Karlsdottir Sigfridur Inga, Halapi Eva, Oskarsson Gudmundur Kristjan, Skuladottir Hafdis, Jonsdottir Thorbjorg
Facutly of Nursing, University of Akureyri, Akureyri, Iceland.
Faculty of Business Administration, University of Akureyri, Akureyri, Iceland.
Scand J Pain. 2025 Aug 28;25(1). doi: 10.1515/sjpain-2024-0073. eCollection 2025 Jan 1.
The purpose of the study was to assess the prevalence of both non-chronic and chronic pain among women of childbearing age and describe the impact that pain has on their health-related quality of life (HRQoL).
This is a cross-sectional cohort study, and the data were collected as part of the ICEPAIN nationwide study. Participants were recruited from a randomised sample, stratified by age and residence to secure a proportional sample, by email invitation. Women between 18 and 45 years of age participated, and data were collected through a web-based platform with questionnaires that measured sociodemographic characteristics, lifestyle factors, sleep quality, pain severity, characteristics of pain, pain interference (Brief Pain Inventory), and HRQoL (SF-12-v2). Spearman correlation was used when assessing relationships between demographic and lifestyle factors, and HRQoL and pain. Chi-square, Mann-Whitney , ANOVA, and multivariate general linear model were used to assess group differences.
In total, 969 women of childbearing age (18-45 years) participated in the study, and the response rate was 34.8%. The average age was 36.1 ± 6.3 years, and the majority (82.5%) were married, cohabiting, or in a steady relationship. Altogether, 45.9% of the sample reported having pain during the past week ( = 445); the vast majority, 80.4% ( = 366), had chronic pain. The majority of the participants, 57.3%, had moderate or severe pain. Chronic pain was significantly correlated with higher age, higher BMI, experiencing pain during the period, and poorer sleep quality. In contrast, no significant correlation was found between chronic pain and parity, residence, education, physical exercise, smoking, or alcohol drinking. Both non-chronic and chronic pain interfered with mood, sleep, general activities, and other aspects of daily life, and the effect of pain was significantly greater among women with chronic pain. Among these, pain severity was strongly correlated with the level of pain interference (0.79). A negative correlation between pain interference and HRQoL (physical component score, -0.64, and mental component score, -0.34) was observed among women with chronic pain.
Both non-chronic and chronic pain are common among women of childbearing age in Iceland. It interferes with daily life and affects their HRQoL.
本研究旨在评估育龄女性中非慢性疼痛和慢性疼痛的患病率，并描述疼痛对其健康相关生活质量（HRQoL）的影响。
这是一项横断面队列研究，数据收集作为全国性ICEPAIN研究的一部分。通过电子邮件邀请，从按年龄和居住地分层的随机样本中招募参与者，以确保获得比例样本。18至45岁的女性参与研究，通过基于网络的平台收集数据，问卷测量社会人口学特征、生活方式因素、睡眠质量、疼痛严重程度、疼痛特征、疼痛干扰（简明疼痛量表）和HRQoL（SF-12-v2）。评估人口统计学和生活方式因素、HRQoL与疼痛之间的关系时使用Spearman相关性分析。使用卡方检验、Mann-Whitney检验、方差分析和多元一般线性模型评估组间差异。
共有969名育龄女性（18至45岁）参与了研究，应答率为34.8%。平均年龄为36.1±6.3岁，大多数（82.5%）已婚、同居或处于稳定关系。总体而言，45.9%的样本报告在过去一周内有疼痛（n = 445）；绝大多数，80.4%（n = 366）有慢性疼痛。大多数参与者，57.3%，有中度或重度疼痛。慢性疼痛与年龄较大、BMI较高、在此期间经历疼痛以及睡眠质量较差显著相关。相比之下，慢性疼痛与产次、居住地、教育程度、体育锻炼、吸烟或饮酒之间未发现显著相关性。非慢性疼痛和慢性疼痛均会干扰情绪、睡眠、日常活动和日常生活的其他方面，且慢性疼痛女性中疼痛的影响显著更大。其中，疼痛严重程度与疼痛干扰水平密切相关（0.79）。在慢性疼痛女性中观察到疼痛干扰与HRQoL（身体成分得分，-0.64，和心理成分得分，-0.34）之间呈负相关。
非慢性疼痛和慢性疼痛在冰岛育龄女性中都很常见。它会干扰日常生活并影响她们的HRQoL。
