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慢性疼痛的患病率、治疗、认知及对生活活动的影响:基于巴西人群的调查

Prevalence of Chronic Pain, Treatments, Perception, and Interference on Life Activities: Brazilian Population-Based Survey.

作者信息

de Souza Juliana Barcellos, Grossmann Eduardo, Perissinotti Dirce Maria Navas, de Oliveira Junior Jose Oswaldo, da Fonseca Paulo Renato Barreiros, Posso Irimar de Paula

机构信息

Universidade Federal de Santa Catarina, Hospital Universitário, Florianópolis, SC, Brazil.

Sociedade Brasileira para o Estudo da Dor, São Paulo, SP, Brazil.

出版信息

Pain Res Manag. 2017;2017:4643830. doi: 10.1155/2017/4643830. Epub 2017 Sep 26.

Abstract

BACKGROUND AND OBJECTIVES

Chronic pain affects between 30% and 50% of the world population. Our objective was to estimate the prevalence of chronic pain in Brazil, describe and compare differences between pain types and characteristics, and identify the types of therapies adopted and the impact of pain on daily life.

METHODS

Cross-sectional study of a population-based survey with randomized sample from a private database. The interviews were conducted by phone. 78% of the respondents aged 18 years or more agreed to be interviewed, for a total of 723 respondents distributed throughout the country. Independent variables were demographic data, pain and treatment characteristics, and impact of pain on daily life. Comparative and associative statistical analyses were conducted to select variables for nonhierarchical logistic regression.

RESULTS

Chronic pain prevalence was 39% and mean age was 41 years with predominance of females (56%). We found higher prevalence of chronic pain in the Southern and Southeastern regions. Pain treatment was not specific to gender. Dissatisfaction with chronic pain management was reported by 49% of participants.

CONCLUSION

39% of interviewed participants reported chronic pain, with prevalence of females. Gender-associated differences were found in intensity perception and interference of pain on daily life activities.

摘要

背景与目的

慢性疼痛影响着全球30%至50%的人口。我们的目标是估计巴西慢性疼痛的患病率,描述并比较不同疼痛类型及特征之间的差异,确定所采用的治疗方法类型以及疼痛对日常生活的影响。

方法

基于一项来自私人数据库的随机抽样进行的全国性横断面研究。通过电话进行访谈。78%的18岁及以上受访者同意接受访谈,共有723名受访者分布在全国各地。自变量包括人口统计学数据、疼痛及治疗特征,以及疼痛对日常生活的影响。进行了比较性和关联性统计分析,以选择用于非分层逻辑回归的变量。

结果

慢性疼痛患病率为39%,平均年龄为41岁,女性占主导(56%)。我们发现南部和东南部地区慢性疼痛患病率较高。疼痛治疗不存在性别特异性。49%的参与者报告对慢性疼痛管理不满意。

结论

39%的受访参与者报告患有慢性疼痛,女性患病率较高。在疼痛强度感知以及疼痛对日常生活活动的干扰方面发现了与性别相关的差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6126/5634600/7be5b25e5cac/PRM2017-4643830.001.jpg

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