New York City Department of Health and Mental Hygiene, New York, NY 11101, USA.
York College, City University of New York, New York, NY 11451, USA.
Int J Environ Res Public Health. 2024 Nov 9;21(11):1490. doi: 10.3390/ijerph21111490.
The objective of this study was to determine the association between acute and chronic pain and various economic and quality-of-life outcomes. The study sample was drawn from the World Trade Center Health Registry. Both acute and chronic pain were measured in 2020-2021. Logistic regression models were constructed to determine the odds of several economic and quality-of-life variables: early retirement, low household income, decline in household income, quality of life, and not working due to health. Those who had extreme pain in the last four weeks that interfered with normal work had 3.12 (95% confidence interval (CI): 2.36, 4.39) times the odds of early retirement, 5.34 (95% CI: 3.47, 8.21) times the odds of having a household income below USD 50,000, 2.56 (95% CI: 1.51, 4.33) times the odds of having an income decrease, and 14.4 (95% CI: 11.3, 18.3) times the rate of poor health days compared to those with no pain. Similar results were found for chronic pain. The detrimental effects of pain may influence multiple facets of a patient's life, and both financial and overall well-being may diminish even several years after a pain diagnosis.
本研究旨在确定急性和慢性疼痛与各种经济和生活质量结果之间的关联。研究样本来自世界贸易中心健康登记处。2020-2021 年均测量了急性和慢性疼痛。构建了逻辑回归模型，以确定几种经济和生活质量变量的可能性：提前退休、低收入家庭、家庭收入下降、生活质量和因健康原因无法工作。那些在过去四周内经历过极度疼痛并干扰正常工作的人提前退休的可能性是没有疼痛的人的 3.12 倍（95%置信区间[CI]：2.36，4.39），家庭收入低于 50000 美元的可能性是没有疼痛的人的 5.34 倍（95% CI：3.47，8.21），收入减少的可能性是没有疼痛的人的 2.56 倍（95% CI：1.51，4.33），与没有疼痛的人相比，健康状况不佳的天数的比率为 14.4（95% CI：11.3，18.3）。慢性疼痛也存在类似的结果。疼痛的不利影响可能会影响患者生活的多个方面，即使在疼痛诊断后数年，财务和整体健康状况也可能会下降。
