有害影响，因为这些不平等增加了他们遭受慢性疼痛的频率。同时，休闲时间的体育活动可降低慢性疼痛的频率。至关重要的是，公共卫生政策应为多学科疼痛管理项目提供支持，这些项目应包括针对老年人的健康定向体育活动，从而预防慢性疼痛给该人群带来的生活质量下降。
