Assessment of pain: a community-based diary survey in the USA
Assessment of pain: a community-based diary survey in the USA
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DOI：
10.1016/s0140-6736(08)60656-x
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发表时间：
2008-05-03
期刊：
影响因子：
168.9
通讯作者：
Stone, Arthur A.
中科院分区：
文献类型：
--
作者：
Krueger, Alan B.;Stone, Arthur A.
疼痛是昂贵的，也是寻求医疗护理的主要原因。我们的目的是评估的比例的人经历的疼痛，疼痛的严重程度，在随机选择的时间在美国的个人的代表性样本。方法一个以社区为基础的电话调查，试图联系约10 700个人随机数字拨号。在收集了一个24小时的日记信息后，获得了一天中随机选择的三个15分钟间隔的0-6锚定量表上的疼痛评分。结果测量为非零疼痛间隔的比例，疼痛高于3（量表中点）的间隔比例和平均疼痛评级。还检查了那些报告严重疼痛的人的活动。为了使美国人口的结果代表，样本数据进行了调整，由盖洛普Organisation.Findings开发的样本权重3982个人进行了采访（响应率37%）。在调整权重后，28.8%的男性和26.6%的女性报告在采样时间感到疼痛。那些收入较低或受教育程度较低的人在疼痛中花费的时间比例更高，并且报告的平均疼痛程度高于收入较高或受教育程度较高的人。平均疼痛评分随着年龄的增长而增加，尽管在45岁到75岁之间达到了一个平台，男性和女性之间几乎没有差异。对生活或健康的满意度和疼痛指标倾向于向相反的方向移动。解释这里描述的日记调查方法可以用于研究人群水平的疼痛，并将使疼痛评估与日常生活活动的信息相结合。
Background Pain is costly and a major reason for seeking medical care. Our aim was to assess the proportion of people experiencing pain, and the severity of pain, at randomly selected times in a representative sample of individuals in the USA.Methods A community-based telephone survey was designed that attempted to contact about 10 700 individuals by random-digit dialling. After collecting diary information for one 24-h period, ratings of pain on a 0-6 anchored scale for three randomly selected 15-min intervals of the day were obtained. Outcome measures were the proportion of intervals with non-zero pain, the proportion of intervals with pain above 3 (the scale midpoint), and the average pain rating. Activities of those individuals who reported substantial pain were also examined. To make the results representative of the US population, sample data were adjusted with sample weights developed by the Gallup Organisation.Findings 3982 individuals were interviewed (response rate 37%). After adjustment for weighting, 28.8% of men and 26.6% of women reported feeling some pain at sampled times. Those with lower income or less education spent a higher proportion of time in pain and reported higher average pain than did those with higher income or more education. The average pain rating increased with age, although it reached a plateau between the ages of about 45 years and 75 years, with little difference between men and women. Satisfaction with life or health and the pain indicators tended to move in opposite directions.Interpretation The diary-survey methods described here could be used to study pain at the population level, and will enable the combination of pain assessments with information about activities of daily living.Funding US National Institute of Aging, Hewlett Foundation.