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60 岁及以上中国成年人全国代表性调查:身体疼痛的流行情况及其相关因素。

Prevalence and Factors Associated With Body Pain: Results of a Nationally Representative Survey of 9,586 Chinese Adults Aged 60 and Over.

机构信息

Faculty of Sociology and Population Sciences, Nanjing University of Posts and Telecommunications, Nanjing, China.

Faculty of Health, Australian Research Centre in Complementary and Integrative Medicine, School of Public Health, University of Technology Sydney, Sydney, NSW, Australia.

出版信息

Front Public Health. 2021 Mar 8;9:634123. doi: 10.3389/fpubh.2021.634123. eCollection 2021.

Abstract

Pain management has become a critical problem worldwide with the aging population. More than half of older people have experienced pain with different severity. The aim of this research is to identify the characteristics of older people with body pain and the associations between pain and characteristics of demographic, health status, and health services use amongst Chinese seniors. This cross-sectional study was based on the China Health and Retirement Longitudinal Study (CHARLS), using follow-up survey data in 2015. The national survey comprised 20,284 women and men aged 45 years or older who completed questionnaires. Data of older people who were asked whether they had troubles with body pain were extracted and analyzed. Multiple logistic regression modeling was used to determine the important indicators (demographic, health status, and health services use) amongst Chinese elderly with pain. Analyses revealed that 32.5% ( = 9,586) of Chinese people aged over 60 reported having body pain. Pain is positively associated with female gender (OR = 2.08, 95% CI 1.80-2.39, < 0.001), living in non-urban areas (OR = 1.49, 95% CI 1.25-1.77, < 0.001), having physical disabilities (OR = 1.45, 95% CI 1.15-1.82, = 0.002), diagnosed with stomach diseases (OR = 1.40, 95% CI 1.20-1.64, < 0.001), diagnosed with arthritis (OR = 1.91, 95% CI 1.66-2.20, < 0.001), self-rating with poor health status (OR = 7.03, 95% CI 5.63-8.78, < 0.001), self-purchased over-the-counter western medications (OR = 1.50, 95% CI 1.30-1.73, < 0.001) and self-purchased Chinese herbal medicine (OR = 1.52, 95% CI 1.24-1.85, < 0.001). Body pain is common amongst the Chinese elderly. This research highlights the need for further nationwide studies exclusively focusing on people with pain including the elder population, and provides evidence-based insights for healthcare providers and policy-makers, to improve the quality of pain management. Future research should also pay attention to the importance of health literacy for health outcomes with regard to pain management.

摘要

疼痛管理已成为全球老龄化人口的一个关键问题。超过一半的老年人经历过不同程度的疼痛。本研究旨在确定中国老年人身体疼痛的特征,以及疼痛与人口统计学特征、健康状况和卫生服务使用之间的关联。这项横断面研究基于中国健康与退休纵向研究(CHARLS),使用了 2015 年的后续调查数据。全国调查包括 20284 名年龄在 45 岁或以上的男女,他们完成了问卷调查。提取并分析了询问老年人是否有身体疼痛问题的数据。采用多因素逻辑回归模型确定中国老年人疼痛的重要指标(人口统计学、健康状况和卫生服务使用)。分析结果显示,32.5%(=9586)的中国 60 岁以上老年人报告有身体疼痛。疼痛与女性性别呈正相关(OR=2.08,95%CI1.80-2.39, < 0.001),与居住在非城市地区(OR=1.49,95%CI1.25-1.77, < 0.001)、身体残疾(OR=1.45,95%CI1.15-1.82, = 0.002)、诊断为胃病(OR=1.40,95%CI1.20-1.64, < 0.001)、诊断为关节炎(OR=1.91,95%CI1.66-2.20, < 0.001)、自我评估健康状况差(OR=7.03,95%CI5.63-8.78, < 0.001)、自行购买非处方西药(OR=1.50,95%CI1.30-1.73, < 0.001)和自行购买中草药(OR=1.52,95%CI1.24-1.85, < 0.001)有关。中国老年人身体疼痛很常见。本研究强调需要进一步进行全国性研究,专门关注包括老年人群体在内的疼痛人群,并为医疗保健提供者和决策者提供循证见解,以改善疼痛管理质量。未来的研究还应关注健康素养对疼痛管理健康结果的重要性。

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