疼痛和分娩结局：瑞典脑瘫成人的纵向研究。
Pain and labor outcomes: A longitudinal study of adults with cerebral palsy in Sweden.
机构信息
Health Economics, Department of Clinical Sciences (Malmö), Lund University, Lund, Sweden.
Health Economics, Department of Clinical Sciences (Malmö), Lund University, Lund, Sweden; Department of Economics, Lund University, Lund, Sweden; Centre for Economic Demography, Lund University, Lund, Sweden.
出版信息
Disabil Health J. 2023 Jul;16(3):101479. doi: 10.1016/j.dhjo.2023.101479. Epub 2023 Apr 18.
BACKGROUND
Pain is a global health concern with substantial societal costs and limits the activity participation of individuals. The prevalence of pain is estimated to be high among individuals with cerebral palsy (CP).
OBJECTIVES
To estimate the association between pain and labor outcomes for adults with CP in Sweden.
METHODS
A longitudinal cohort study based on data from Swedish population-based administrative registers of 6899 individuals (53,657 person-years) with CP aged 20-64 years. Individual fixed effects regression models were used to analyze the association between pain and labor outcomes (employment and earnings from employment), as well as potential pathways through which pain might affect employment and earnings.
RESULTS
Pain was associated with adverse outcomes varying across severity, corresponding to a reduction of 7-12% in employment and 2-8% in earnings if employed. Pain might affect employment and earnings through increased likelihood of both sickness leave and early retirement.
CONCLUSION
Pain management could potentially be important to improve labor outcomes for adults with CP, in addition to improving the quality of life.
背景
疼痛是一个全球性的健康问题，给社会带来了巨大的负担，限制了个人的活动参与。脑瘫患者（CP）的疼痛患病率估计很高。
目的
在瑞典，估计疼痛与 CP 成年人的劳动成果之间的关联。
方法
基于瑞典人口基础管理登记处的 6899 名年龄在 20-64 岁的 CP 个体（53657 人年）的数据，进行了一项纵向队列研究。个体固定效应回归模型用于分析疼痛与劳动成果（就业和就业收入）之间的关联，以及疼痛可能影响就业和收入的潜在途径。
结果
疼痛与严重程度不同的不良结果相关，对应于如果就业，就业减少 7-12%，收入减少 2-8%。疼痛可能通过增加病假和提前退休的可能性来影响就业和收入。
结论
除了提高生活质量外，疼痛管理对改善 CP 成年人的劳动成果可能很重要。
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