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50 岁及以上欧洲成年人疼痛患病率趋势,2004 年至 2015 年。

Trends in Pain Prevalence among Adults Aged 50 and Older across Europe, 2004 to 2015.

机构信息

3684Mount Saint Vincent University, Canada.

6221University of Western Ontario, Canada.

出版信息

J Aging Health. 2020 Dec;32(10):1419-1432. doi: 10.1177/0898264320931665. Epub 2020 Jun 25.


DOI:10.1177/0898264320931665
PMID:32583713
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11580092/
Abstract

We examine recent trends in pain prevalence among adults aged 50+ across Europe. Data for 15 countries from the Survey of Health, Ageing, and Retirement in Europe are examined for two periods: 2004-2011 and 2013-2015. Trends are shown descriptively, using a multilevel modeling strategy controlling for covariates, and modeled on a country-specific basis. Population-level pain prevalence ranges from about 30% to about 60% depending on the country and year. Pain is more prevalent in women and generally increases with age. There is an increase in prevalence over time, net of age, and other predictors. Prevalence increased with an annual average of 2.2% between 2004 and 2011 and 5.8% between 2013 and 2015, in fully adjusted models. Trends in pain prevalence have implications for disability, healthcare utilization, productivity, and population health. These findings are not optimistic but align with other population-wide studies, suggesting a global trend of rising pain prevalence.

摘要

我们考察了欧洲 50 岁以上成年人的疼痛患病率的最新趋势。 研究分析了来自欧洲健康、老龄化和退休调查的 15 个国家在两个时期的数据:2004-2011 年和 2013-2015 年。采用多水平建模策略,控制协变量,对每个国家的数据进行描述性分析。 根据国家和年份的不同,人群水平的疼痛患病率范围从约 30%到约 60%。疼痛在女性中更为普遍,且通常随年龄增长而增加。在控制年龄和其他预测因素后,疼痛的患病率随时间呈上升趋势。在完全调整的模型中,2004 年至 2011 年期间,疼痛患病率每年平均增长 2.2%,2013 年至 2015 年期间每年平均增长 5.8%。 疼痛患病率的趋势对残疾、医疗保健利用、生产力和人口健康都有影响。这些发现并不乐观,但与其他全人群研究一致,表明疼痛患病率上升是一个全球性趋势。

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本文引用的文献

[1]
The European epidemic: Pain prevalence and socioeconomic inequalities in pain across 19 European countries.

Eur J Pain. 2019-9

[2]
Eighteen-Year Trends in the Prevalence of, and Health Care Use for, Noncancer Pain in the United States: Data from the Medical Expenditure Panel Survey.

J Pain. 2019-1-15

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J Pain. 2018-11-29

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Pain. 2018-9

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Persistent, Consistent, and Extensive: The Trend of Increasing Pain Prevalence in Older Americans.

J Gerontol B Psychol Sci Soc Sci. 2020-1-14

[6]
Chronic musculoskeletal pain in European older adults: Cross-national and gender differences.

Eur J Pain. 2017-12-12

[7]
Racial and Socioeconomic Disparities in Disabling Chronic Pain: Findings From the Health and Retirement Study.

J Pain. 2017-7-29

[8]
Sociodemographic disparities in chronic pain, based on 12-year longitudinal data.

Pain. 2017-2

[9]
Chief Complaints of Elderly Individuals on Presentation to Emergency Department: A Retrospective Analysis of South Korean National Data 2014.

Asian Nurs Res (Korean Soc Nurs Sci). 2016-12

[10]
Higher Prescription Opioid Dose is Associated With Worse Patient-Reported Pain Outcomes and More Health Care Utilization.

J Pain. 2017-4

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