Axon David R, Chien Jonathan
College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA.
Behav Sci (Basel). 2021 Feb 5;11(2):23. doi: 10.3390/bs11020023.
Poor mental health is common among older adults with pain, resulting in high economic burden and impaired quality of life. This retrospective, cross-sectional database study aimed to identify characteristics associated with good mental health status among United States (US) adults aged ≥50 years with self-reported pain in the last four weeks using a weighted sample of 2017 Medical Expenditure Panel Survey data. Hierarchical multivariable logistic regression models were used to identify statistically significant predictors of good (versus poor) perceived mental health status. From a weighted population of 57,074,842 individuals, 85.5% (95% confidence interval (CI) = 84.4%, 86.7%) had good perceived mental health. Good mental health was associated most strongly with physical health status (adjusted odds ratio (AOR) = 9.216, 95% CI = 7.044, 12.058). Employed individuals were 1.7 times more likely to report good mental health versus unemployed (AOR = 1.715, 95% CI = 1.199, 2.452). Individuals who had completed less than high school education (AOR = 0.750, 95% CI = 0.569, 0.987) or who reported having a limitation (AOR = 0.513, 95% CI = 0.384, 0.684) were less likely to report good mental health. These key characteristics can be utilized to predict mental health status, which may be investigated to better manage concurrent pain and poor mental health.
心理健康状况不佳在患有疼痛的老年人中很常见，这会导致高昂的经济负担和生活质量受损。这项回顾性横断面数据库研究旨在使用2017年医疗支出面板调查数据的加权样本，确定美国50岁及以上在过去四周内有自我报告疼痛的成年人中与良好心理健康状况相关的特征。采用分层多变量逻辑回归模型来确定良好（与不佳相对）的感知心理健康状况的统计学显著预测因素。在加权总人口57074842人中，85.5%（95%置信区间（CI）=84.4%，86.7%）有良好的感知心理健康。良好的心理健康与身体健康状况关联最为紧密（调整后的优势比（AOR）=9.216，95%CI=7.044，12.058）。就业个体报告良好心理健康的可能性是失业个体的1.7倍（AOR=1.715，95%CI=1.199，2.452）。完成高中以下教育的个体（AOR=0.750，95%CI=0.569，0.987）或报告有功能受限的个体（AOR=0.513，95%CI=0.384，0.684）报告良好心理健康的可能性较小。这些关键特征可用于预测心理健康状况，对此可进行研究以更好地管理并发的疼痛和心理健康不佳问题。
