澳大利亚有和没有智力残疾的老年人慢性疼痛患病率及预测因素的比较分析。
A comparative analysis of the prevalence and predictors of chronic pain in older adults with and without intellectual disability in Australia.
作者信息
Wark Stuart, Hussain Rafat, Janicki Matthew P, Knox Marie, Parmenter Trevor
机构信息
School of Rural Medicine, University of New England, Armidale, Australia.
Australian National University, Canberra, Australia.
出版信息
J Intellect Dev Disabil. 2024 Mar;49(1):1-10. doi: 10.3109/13668250.2023.2238482. Epub 2023 Aug 7.
BACKGROUND
There is little research comparatively assessing prevalence of pain between older people either with or without intellectual disability. This paper explores health and social factors associated with chronic pain in these two groups.
METHOD
A cross-sectional survey was undertaken in New South Wales and Queensland, Australia. Inclusion criteria were adults either with or without intellectual disability, aged 60 years and older, and currently living in community-settings. Univariate and multivariable analyses were undertaken on a sample of 391 adults with intellectual disability and 920 adults without intellectual disability.
RESULTS
Key findings included higher prevalence of pain in the intellectual disability group, along with higher rates of osteoarthritis, falls, oral health problems, and mood disorders.
CONCLUSIONS
Mitigating risk factors for conditions that cause chronic pain in older adults is crucial. As longevity increases, the healthcare sector needs to prioritise chronic pain management for people with intellectual disabilities through appropriate treatment strategies.
背景
关于比较评估有或无智力残疾的老年人疼痛患病率的研究较少。本文探讨了这两组人群中与慢性疼痛相关的健康和社会因素。
方法
在澳大利亚新南威尔士州和昆士兰州进行了一项横断面调查。纳入标准为年龄在60岁及以上、目前居住在社区环境中的有或无智力残疾的成年人。对391名有智力残疾的成年人和920名无智力残疾的成年人样本进行了单变量和多变量分析。
结果
主要发现包括智力残疾组中疼痛患病率较高，以及骨关节炎、跌倒、口腔健康问题和情绪障碍的发生率较高。
结论
减轻导致老年人慢性疼痛的疾病的危险因素至关重要。随着寿命的延长，医疗保健部门需要通过适当的治疗策略，将智力残疾者的慢性疼痛管理作为优先事项。
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