Association of Smoking and Chronic Pain Syndromes in Kentucky Women
Association of Smoking and Chronic Pain Syndromes in Kentucky Women
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DOI：
10.1016/j.jpain.2011.02.350
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发表时间：
2011-08-01
期刊：
影响因子：
4
通讯作者：
Crofford, Leslie J.
中科院分区：
文献类型：
--
作者：
Mitchell, Michael D.;Mannino, David M.;Crofford, Leslie J.
该项目的目的是确定肯塔基州妇女健康登记处参与者吸烟与慢性疼痛综合征报告之间的关系。对 6,092 名 18 岁以上女性的数据进行了分析，她们回答了有关疼痛和吸烟的调查问题。分析中包括的慢性疼痛综合征包括纤维肌痛、坐骨神经痛、慢性颈部疼痛、慢性背痛、关节痛、慢性头部疼痛、神经问题和全身疼痛。对年龄、体重指数以及阿巴拉契亚与非阿巴拉契亚居住县进行控制分析。结果显示，每天吸烟的女性比从不吸烟的女性报告更多的慢性疼痛（定义为存在任何报告的慢性疼痛综合征）（调整后比值比 [aOR] = 2.04 和 95% 置信区间 [CI] 1.67, 2.49）。 “有一天”吸烟者（aOR 1.68，95% CI 1.24，2.27）和曾经吸烟者（aOR 1.20，95% CI 1.06，1.37）的风险也有所增加，尽管与后一组的相关性较小。这项研究提供了慢性疼痛与吸烟之间存在关联的证据，吸烟者吸烟后吸烟减少。观点：本文介绍了肯塔基州女性吸烟与肌肉骨骼疼痛综合征之间的关联。这一发现可能为慢性疼痛患者的干预提供更多机会。 (C) 2011 年，美国疼痛协会
The objective of this project was to determine the relationship between cigarette smoking and the reporting of chronic pain syndromes among participants in the Kentucky Women's Health Registry. Data was analyzed on 6,092 women over 18 years of age who responded to survey questions on pain and smoking. The chronic pain syndromes included in the analysis were fibromyalgia, sciatica, chronic neck pain, chronic back pain, joint pain, chronic head pain, nerve problems, and pain all over the body. Analyses controlled for age, body mass index, and Appalachian versus non-Appalachian county of residence. Results showed that women who were daily smokers reported more chronic pain (defined as the presence of any reported chronic pain syndromes) than women who were never smokers (adjusted odds ratio [aOR] = 2.04 and 95% confidence interval [CI] 1.67, 2.49). An increased risk was also seen for "some-day" smokers (aOR 1.68, 95% CI 1.24, 2.27), and former smokers (aOR 1.20, 95% CI 1.06, 1.37), though with less of an association in the latter group. This study provides evidence of an association between chronic pain and cigarette smoking that is reduced in former smokers.Perspective: This paper presents the association between smoking and musculoskeletal pain syndromes among Kentucky women. This finding may provide additional opportunities for intervention in patients with chronic pain. (C) 2011 by the American Pain Society