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更多问题,更多痛苦:慢性生活压力源和种族/民族认同在美国中老年成年人慢性疼痛中的作用

More Problems, More Pain: The Role of Chronic Life Stressors and Racial/Ethnic Identity on Chronic Pain Among Middle-Aged and Older Adults in the United States.

作者信息

Spector Antoinette L, Quinn Katherine G, Wang Inga, Gliedt Jordan A, Fillingim Roger B, Cruz-Almeida Yenisel

机构信息

Department of Rehabilitation Sciences and Technology, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.

Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, WI, USA.

出版信息

Chronic Stress (Thousand Oaks). 2023 Oct 23;7:24705470231208281. doi: 10.1177/24705470231208281. eCollection 2023 Jan-Dec.

Abstract

There is a high prevalence of chronic pain among middle-aged and older adults in the United States. Chronic life stressors have been shown to have detrimental consequences for myriad health conditions, including chronic pain. However, there is limited evidence on the types of chronic life stressors that affect middle-aged and older adults and how these stressors influence the chronic pain burden in this population. Moreover, the interaction between chronic life stressors and racial/ethnic identity remains poorly understood as it relates to chronic pain. The current analysis used the 2018 Health and Retirement Study to investigate relationships between chronic life stressors and odds to experience any chronic pain and high-impact chronic pain. Chronic life stressors were characterized, overall and by racial/ethnic identity, and the main and interaction effects were calculated to evaluate relationships between chronic life stressors, racial/ethnic identity, and odds of experiencing any chronic pain and high-impact chronic pain. Results indicate that in 2018, the most common chronic life stressor among middle-aged and older adults was dealing with their own health problems (68%), followed by dealing with the physical or emotional issues affecting a spouse or child (46%). Adjusted analyses showed that a higher total of chronic life stressors increased the odds of middle-aged and older adults experiencing any chronic pain and high-impact chronic pain. There were no significant interactions between the overall chronic life stress burden and racial/ethnic identity as a predictor of odds to experience any chronic pain or high-impact chronic pain, but significant interaction effects were found related to specific chronic life stressors. Findings underscore the significant impact of chronic life stressors on the chronic pain burden among middle-aged and older adults in the United States, which cut across racial/ethnic identity.

摘要

在美国,慢性疼痛在中老年人群中普遍存在。慢性生活应激源已被证明会对包括慢性疼痛在内的多种健康状况产生有害影响。然而,关于影响中老年人群的慢性生活应激源类型以及这些应激源如何影响该人群的慢性疼痛负担的证据有限。此外,慢性生活应激源与种族/民族身份之间的相互作用在与慢性疼痛的关系方面仍未得到充分理解。当前的分析使用了2018年健康与退休研究来调查慢性生活应激源与经历任何慢性疼痛和高强度慢性疼痛的几率之间的关系。对慢性生活应激源进行了总体和按种族/民族身份的特征描述,并计算了主要效应和交互效应,以评估慢性生活应激源、种族/民族身份与经历任何慢性疼痛和高强度慢性疼痛的几率之间的关系。结果表明,2018年,中老年人群中最常见的慢性生活应激源是应对自身健康问题(68%),其次是应对影响配偶或子女的身体或情感问题(46%)。调整后的分析表明,慢性生活应激源总数越高,中老年人群经历任何慢性疼痛和高强度慢性疼痛的几率就越高。作为经历任何慢性疼痛或高强度慢性疼痛几率的预测因素,总体慢性生活应激负担与种族/民族身份之间没有显著的交互作用,但发现了与特定慢性生活应激源相关的显著交互效应。研究结果强调了慢性生活应激源对美国中老年人群慢性疼痛负担的重大影响,这种影响跨越种族/民族身份。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d5f/10594967/c9dbd8f0c057/10.1177_24705470231208281-fig1.jpg

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