老年人疼痛、种族与步态速度缓慢之间的关联。
The association of pain, race and slow gait speed in older adults.
作者信息
Taylor Janiece L, Parker Lauren J, Szanton Sarah L, Thorpe Roland J
机构信息
School of Nursing, Johns Hopkins University, 525 North Wolfe St., Baltimore, MD 21205, USA.
Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe St., Baltimore, MD 21205, USA.
出版信息
Geriatr Nurs. 2018 Sep-Oct;39(5):580-583. doi: 10.1016/j.gerinurse.2018.04.004. Epub 2018 May 8.
Abstract
Gait speed is an important indicator of mobility and quality of life in older adults. Pain is related to gait speed; however, it is unknown if this relationship varies by race in a population based national sample. The aim of this study was to examine if the association between slow gait speed and pain differed between 7,025 older African Americans and non Hispanic Whites in the National Health and Aging Trends Study. Those with pain in the last month had higher odds of slow gait speed (odds ratio = 1.38, 95% confidence interval = 1.10 - 1.73) than those without pain. The relationship between pain and slow gait speed did not vary by race (interaction p = 0.6). This is important because it points to the underlying racial disparities in pain and gait speed being factors such as disparate opportunities and living conditions, and healthcare rather than attributes intrinsic to race.
摘要
步速是老年人活动能力和生活质量的重要指标。疼痛与步速相关；然而，在基于全国人口的样本中，这种关系是否因种族而异尚不清楚。本研究的目的是在《国家健康与老龄化趋势研究》中，调查7025名老年非裔美国人和非西班牙裔白人中，步态速度缓慢与疼痛之间的关联是否存在差异。过去一个月有疼痛的人步态速度缓慢的几率（优势比=1.38，95%置信区间=1.10-1.73）高于无疼痛的人。疼痛与步态速度缓慢之间的关系不因种族而有所不同（交互作用p=0.6）。这一点很重要，因为它指出疼痛和步态速度方面潜在的种族差异是由诸如机会和生活条件不同以及医疗保健等因素导致的，而非种族本身的固有属性。
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