Center for Population and Health, 8368Georgetown University, Washington, DC, USA.
1846Boston University School of Public Health, Boston, MA, USA.
J Aging Health. 2022 Jan;34(1):78-87. doi: 10.1177/08982643211028121. Epub 2021 Aug 28.
We investigate whether obesity accounts for widening socioeconomic disparities in pain. Based on nationally representative samples of Americans aged 25-74 in 1995-1996 and 2011-2014, we use logistic regression to model period change in headaches, backaches, and joint aches as well as physical limitations and to determine whether those changes vary by a multidimensional measure of socioeconomic status. Prevalence of backaches, joint aches, physical limitations, and obesity increased between the mid-1990s and the early 2010s, particularly among more disadvantaged Americans. Socioeconomic disparities in frequent backaches, frequent joint pain, and physical limitations more than doubled over this period. We estimate that obesity and health conditions may account for nearly a quarter of the widening disparity in frequent backaches and about half of the widening disparity in frequent joint pain and physical limitations. Widening disparities in backaches, joint pain, and physical limitations have coincided with growing obesity.
我们研究肥胖是否导致疼痛方面的社会经济差距扩大。基于 1995-1996 年和 2011-2014 年年龄在 25-74 岁的美国全国代表性样本，我们使用逻辑回归模型来模拟头痛、背痛和关节痛以及身体限制的时期变化，并确定这些变化是否因社会经济地位的多维衡量标准而有所不同。背痛、关节痛、身体限制和肥胖的患病率在 20 世纪 90 年代中期至 21 世纪 10 年代初之间有所上升，尤其是在处于不利地位的美国人中。在此期间，频繁出现背痛、频繁出现关节疼痛和身体限制方面的社会经济差距扩大了一倍多。我们估计，肥胖和健康状况可能导致频繁出现背痛的差距扩大了近四分之一，频繁出现关节疼痛和身体限制的差距扩大了一半左右。背痛、关节痛和身体限制的差距扩大与肥胖的增加同时发生。
