Severity of musculoskeletal pain: relations to socioeconomic inequality
Severity of musculoskeletal pain: relations to socioeconomic inequality
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DOI：
10.1016/s0277-9536(01)00018-1
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发表时间：
2002-01-01
影响因子：
5.4
通讯作者：
Kvien, TK
中科院分区：
文献类型：
--
作者：
Brekke, M;Hjortdahl, P;Kvien, TK
该研究的主要目的是调查非炎症性肌肉骨骼疼痛的严重程度与社会经济地位对比的居住区之间可能存在的关联。向挪威奥斯陆随机挑选的 10,000 名成年人发送了一份 4 页的调查问卷，询问肌肉骨骼疼痛、身体残疾、心理健康、生活满意度和医疗服务使用情况。为了本研究的目的，我们分析了居住在该市两个社会经济差异较大的地区的受访者的数据。比较了居住在两个地区的受访者之间的疼痛（强度、持续时间、局部性）、身体残疾（MHAQ）、精神困扰（SCL-5、睡眠障碍）、生活满意度和卫生服务的使用（全科医生、风湿科医生、药物治疗、参与和对自己护理的满意度）的测量（n = 分别有 870 名和 n = 892 名受访者），其中每个地区有 493 名受访者报告非炎症性肌肉骨骼疼痛。调整年龄的多元回归分析显示，生活在不太富裕地区与强烈和广泛的疼痛、高水平的身体残疾和精神困扰以及低生活满意度相关。在调整了年龄、疼痛强度以及身体残疾和精神痛苦程度后，生活在不太富裕的地区也与频繁使用镇痛药和参与自身医疗保健的程度较低有关。与较富裕的居住区相比，居住在不太富裕的居住区的人群中非炎症性肌肉骨骼疼痛似乎是一种更严重的疾病，即使在像挪威这样的平等社会中也是如此。因此，疾病严重程度的增加可能会放大弱势群体慢性发病率增加的影响。如果目标是根据需要进行治疗，这应该会对医疗保健的提供产生影响。 (C) 2002 Elsevier Science Ltd. 保留所有权利。
The main aim of the study was to investigate possible associations between severity of non-inflammatory musculoskeletal pain and residential areas of contrasting socioeconomic status. A 4-page questionnaire inquiring about musculoskeletal pain, and also physical disability, mental health, life satisfaction and use of health services was sent to 10,000 randomly selected adults in Oslo, Norway. For the purpose of this study, we analysed data from respondents living in two socioeconomically contrasting areas of the city.Measures of pain (intensity, duration, localisation), physical disability (MHAQ), mental distress (SCL-5, sleep disturbances), life satisfaction and use of health services (general practitioner, rheumatologist, medication, involvement in and satisfaction with own care) were compared between respondents living in the two areas (n = 870 and n = 892 respondents, respectively) of whom 493 in each area reported non-inflammatory musculoskeletal pain.Multiple regression analyses adjusting for age revealed that living in the less affluent area was associated with strong and widespread pain, with high levels of physical disability and mental distress and with low life satisfaction. Living in the less affluent area was also associated with frequent use of analgesics and with low level of involvement in own health care, after adjustment for age, pain intensity and levels of physical disability and mental distress.Non-inflammatory musculoskeletal pain seems to be a more serious condition in a population living in a less affluent residential area compared with a more affluent one, even in an egalitarian society like Norway. Increased disease severity may thus amplify the impact of greater chronic morbidity in the disadvantaged part of the population. This should have implications for health care provision if the goal is treatment according to needs. (C) 2002 Elsevier Science Ltd. All rights reserved.