Orofacial pain symptoms: an interaction between age and sex
Orofacial pain symptoms: an interaction between age and sex
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DOI：
10.1016/s0304-3959(00)00408-5
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发表时间：
2001-02-15
期刊：
影响因子：
7.4
通讯作者：
Gilbert, GH
中科院分区：
文献类型：
--
作者：
Riley, JL;Gilbert, GH
本研究调查了性别和年龄队列差异的主观报告口面疼痛症状的分层样本的社区居住的成年人。受试者是佛罗里达牙科保健研究的724名参与者，这是一项关于牙齿健康的纵向研究：成年人，基线年龄45岁及以上。疼痛患病率和主观评级进行了评估，一系列的口面疼痛网站使用标准化的电话采访。结果表明，下颌关节疼痛的6个月患病率（8.3%）。面部疼痛（3.1%）。在FDCS样本中发现的牙痛（12.0%）、口腔疼痛（15.6%）和口腔灼热（1.6%）与美国人口估计值相似。此外，咀嚼时疼痛和温度敏感性的患病率也分别为23%和24%，表明这两种很少记录的疼痛经历很常见。女性受访者报告了6个月内多种症状和疼痛性口腔溃疡的患病率较高，也观察到女性性别是下颌关节疼痛和面部疼痛的风险因素，而男性更有可能报告温度敏感性。更高比例的女性认为她们的疼痛严重到足以影响下颌关节疼痛、牙痛和疼痛性口腔溃疡的行为。除了45-64岁年龄组中咀嚼时温度敏感性和疼痛的患病率高于65岁以上年龄组的受访者外，几乎没有发现整体年龄效应。然而，最有趣的发现是，当按年龄进行性别队列比较时，除了疼痛性口腔溃疡外，所有疼痛评分的显著差异都出现在45-64岁队列中，而不是65岁以上组。这一发现澄清了早期研究中发现的不一致，在口面疼痛文献中，疼痛评级的性别差异被发现在几个成年人样本的广泛的年龄范围内，但不是在老年人的样本。(C)2001年国际疼痛研究协会。由Elsevier Science B. V.出版，版权所有。
This study investigated sex and age cohort differences in the subjective report of orofacial pain symptoms in a stratified sample of community dwelling adults. The subjects were 724 participants in the Florida Dental Care Study, a longitudinal study of oral health among dentate: adults, age 45 and older at baseline. Pain prevalence and subjective ratings were assessed for a range of orofacial pain sites using a standardized telephone interview. The results suggest that the 6-month prevalence of jaw joint pain (8.3%). face pain (3.1%). toothache pain (12.0%), painful oral sores (15.6%), and burning mouth (1.6%) found in the FDCS sample an similar to United States population estimates. In addition, prevalence for pain when chewing and temperature sensitivity were also reported as 23% and 24% respectively, suggesting that these two seldom documented painful experiences are common. Female respondents reported higher 6-month prevalence for multiple symptoms and painful oral sores, with trends also observed for female sex as a risk; factor for jaw joint pain and face pain, whereas males were more likely to report temperature sensitivity. A higher percentage of females rated their pain as severe enough to impact behavior for jaw joint pain, toothache pain, and painful oral sores. Few overall age effects were found, with the exception of higher prevalence of temperature sensitivity and pain when chewing in the 45-64-year-old group, compared to respondents in the 65+ age cohort. However, the most interesting finding was that when sex by age cohort comparisons were made, with the exception of painful oral sores, all significant differences in pain ratings were found within the 45-64-year-old cohort and not the 65+ group. This finding clarified inconsistencies found in earlier studies in the orofacial pain literature where sex differences in pain ratings were found in several adult samples of a wide range of ages but not in a sample of older adults. (C) 2001 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.