Carleton R N, Afifi T O, Turner S, Taillieu T, El-Gabalawy R, Sareen J, Asmundson G J G
Anxiety and Illness Behaviours Laboratory, Department of Psychology, University of Regina, Regina, Saskatchewan, Canada.
Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Can J Pain. 2017 Dec 18;1(1):237-246. doi: 10.1080/24740527.2017.1410431. eCollection 2017.
: Chronic pain is highly prevalent in the general population and may be even higher among public safety personnel (PSP; e.g., correctional officers, dispatchers, firefighters, paramedics, police). Comprehensive data on chronic pain among diverse Canadian PSP are relatively sparse. : The current study was designed to provide initial estimates of chronic pain frequency and severity among Canadian PSP. : Estimates of chronic pain frequency and severity (i.e., intensity and duration) at different bodily locations were derived from self-reported data collected through an online survey. Participants included 5093 PSP (32.5% women) grouped into six categories (i.e., call center operators/dispatchers, correctional officers, firefighters, municipal/provincial police, paramedics, Royal Canadian Mounted Police [RCMP]). : Substantial proportions of participants reported chronic pain, with estimates ranging from 35.3% to 45.4% across the diverse PSP categories. Across PSP categories, chronic lower back pain was the most prevalent. For some pain locations, firefighters and municipal/provincial police reported lower prevalence, but paramedics reported lower intensity, and duration, than some other PSP groups. Over 50% of RCMP and paramedics reporting chronic pain indicated that the pain was associated with an injury related to active duty. : Discrepancies emerged across PSP members with respect to prevalence, location, and severity. The current data suggest that additional resources and research are necessary to mitigate the development and maintenance of distressing or disabling chronic pain for Canadian PSP.
慢性疼痛在普通人群中非常普遍,在公共安全人员(PSP;如惩教人员、调度员、消防员、护理人员、警察)中可能更为常见。关于加拿大不同公共安全人员慢性疼痛的综合数据相对较少。
本研究旨在初步估计加拿大公共安全人员慢性疼痛的发生率和严重程度。
慢性疼痛发生率和严重程度(即强度和持续时间)的估计值来自通过在线调查收集的自我报告数据。参与者包括5093名公共安全人员(32.5%为女性),分为六类(即呼叫中心操作员/调度员、惩教人员、消防员、市/省级警察、护理人员、加拿大皇家骑警[RCMP])。
相当比例的参与者报告有慢性疼痛,不同公共安全人员类别的估计发生率在35.3%至45.4%之间。在所有公共安全人员类别中,慢性下背痛最为普遍。对于某些疼痛部位,消防员和市/省级警察报告的发生率较低,但护理人员报告的疼痛强度和持续时间低于其他一些公共安全人员群体。报告有慢性疼痛的皇家骑警和护理人员中,超过50%表示疼痛与现役相关的损伤有关。
不同公共安全人员在发生率、疼痛部位和严重程度方面存在差异。目前的数据表明,需要额外的资源和研究来减轻加拿大公共安全人员令人痛苦或致残的慢性疼痛的发生和持续。