Examining the Association of Pain and Financial Hardship Among Older Men by Race in the United States.
Examining the Association of Pain and Financial Hardship Among Older Men by Race in the United States.
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DOI：
10.1177/15579883211049605
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Thorpe RJ Jr
中科院分区：
文献类型：
--
作者：
Song C;Marshall GL;Reed A;Baker TA;Thorpe RJ Jr
老年男性中与经济困难相关的疼痛因种族而异。本研究的目的是按种族考察50岁及以上男性的经济困难与疼痛存在之间的关联。利用2010年健康与退休研究（HRS）的数据波，采用双变量和多变量逻辑回归模型来评估四个经济困难指标以及作为综合得分的总体经济困难与按种族划分的疼痛存在之间的关联。在白人男性中，在控制人口统计学因素的情况下，疼痛存在与困难之间的关联在四个指标和一个综合得分上具有统计学意义：持续的经济困难（优势比 = 1.29，95%置信区间[1.02, 1.64]）、食物无保障（优势比 = 2.55，95%置信区间[1.51, 4.31]）、因费用而减少用药（优势比 = 2.12，95%置信区间[1.40, 3.22]）、支付账单困难（优势比 = 1.36，95%置信区间[1.07, 1.73]）以及总体经济困难（优势比 = 1.27，95%置信区间[1.12, 1.44]）。在非裔美国男性中，疼痛存在与因费用而减少用药（优势比 = 2.99，95%置信区间[1.31, 6.85]）之间的关联显著。随着老年人（尤其是非裔美国人）共病情况的增加，充分理解疼痛和经济困难文献中这一未充分探索领域的机制至关重要。
Pain associated with financial hardship among older men varies by race. The purpose of this study was to examine the association of financial hardship with the presence of pain in men 50 years and older by race. Using the Health and Retirement Study (HRS) 2010 wave, bivariate and multivariate logistic regression models were used to assess the association between four financial hardship indicators and total financial hardship as a composite score, and the presence of pain by race. Among White men, the association between the presence of pain and hardship controlling for demographic factors was statistically significant across four indicators and one composite score: ongoing financial hardship (OR = 1.29, 95% CI [1.02, 1.64]), food insecurity (OR = 2.55, 95% CI [1.51, 4.31]), taking less medication due to cost (OR = 2.12, 95% CI [1.40, 3.22]), difficulty paying bills (OR = 1.36, 95% CI [1.07, 1.73]), and total financial hardship (OR = 1.27, 95% CI [1.12, 1.44]). Among African American men, the association between the presence of pain and taking less medication due to cost (OR = 2.99, 95% CI [1.31, 6.85]) was significant. With increasing comorbidities among older adults, particularly African Americans, it is imperative to fully understand the mechanisms of this underexplored area in both the pain and financial hardship literature.
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影响因子：
2.4
作者：
Byrd DR;Gonzales E;Moody DLB;Marshall GL;Zahodne LB;Thorpe RJ Jr;Whitfield KE
通讯作者：
Whitfield KE
影响因子：
1.4
作者：
Idan, Edna;Xing, Anlu;Alsan, Marcella
通讯作者：
Alsan, Marcella
影响因子：
4
作者：
Gaskin, Darrell J.;Richard, Patrick
通讯作者：
Richard, Patrick
影响因子：
3.1
作者：
Barrera, M;Caples, H;Tein, JY
通讯作者：
Tein, JY
影响因子：
2.8
作者：
Abramson, Corey M;Hashemi, Manata;Sanchez-Jankowski, Martin
通讯作者：
Sanchez-Jankowski, Martin