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45至53岁成年人的身体疼痛强度及干扰情况:中国重庆的一项横断面调查

Body Pain Intensity and Interference in Adults (45-53 Years Old): A Cross-Sectional Survey in Chongqing, China.

作者信息

Xu Xianglong, Li Bing, Liu Lingli, Zhao Yong

机构信息

School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China.

Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China.

出版信息

Int J Environ Res Public Health. 2016 Sep 7;13(9):887. doi: 10.3390/ijerph13090887.

Abstract

Culture and national care models matter both in reporting and treatment of pain status. However, most findings on body pain intensity and interference in adults are from Western studies, with little reliable evidence from China. This study aimed to assess body pain intensity and interference and its associations with demographic, socioeconomic characteristics, and health behaviors in adults. A cross-sectional survey was performed to collect data from 1224 adults, who were recruited via multistage stratified random sampling. The SF-36 quality-of-life instrument was used to investigate body pain intensity and interference. Ordinal logistic regression analysis was used in this study. Our results showed that 64.1% of the participants (males: 687; females: 537) reported body pain, and 45.7% of the participants reported body pain interference. Middle-aged respondents who were female, were unmarried/divorced or separated/widowed, had a negative relationship with their family, had poor sleep quality, and were not satisfied with their current living conditions had a higher body pain intensity rating (ordered logistic regression/six-level pain intensity criterion; odds ratios, p < 0.05). Respondents who were unmarried/divorced or separated/widowed, with a low education level, were unemployed, had lower incomes, had a negative relationship with their family, and were not satisfied with their current living conditions had a higher body pain interference rating (ordered logistic regression/five-level pain interference criterion; odds ratios, p < 0.05). In conclusion, an estimated 64.1% of middle-aged adults reported body pain, and 45.7% of middle-aged adults reported body pain interference. These results provide a clue for possible interventions for improving body pain intensity and interference in adults, especially among middle-aged people. These factors should be taken into consideration in the prevention of pain, pain management and treatment planning in order to help relieve the stress of pain among adults.

摘要

文化和国家护理模式在疼痛状况的报告和治疗中都很重要。然而,关于成人身体疼痛强度和干扰的大多数研究结果都来自西方研究,来自中国的可靠证据很少。本研究旨在评估成人的身体疼痛强度和干扰及其与人口统计学、社会经济特征和健康行为的关联。通过多阶段分层随机抽样招募了1224名成人,进行了横断面调查以收集数据。使用SF-36生活质量量表来调查身体疼痛强度和干扰。本研究采用有序逻辑回归分析。我们的结果显示,64.1%的参与者(男性:687人;女性:537人)报告有身体疼痛,45.7%的参与者报告有身体疼痛干扰。女性、未婚/离婚或分居/丧偶、与家人关系不好、睡眠质量差且对当前生活条件不满意的中年受访者身体疼痛强度评分较高(有序逻辑回归/六级疼痛强度标准;优势比,p<0.05)。未婚/离婚或分居/丧偶、教育水平低、失业、收入低、与家人关系不好且对当前生活条件不满意的受访者身体疼痛干扰评分较高(有序逻辑回归/五级疼痛干扰标准;优势比,p<0.05)。总之,估计64.1%的中年成人报告有身体疼痛,45.7%的中年成人报告有身体疼痛干扰。这些结果为改善成人尤其是中年人的身体疼痛强度和干扰的可能干预措施提供了线索。在预防疼痛、疼痛管理和治疗规划中应考虑这些因素,以帮助减轻成人的疼痛压力。

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