The Influence of Race, Sex, and Social Disadvantage on Self-reported Health in Patients Presenting With Chronic Musculoskeletal Pain.
The Influence of Race, Sex, and Social Disadvantage on Self-reported Health in Patients Presenting With Chronic Musculoskeletal Pain.
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DOI：
10.1097/phm.0000000000001774
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发表时间：
2022-03-01
影响因子：
3
通讯作者：
Prather H
中科院分区：
文献类型：
--
作者：
Cheng AL;Bradley EC;Brady BK;Calfee RP;Klesges LM;Colditz GA;Prather H
为了更好地解决与社会人口学相关的健康差异，这项研究检查了哪些社会人口学变量与慢性肌肉骨骼疼痛患者的自我报告健康最相关。这项单中心的横断面研究检查了成年患者，随后由理疗师治疗慢性(≥4年)肌肉骨骼疼痛。考虑的社会人口学变量是种族、性别和不同的社会劣势(以最差地区的居住地址与最佳地区贫困指数的全国四分位数衡量)。主要的比较是每个变量对身体和行为健康的调整后的影响大小(由患者报告的结果测量信息系统(PROIS)测量)。在1,193名患者(年龄56.3±13.0岁)中，不同的社会劣势与所有评估领域的更差的健康相关(促进身体功能B−2.4分[95%CI−3.8-−1.0]，疼痛干预3.3[2.0-4.6]，焦虑4.0[1.8-6.2]，抑郁3.7[1.7-5.6])。黑人比白人更容易焦虑(3.2[1.1-5.3])，女性的躯体功能比男性差(−2.5[−3.5-−1.5])。与种族和性别相比，在慢性肌肉骨骼疼痛患者中，社会劣势与较差的身体和行为健康更一致。投资于改善地理定义的社区的劣势可能会改善社会人口学高危人群的健康状况。
To better address sociodemographic-related health disparities, this study examined which sociodemographic variables most strongly correlate with self-reported health in patients with chronic musculoskeletal pain. This single-center, cross-sectional study examined adult patients followed by a physiatrist for chronic (≥4 years) musculoskeletal pain. Sociodemographic variables considered were race, sex, and disparate social disadvantage (measured as residential address in the worst versus best Area Deprivation Index national quartile). The primary comparison was the adjusted effect size of each variable on physical and behavioral health (measured by Patient-Reported Outcomes Measurement Information System (PROMIS)). In 1,193 patients (age 56.3±13.0 years), disparate social disadvantage was associated with worse health in all domains assessed (PROMIS Physical Function B −2.4 points [95%CI −3.8–−1.0], Pain Interference 3.3 [2.0–4.6], Anxiety 4.0 [1.8–6.2], and Depression 3.7 [1.7–5.6]). Black race was associated with greater anxiety than white race (3.2 [1.1–5.3]), and female sex was associated with worse physical function than male sex (−2.5 [−3.5–−1.5]). Compared to race and sex, social disadvantage is more consistently associated with worse physical and behavioral health in patients with chronic musculoskeletal pain. Investment to ameliorate disadvantage in geographically defined communities may improve health in sociodemographically at-risk populations.
影响因子：
4.8
作者：
Asada Y;Whipp A;Kindig D;Billard B;Rudolph B
通讯作者：
Rudolph B