Chronic pain in Australia: a prevalence study
Chronic pain in Australia: a prevalence study
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DOI：
10.1016/s0304-3959(00)00355-9
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发表时间：
2001-01-01
期刊：
影响因子：
7.4
通讯作者：
Cousins, MJ
中科院分区：
文献类型：
--
作者：
Blyth, FM;March, LM;Cousins, MJ
这项研究报告了随机选择的澳大利亚成年人口样本中的慢性疼痛患病率。资料采电脑辅助电话访问（CATT），使用随机产生的电话号码和两阶段分层抽样设计。慢性疼痛定义为在访谈前六个月内每天经历疼痛，持续三个月。完成了17 543次访谈（答复率= 70.8%）。17.1%的男性和20.0%的女性报告慢性疼痛。男性在65-69岁年龄组的流行率最高，为27.0%，女性在最老年龄组（80-83岁）的流行率最高，为31.0%。患有慢性疼痛与年龄较大、女性、完成教育水平较低以及没有私人健康保险显著相关;它还与接受残疾福利密切相关（调整OR = 3.89，P < 0.001）或失业救济金（调整OR = 1.99，P < 0.001）;因健康原因失业（调整OR = 6.41，P < 0.001）：自评健康状况较差（校正OR = 7.24，P < 0.001）和高水平的心理困扰（校正OR = 3.16，P < 0.001）。在调查中，11%的男性和13.5%的女性报告说，日常活动受到一定程度的干扰：这是由疼痛引起的。在55-59岁年龄组中，男性（17.2%）和女性（19.7%）的干预发生率最高。患有慢性疼痛的年轻受访者最有可能报告疼痛造成的干扰，影响84.3%的女性和75.9%的20-24岁慢性疼痛男性。在报告慢性疼痛的受访者亚组中，疼痛引起的日常活动干扰的存在与年轻、女性和没有私人医疗保险显著相关。患有慢性疼痛干扰与接受残疾福利（调整后OR = 3.31，P < 0.001）或因健康原因失业（调整后OR = 7.94，P < 0.001）之间有很强的相关性。研究结果表明，慢性疼痛影响了大部分澳大利亚成年人口，包括工作年龄人口，并与社会不利因素密切相关。(C)2001年国际疼痛研究协会。由Elsevier Science B. V.出版，版权所有。
This study reports chronic pain prevalence in a randomly selected sample of the adult Australian population. Data were collected by Computer-Assisted Telephone interview (CATT) using randomly generated telephone numbers and a two-stage stratified sample design. Chronic pain was defined as pain experienced every day for three months in the six months prior to interview. There were 17,543 completed interviews (response rate = 70.8%). Chronic pain was reported by 17.1% of males and 20.0% of females. For males, prevalence peaked at 27.0% in the 65-69 year age group and for females, prevalence peaked at 31.0% in the oldest age group (80-83 years). Having chronic pain was significantly associated with older age, female gender, lower levels of completed education, and not having private health insurance; it was also strongly associated with receiving a disability benefit (adjusted OR = 3.89, P < 0.001) or unemployment benefit (adjusted OR = 1.99, P < 0.001); being unemployed for health reasons (adjusted OR = 6.41, P < 0.001): having poor self-rated health (adjusted OR = 7.24, P < 0.001); and high levels of psychological distress (adjusted OR = 3.16, P < 0.001). Eleven per cent of males and 13.5% of females in the survey reported some degree of interference with daily activities: caused by their pain. Prevalence of interference was highest in the 55-59 year age group in both males (17.2%) and females( 19.7%). Younger respondents with chronic pain were proportionately most likely to report interference due to pain, affecting 84.3% of females and 75.9% of males aged 20-24 years with chronic pain. Within the subgroup of respondents reporting chronic pain, the presence of interference with daily activities caused by pain was significantly associated with younger age; female gender; and not having private health insurance. There were strong associations between having interfering chronic pain and receiving disability benefits (adjusted OR = 3.31, P < 0.001) or being unemployed due to health reasons (adjusted OR = 7.94, P < 0.001, respectively). The results show that chronic pain impacts upon a large proportion of the adult Australian population, including the working age population, and is strongly associated with markers of social disadvantage. (C) 2001 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.