Department of Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Harvard University, Boston, MA, United States.
Department of Emergency Medicine, Brigham and Women's Hospital, Harvard University, Boston, MA, United States.
Pain. 2022 Feb 1;163(2):e328-e332. doi: 10.1097/j.pain.0000000000002291.
Chronic pain is associated with reduced quality of life, increased medical expenditures, and significant economic costs. Chronic pain is among the most common chronic conditions in the United States, although estimates vary widely regarding its precise prevalence. Understanding the scope of the problem using the most contemporaneous data is therefore an important goal. This study sought to determine the prevalence of chronic pain and its impacts among adults in the United States using the National Health Interview Survey, a household-based annual survey of self-reported health status of U.S. adults that can be used to generate national-level estimates. Using a chronic pain module introduced in the 2019 edition of National Health Interview Survey, we found that 50.2 million adults (20.5%) reported pain on most days or every day. The most common pain locations were back pain and hip, knee, or foot pain. The most commonly used management strategies for chronic pain were physical therapy and massage. Respondents with chronic pain reported limitations in daily functioning, including social activities and activities of daily living. Respondents with chronic pain reported significantly more workdays missed compared with those without chronic pain (10.3 vs 2.8, P < 0.001). Overall, these findings indicate that more than 1 in 5 adults in America experiences chronic pain; additional attention to managing the burden of this disease is warranted.
慢性疼痛与生活质量降低、医疗支出增加和巨大的经济成本有关。慢性疼痛是美国最常见的慢性疾病之一，尽管其确切的流行率存在很大差异。因此，使用最新数据了解问题的范围是一个重要目标。本研究旨在使用全国健康访谈调查（National Health Interview Survey）来确定美国成年人慢性疼痛的流行率及其影响，这是一项基于家庭的美国成年人自我报告健康状况的年度调查，可用于生成国家级估计。我们使用 2019 年版全国健康访谈调查中引入的慢性疼痛模块发现，有 5020 万成年人（20.5%）报告大多数日子或每天都有疼痛。最常见的疼痛部位是背痛和臀部、膝盖或脚部疼痛。慢性疼痛最常用的管理策略是物理疗法和按摩。有慢性疼痛的受访者报告在日常功能方面存在限制，包括社交活动和日常生活活动。与没有慢性疼痛的受访者相比，有慢性疼痛的受访者报告的工作日缺勤明显更多（10.3 天比 2.8 天，P < 0.001）。总体而言，这些发现表明，美国超过五分之一的成年人患有慢性疼痛；需要进一步关注管理这种疾病的负担。
