Nursing Department, University of Seville, Seville, Spain.
Andalusian School of Public Health, Granada, Spain; Biomedical Research Consortium in Epidemiology and Public Health Network (CIBERESP), Madrid, Spain.
Pain Manag Nurs. 2022 Aug;23(4):494-503. doi: 10.1016/j.pmn.2021.10.006. Epub 2021 Nov 30.
Substance use seems to be higher among populations with chronic pain.
The aim of this study is to examine the relationship between the quantity of alcohol, tobacco, and psychotropic drugs consumed and chronic pain among women and men.
Linear and logistic regression analyses were carried out using data from the 2015-2016 adults' version of the Andalusian Health Survey which is a representative cross-sectional population-based study (n = 6,569 adults aged >16 years; 50.8% women; 49.2% men).
Disabling chronic pain was statistically associated with higher tobacco consumption among men (β = -30.0, 95% confidenct interval [CI] -59.5 to -0.60; t = -2.0; p < .05). Regarding alcohol, non-disabling chronic pain and a higher quantity of alcohol consumed are statistically associated for both sexes (women: β = 30.4, 95% CI 2.3-58.6; t = 2.12; p < .05 vs. men: β = 164.2, 95% CI 24.3-340.1); t = 2.30; p < .05). For women and men, both disabling chronic pain (women: odds ratio [OR] = 8.7, 95% CI 6.0-12.7); p < .05 vs. men: OR = 3.5, 95% CI 1.5-8.2); p < .05) and non-disabling chronic pain (women: OR = 3.7, 95% CI 2.0-7.0); p <.05 vs. men: OR = 4.7, 95% CI 95% CI 1.5-14.9); p < .05) were statistically significantly associated with a higher consumption of psychotropic drugs.
Chronic pain may be related to the quantity of alcohol, tobacco, and psychotropic drugs consumed, and disability appears to be one of the factors that modulates this relationship.
物质滥用似乎在患有慢性疼痛的人群中更为普遍。
本研究旨在探讨女性和男性中酒精、烟草和精神药物的消耗量与慢性疼痛之间的关系。
使用 2015-2016 年安达卢西亚健康调查成年人版本的数据进行线性和逻辑回归分析，该调查是一项具有代表性的横断面人群基础研究（n=6569 名年龄>16 岁的成年人；50.8%为女性；49.2%为男性）。
致残性慢性疼痛与男性中更高的烟草消费呈统计学相关（β=-30.0，95%置信区间[CI]为-59.5 至-0.60；t=-2.0；p<.05）。关于酒精，非致残性慢性疼痛和更高的酒精摄入量与两性均呈统计学相关（女性：β=30.4，95%CI 2.3-58.6；t=2.12；p<.05 与男性：β=164.2，95%CI 24.3-340.1；t=2.30；p<.05）。对于女性和男性，致残性慢性疼痛（女性：比值比[OR]=8.7，95%CI 6.0-12.7）；p<.05 与男性：OR=3.5，95%CI 1.5-8.2）；p<.05）和非致残性慢性疼痛（女性：OR=3.7，95%CI 2.0-7.0）；p<.05 与男性：OR=4.7，95%CI 95%CI 1.5-14.9）；p<.05）均与精神药物消耗的增加呈统计学显著相关。
慢性疼痛可能与酒精、烟草和精神药物的消耗量有关，而残疾似乎是调节这种关系的因素之一。
