Yu Tong, Wei Zhen, Xu Tan, Gamber Michelle, Han Jingnan, Jiang Yan, Li Jian, Yang Daihe, Sun Wenjie
Department of Medical Insurance, School of Humanities and Management, Wannan Medical College, Wuhu.
The Second Affiliated Hospital of Fujian Traditional Chinese Medical University, Fuzhou.
Medicine (Baltimore). 2020 Mar;99(12):e19454. doi: 10.1097/MD.0000000000019454.
Pain is a significant burden among different communities, but little is known regarding the epidemiology of pain, particularly with respect to socioeconomic status (SES).The aim of the study was to estimate the prevalence of body pain and to identify risk factors of pain in middle-aged and older Chinese.The data were extracted from the 2008 Chinese Suboptimal Health Study that consisted of 18,316 Chinese subjects aged 18 to 65 years. Information on SES including occupation and education levels and body pain were collected. A Likert scale was used to evaluate reported body pain. We used the multiple logistic regression model to examine the association between SES and body pain.Overall, 65.34% reported body pain (male: 60.93%; female: 69.73%). After adjustments based on sex, age, education, area of residence, marital status, smoking, drinking and health status, the results showed that students (odds ratio [OR] = 1.51; 95% confidence interval [CI]: 1.32-1.74) and professionals (OR = 1.22; 95% CI: 1.08-1.37) had significant high risk for body pain, compared with civil servants and farmers (OR = 0.64; 95% CI: 0.55-0.75) who significantly lower risk of body pain. The study demonstrates there is a significant negative association between education and reported body pain.The results indicated an association between SES and body pain within the Chinese community. Body pain varied among different Chinese occupation-related population and people with higher education level are less like to have body pain.
疼痛在不同群体中是一个重大负担,但关于疼痛的流行病学,尤其是与社会经济地位(SES)相关的情况,人们了解甚少。本研究的目的是估计中国中老年人身体疼痛的患病率,并确定疼痛的风险因素。数据取自2008年中国亚健康研究,该研究包括18316名年龄在18至65岁的中国受试者。收集了包括职业和教育水平在内的社会经济地位信息以及身体疼痛情况。使用李克特量表评估所报告的身体疼痛。我们使用多元逻辑回归模型来检验社会经济地位与身体疼痛之间的关联。总体而言,65.34%的人报告有身体疼痛(男性:60.93%;女性:69.73%)。在根据性别、年龄、教育程度、居住地区、婚姻状况、吸烟、饮酒和健康状况进行调整后,结果显示,与公务员和农民(优势比[OR]=0.64;95%置信区间[CI]:0.55 - 0.75)相比,学生(OR=1.51;95% CI:1.32 - 1.74)和专业人员(OR=1.22;95% CI:1.08 - 1.37)身体疼痛的风险显著较高,而公务员和农民身体疼痛的风险显著较低。该研究表明教育与所报告的身体疼痛之间存在显著的负相关。结果表明中国社区内社会经济地位与身体疼痛之间存在关联。身体疼痛在不同的中国职业相关人群中有所不同,且教育水平较高的人身体疼痛的可能性较小。