Pain and disability in older Mexican-American adults.
Pain and disability in older Mexican-American adults.
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墨西哥裔美国老年人的疼痛和残疾。
DOI：
10.1111/j.1532-5415.2009.02263.x
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发表时间：
2009
影响因子：
6.3
通讯作者：
Ottenbacher,KennethJ
中科院分区：
文献类型：
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作者：
Weaver,GayleD;Kuo,Yong-Fang;Raji,MukailaA;AlSnih,Soham;Ray,Laura;Torres,Elizabeth;Ottenbacher,KennethJ
目的：检查老年墨西哥裔美国人疼痛严重程度与功能障碍之间的关联。设计：横断面研究（2005/06），针对老年人流行病学研究的西班牙裔既定人群的子样本。地点：社区。参与者：1,013 名 74 岁至 100 岁的墨西哥裔美国人。测量：双语访谈员进行结构化调查问卷，评估活动能力和身体状况虚弱（疲惫、体重减轻、步行速度、握力和自我报告的体力活动）。 SF-36 问卷中的两项评估了过去 4 周的疼痛经历。 结果：对 744 名具有完整数据的参与者进行卡方单向方差分析、最小二乘和负二项式回归计算，以调查疼痛经历以及健康和功能的其他维度。近三分之二 (64.7%) 的受访者在访谈后 4 周内报告疼痛，49.7% 的受访者报告疼痛干扰了日常活动。女性；教育程度低；虚弱；行动不便；残疾；高合并症、体重指数和抑郁症状与疼痛严重程度和干扰显着相关。回归系数显示，在控制了社会人口统计和健康状况特征后，疼痛严重程度与日常生活活动能力障碍 (0.22，P<.001) 和日常生活工具性活动能力障碍 (0.23，P<.01) 显着相关。结论：这些发现扩大了关于老年墨西哥裔美国人的疼痛文献。高疼痛率在女性和患有高合并症、高抑郁症状、活动能力差和虚弱的受试者中最为普遍。疼痛在残疾状况中也起着重要作用。需要深入研究来了解老年墨西哥裔美国人的疼痛经历及其对健康和福祉的影响。
OBJECTIVES:To examine an association between pain severity and functional disability in older Mexican Americans.DESIGN:Cross‐sectional study (2005/06), a subsample of the Hispanic Established Population for Epidemiologic Study of the Elderly.SETTING:Community.PARTICIPANTS:One thousand thirteen Mexican American aged 74 to 100.MEASUREMENTS:Bilingual interviewers administered structured questionnaires and assessed physical measures of mobility and frailty (exhaustion, weight loss, walking speed, grip strength, and self‐reported physical activity). Two items from the SF‐36 questionnaire assessed pain experiences in the previous 4 weeks.RESULTS:Chi‐square one‐way analysis of variance and least square and negative binomial regressions were computed for 744 participants with complete data to investigate experience of pain and other dimensions of health and functioning. Close to two‐thirds (64.7%) reported pain within 4 weeks of the interview, and 49.7% reported that pain interfered with performance of daily activities. Female sex; low education; frailty; reduced mobility; disability; and high comorbidity, body mass index, and depressive symptomatology were significantly associated with pain severity and interference. Regression coefficients revealed that pain severity was significantly related to disability in activities of daily living (0.22,P<.001) and instrumental activities of daily living (0.23,P<.01) after controlling for sociodemographic and health status characteristics.CONCLUSION:The findings expand the pain literature on older Mexican Americans. High pain rates were most prevalent in women and subjects with high comorbidity, high depressive symptomatology, poor mobility, and frailty. Pain also plays a significant role in disability status. In‐depth research is needed to understand the pain experiences of older Mexican Americans and their effect on health and well‐being.