Valvi Nimish, Tamargo Javier A, Braithwaite Dejana, Fillingim Roger B, Karanth Shama D
Department of Nutrition and Health Science, Ball State University, Muncie, IN 47306, USA.
Pain Research and Intervention Center of Excellence, University of Florida, Gainesville, FL 32611, USA.
Cancers (Basel). 2024 Aug 15;16(16):2847. doi: 10.3390/cancers16162847.
Pain is a prevalent issue among cancer patients, yet its link with socioeconomic status has not been thoroughly examined. This study investigated chronic pain (lasting ≥3 months) and high-impact pain (chronic pain limiting activities) among cancer survivors based on household income relative to the federal poverty level (FPL), using data from the National Health Interview Survey (2019-2020). Of the 4585 participants with a history of solid cancers, 1649 (36.3%) reported chronic pain and 554 (12.6%) reported high-impact chronic pain. After adjustment, participants with incomes < 200% FPL had significantly higher odds of chronic pain (adjusted odds ratio [aOR]: 1.60, 95% CI: 1.25-2.05) and high-impact chronic pain (aOR: 1.73, 95% CI: 1.09-2.74) compared to those with incomes ≥ 400% FPL. Opioid use for chronic pain was most prevalent among those with incomes < 200% FPL (28.3%) compared to those with 200-399% (21.3%) and ≥400% (19.0%). Higher-income participants reported greater use of alternative pain management methods such as yoga (50.5%), chiropractic care (44.8%), and physical therapy (44.3%). This study highlights the association between household income and chronic pain outcomes among cancer survivors, emphasizing the necessity for targeted interventions to mitigate healthcare access disparities and improve pain management for all individuals affected by cancer.
疼痛是癌症患者中普遍存在的问题，但其与社会经济地位的关联尚未得到充分研究。本研究利用美国国家健康访谈调查（2019 - 2020年）的数据，根据家庭收入相对于联邦贫困线（FPL）的情况，调查了癌症幸存者中的慢性疼痛（持续≥3个月）和高影响疼痛（限制活动的慢性疼痛）。在4585名有实体癌病史的参与者中，1649人（36.3%）报告有慢性疼痛，554人（12.6%）报告有高影响慢性疼痛。调整后，收入低于200%FPL的参与者患慢性疼痛（调整后的优势比[aOR]：1.60，95%置信区间[CI]：1.25 - 2.05）和高影响慢性疼痛（aOR：1.73，95%CI：1.09 - 2.74）的几率显著高于收入≥400%FPL的参与者。与收入在200 - 399%（21.3%）和≥400%（19.0%）的参与者相比，收入低于200%FPL的参与者中使用阿片类药物治疗慢性疼痛的情况最为普遍（28.3%）。高收入参与者报告更多地使用替代疼痛管理方法，如瑜伽（50.5%）、脊椎按摩治疗（44.8%）和物理治疗（44.3%）。本研究强调了家庭收入与癌症幸存者慢性疼痛结果之间的关联，强调了有针对性的干预措施对于减轻医疗保健获取差距和改善所有受癌症影响个体的疼痛管理的必要性。
