The relationship between self-reported severe pain and measures of socio-economic disadvantage
The relationship between self-reported severe pain and measures of socio-economic disadvantage
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DOI：
10.1016/j.ejpain.2011.04.010
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发表时间：
2011-11-01
影响因子：
3.6
通讯作者：
Currie, Craig J.
中科院分区：
文献类型：
--
作者：
Morgan, Christopher Ll;Conway, Pete;Currie, Craig J.
目的：确定剧烈疼痛与社会经济特征的关联。方法：数据取自 2005 年英格兰健康调查 (HSE)。HSE 是一系列年度横断面调查，旨在描述英格兰私人住宅中居住者的健康状况，从 720 个邮政编码区随机抽取样本。受访者年龄为 P16 岁。疼痛严重程度由 EQ-5D 表征。社会经济状况根据工作能力、社会保障福利、国家统计社会经济分类 (NS-SEC) 和多重剥夺指数 (IMD) 进行分类。结果：记录了 9419 名受试者的疼痛状况，其中 431 名 (4.6%) 报告严重疼痛。其中 156 名报告严重疼痛的人处于工作年龄。其中 68 人 (43.6%) 表示他们因疾病或残疾而无法工作，64 人 (41.0%) 申请了国家福利。调整疾病和人口统计学变量后，严重疼痛与 IMD 相关，比值比为 1.65（95% CI 1.16-2.34，p = 0.005）、NS-SEC（OR = 2.94；95% CI 1.76-4.91）和等效家庭收入（最低与最高五分位数；OR = 2.58（95% CI） 1.46-4.57，p = 0.001)。结论：这项研究表明，除了对个人的直接影响之外，这显然还对受影响人群的额外健康和社会护理成本产生了更广泛的社会影响。(C) 2011 年欧洲国际疼痛研究协会联合会分会出版。保留所有权利。
Aims: To determine the association of severe pain with socioeconomic characteristics.Methods: Data was extracted from the Health Survey for England (HSE), 2005. The HSE is a series of annual cross-sectional surveys designed to describe the health of people living in private homes in England, from a random sample of 720 postcode sectors. Interviewees were P16 years. Pain severity was characterised by the EQ-5D. Socioeconomic status was classified by ability to work, social security benefits, the National Statistics Socio-economic Classification (NS-SEC) and the Index of Multiple Deprivation (IMD).Results: Pain status was recorded for 9419 subjects of whom 431 (4.6%) reported severe pain. 156 of those reporting severe pain were of working age. Of these 68 (43.6%) stated they were unable to work due to sickness or disability and 64 (41.0%) claimed a state benefit. After adjusting for disease and demographic variables, severe pain was associated with the IMD with an odds ratio of 1.65 (95% CI 1.16-2.34, p = 0.005), NS-SEC (OR = 2.94; 95% CI 1.76-4.91) and equivalised household income (lowest versus highest quintile; OR = 2.58 (95% CI 1.46-4.57, p = 0.001).Conclusions: This study demonstrated significant associations between pain and socio-economic disadvantage. Apart from the direct impact upon the individual, this clearly has wider societal implications in terms of additional health and social care costs for affected people. (C) 2011 European Federation of International Association for the Study of Pain Chapters. Published by Elsevier Ltd. All rights reserved.