Educational Differences in Life Expectancies With and Without Pain.
Educational Differences in Life Expectancies With and Without Pain.
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有疼痛和无疼痛的预期寿命的教育差异。
DOI：
10.1093/geronb/gbac169
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Zajacova,Anna
中科院分区：
文献类型：
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作者：
Sun,Feinuo;Zimmer,Zachary;Zajacova,Anna
本研究计算了生活在美国的老年人可以预期在不同的疼痛状态下生活的年数和比例，按年龄，性别和教育水平。该分析解决了相关的动态和死亡率选择的挑战，当研究教育和疼痛之间的关联在老年人population.MethodsData是从国家健康和老龄化趋势研究，2011-2020。样本包含10，180名65岁及以上的受访者。疼痛预期估计使用插值马尔可夫链软件，适用于概率转移到多状态life tables.ResultsThose教育水平较高的预期不仅寿命较长，但也有较高比例的生活没有疼痛。例如，一名65岁的女性，高中以下学历，预计总共18.1年和5.8年，或32%的生命，没有疼痛，而如果她完成大学学业，总共23.7年和10.7年，或45%的生命没有疼痛。教育梯度的疼痛预期是更突出的女性比男性和缩小在最老的年龄。有没有教育的差异，在百分比的生活与nonlimitedpain.DiscussionEducation促进更长的寿命和更多的无痛年，但具体程度的改善教育各不相同的人口群体。需要更多的研究来解释教育与疼痛的严重性和限制性方面之间的联系。
ObjectivesThis study computes years and proportion of life that older adults living in the United States can expect to live pain-free and in different pain states, by age, sex, and level of education. The analysis addresses challenges related to dynamics and mortality selection when studying associations between education and pain in older populations.MethodsData are from National Health and Aging Trends Study, 2011–2020. The sample contains 10,180 respondents who are age 65 and older. Pain expectancy estimates are computed using the Interpolated Markov Chain software that applies probability transitions to multistate life tables.ResultsThose with higher educational levels expect not only a longer life but also a higher proportion of life without pain. For example, a 65-year-old female with less than high school education expects 18.1 years in total and 5.8 years, or 32% of life, without pain compared with 23.7 years in total with 10.7 years, or 45% of life without pain if she completed college. The education gradient in pain expectancies is more salient for females than males and narrows at the oldest ages. There is no educational disparity in the percent of life with nonlimiting pain.DiscussionEducation promotes longer life and more pain-free years, but the specific degree of improvement by education varies across demographic groups. More research is needed to explain associations between education and more and less severe and limiting aspects of pain.