Self-Reported Pain Treatment Practices Among U.S. and Canadian Adults: Findings From a Population Survey.
Self-Reported Pain Treatment Practices Among U.S. and Canadian Adults: Findings From a Population Survey.
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DOI：
10.1093/geroni/igad103
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发表时间：
2023
影响因子：
7
通讯作者：
Reid, Cary
中科院分区：
文献类型：
--
作者：
Zajacova, Anna;Pereira Filho, Alvaro;Limani, Merita;Grol-Prokopczyk, Hanna;Zimmer, Zachary;Scherbakov, Dmitry;Fillingim, Roger B.;Hayward, Mark D.;Gilron, Ian;Macfarlane, Gary J.;Reid, Cary
疼痛治疗及其疗效已被广泛研究。然而，令人惊讶的是，人们对社区居住的成年人用于管理疼痛的治疗类型和治疗组合知之甚少，以及治疗类型如何与个人特征和国家层面的背景相关联。为了填补这一空白，我们评估了美国和加拿大社区居住成年人自我报告的疼痛治疗类型。我们还评估了治疗类型如何与个人的疼痛水平，社会人口特征和居住国相关，并确定了治疗组合方面的独特成人集群。我们使用了2020年“恢复和恢复力”美国-加拿大一般在线调查，其中有2 041名美国和2 072名加拿大社区居民。受访者选择了多达10种疼痛治疗方案，包括药物治疗、物理治疗、运动等，开放式项目可用于任何额外治疗的自我报告。使用描述性、基于回归和潜在类别分析对数据进行分析。最常报告的非处方（OTC）药物（55%的受访者，95% CI 53%-56%），其次是“仅仅生活在疼痛中”（41%，95% CI 40%-43%）和运动（40%，95% CI 38%-41%）。对开放式项目的模态反应（29%）是大麻使用。疼痛是最显着的相关因素，预测所有疼痛治疗的频率会更高。国家差异一般很小;一个值得注意的例外是饮酒，美国成年人的饮酒率是加拿大成年人的两倍。个体被分为5个不同的集群：2组主要依赖于药物（处方药或OTC），另一组倾向于运动和其他自我护理方法，一组包括成年人“只是生活在”疼痛中，疼痛水平最高的集群大量使用所有方式。我们的研究结果为北美成年人最近的疼痛治疗策略提供了新的见解，并确定了对更适应和有效的疼痛管理可能未满足需求的人群亚组。
Pain treatments and their efficacy have been studied extensively. Yet surprisingly little is known about the types of treatments, and combinations of treatments, that community-dwelling adults use to manage pain, as well as how treatment types are associated with individual characteristics and national-level context. To fill this gap, we evaluated self-reported pain treatment types among community-dwelling adults in the United States and Canada. We also assessed how treatment types correlate with individuals’ pain levels, sociodemographic characteristics, and country of residence, and identified unique clusters of adults in terms of treatment combinations. We used the 2020 “Recovery and Resilience” United States–Canada general online survey with 2 041 U.S. and 2 072 Canadian community-dwelling adults. Respondents selected up to 10 pain treatment options including medication, physical therapy, exercise, etc., and an open-ended item was available for self-report of any additional treatments. Data were analyzed using descriptive, regression-based, and latent class analyses. Over-the-counter (OTC) medication was reported most frequently (by 55% of respondents, 95% CI 53%–56%), followed by “just living with pain” (41%, 95% CI 40%–43%) and exercise (40%, 95% CI 38%–41%). The modal response (29%) to the open-ended item was cannabis use. Pain was the most salient correlate, predicting a greater frequency of all pain treatments. Country differences were generally small; a notable exception was alcohol use, which was reported twice as often among U.S. versus Canadian adults. Individuals were grouped into 5 distinct clusters: 2 groups relied predominantly on medication (prescription or OTC), another favored exercise and other self-care approaches, one included adults “just living with” pain, and the cluster with the highest pain levels employed all modalities heavily. Our findings provide new insights into recent pain treatment strategies among North American adults and identify population subgroups with potentially unmet need for more adaptive and effective pain management.
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影响因子：
2.8
作者：
Lehti TE;Rinkinen MO;Aalto U;Roitto HM;Knuutila M;Öhman H;Kautiainen H;Karppinen H;Tilvis R;Strandberg T;Pitkälä KH
通讯作者：
Pitkälä KH
影响因子：
1.6
作者：
Axon, David R.;Patel, Mira J.;Slack, Marion K.
通讯作者：
Slack, Marion K.
影响因子：
39.2
作者：
Bohnert, Amy S. B.;Guy, Gery P., Jr.;Losby, Jan L.
通讯作者：
Losby, Jan L.
影响因子：
7.4
作者：
LaRowe LR;Ditre JW
通讯作者：
Ditre JW
影响因子：
7.4
作者：
Farrar JT;Bilker WB;Cochetti PT;Argoff CE;Haythornthwaite J;Katz NP;Gilron I
通讯作者：
Gilron I