An epidemiological comparison of pain complaints in the general population of Catalonia (Spain)

An epidemiological comparison of pain complaints in the general population of Catalonia (Spain)
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DOI:
10.1016/s0304-3959(99)00069-x
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发表时间:
1999-10-01
期刊:
影响因子:
7.4
通讯作者:
Baños, JE
Baños, JE
中科院分区:
医学1区
文献类型:
--
作者:
Bassols, A;Bosch, F;Baños, JE

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流行病学研究有助于确定一个国家的健康状况,并有助于更好地分配经济资源。这项调查估计了加泰罗尼亚(西班牙)的疼痛患病率,分析了其与人口统计学变量的关系,并评估了疼痛相关的残疾。该研究通过电话采访对1964名成年人进行了调查,询问他们在过去6个月内经历的任何疼痛投诉,无论其强度和持续时间如何。总体疼痛患病率为78.6%,男性显著较低,并有随年龄增长而降低的趋势。背部(50.9%)、头部(42%)和腿部(36.8%)是最常见的受累部位。一般来说,受教育程度较低的人患病率较高。最令人烦恼的疼痛与肌肉骨骼疾病(26.2%)和偏头痛(16.5%)有关。在33%的样本中,疼痛要么非常严重,要么无法忍受,女性和老年人报告的强度更高。在25.4%的病例中,个人和社会活动受到影响,在10.4%的病例中,他们几乎无法进行。19.6%的疼痛患者活动受限,需要卧床休息,这在失业者中更为常见,而10.2%的工人因疼痛而不得不休假,3.3%的工人因疼痛而完全丧失工作能力。背痛和头痛最为普遍,三分之一的患者疼痛被评为非常严重到无法忍受。疼痛相关的残疾是一个常见的发现。本调查报告称,疼痛是加泰罗尼亚人群的一个重大问题,通常反映了以前在盎格鲁-撒克逊和斯堪的纳维亚国家报告的数据的特点。(C)1999年国际疼痛研究协会。出版社:Elsevier Science B. V.
Epidemiological studies help to establish the health status in a country and allow a better allocation of economic resources. This survey estimated pain prevalence in Catalonia (Spain), analysed its relationship with demographic variables and evaluated pain-associated disabilities. The study was carried out in 1964 adults via phone interviews asking about any pain complaint they experienced in the last 6 months, regardless of its intensity and duration. Overall pain prevalence was 78.6%, significantly lower in men, with a trend to decrease with age. Back (50.9%), head (42%) and legs (36.8%) were the most affected locations. Less educated people reported, in general, higher prevalences. Pain described to be most annoying was related to musculoskeletal disease (26.2%) and migraines (16.5%). Pain was either very severe or unbearable in 33% of the sample, with women and older people reporting higher intensities. Personal and social activities were affected in 25.4% of cases and in 10.4% they became virtually impossible. Both the limitation of activity and the need for bed rest, which occurred in 19.6% of those who suffered pain, were more common amongst unemployed people, whereas 10.2% of workers had to take days off work due to pain, and 3.3% were fully incapacitated by it. In conclusion, the prevalence of pain was clearly higher among women, with an inverse relationship to age. Back pain and headaches were most prevalent and pain was rated as very severe to unbearable in one third of the patients. Pain-associated disabilities were a frequent finding. The present survey reports that pain is a substantial problem in the Catalonian population and generally reflects the characteristics of data previously reported in Anglo-saxon and Scandinavian countries. (C) 1999 International Association for the Study of Pain. Published by Elsevier Science B.V.