Practices Surrounding Pain Management Among American Indians and Alaska Natives in Rural Southern California: An Exploratory Study.

Practices Surrounding Pain Management Among American Indians and Alaska Natives in Rural Southern California: An Exploratory Study.
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南加州农村地区美国印第安人和阿拉斯加原住民的疼痛管理实践:一项探索性研究。

DOI:
10.1111/jrh.12327
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发表时间:
2019
期刊:
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子:
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通讯作者:
McGaffigan,RichardP
McGaffigan,RichardP
中科院分区:
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文献类型:
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作者:
Luna,JuanAA;Moore,RolandS;Calac,DanielJ;Grube,JoelW;McGaffigan,RichardP

文献摘要

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这项探索性研究调查了美国印第安人和阿拉斯加原住民在南加州一家乡村部落诊所服务区的疼痛管理做法。方法研究人员邀请了325人在诊所候诊室和部落聚会中完成一项匿名调查。对295个符合条件的回答进行了分析,包括计算频率、进行多元Logistic回归分析和Mantel-Haenszel分析。结果在本研究的受访者中,男性、年轻和受教育程度较低是风险较高的疼痛管理方法的有力预测因素。结论了解个人在农村环境中用于管理疼痛的方法是制定减少和防止处方药物和其他药物在美国印第安人和阿拉斯加原住民社区滥用和滥用的策略的踏脚石。
ObjectivesThis exploratory study examined pain management practices among American Indians and Alaska Natives in the service area of a rural tribal clinic in Southern California.MethodsResearchers invited 325 individuals to complete an anonymous survey in clinic waiting rooms and tribal gatherings. Analyses of the 295 eligible responses included calculating frequencies and conducting multiple logistic regressions and a Mantel‐Haenszel analysis.ResultsAmong respondents in this study, being male, younger, and having less education were strong predictors for riskier methods for managing pain.ConclusionsUnderstanding the methods individuals use to manage pain in a rural setting constitute a stepping‐stone to develop strategies for reducing and preventing misuse and abuse of prescription medications and other drugs in rural American Indian and Alaska Native communities.