The Demography of Chronic Pain: A Population Approach to Pain Trends, Pain Disparities, and Pain-Related Disability and Death

慢性疼痛的人口统计学：疼痛趋势、疼痛差异以及与疼痛相关的残疾和死亡的人群方法

• 批准号: 10618934
• 负责人: HANNA GROL-PROKOPCZYK
• 金额: $ 29.49万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10618934
• 关键词: Address; Adult; Age; Aging; American; Attention; Behavioral; Cessation of life; Characteristics; Country; Data; Data Set; Demographer; Demography; Development; Disparity; Education; Empirical Research; European; Exposure to; Goals; Health; Health Policy; Health Status; Health system; Health trends; High Prevalence; Incidence; Individual; Industrialization; Investigation; Knowledge; Life Cycle Stages; Link; Longitudinal trends; Low income; Measurement; Measures; Medical; Methodology; Methods; Modeling; Opioid Analgesics; Outcome; Pain; Pain Research; Pain management; Pathway interactions; Pattern; Personal Satisfaction; Policies; Population; Prevalence; Process; Public Health; Research; Research Personnel; Research Priority; Role; Shapes; Therapeutic; Time trend; Work; age group; aging population; chronic pain; comparative; contextual factors; cost; disability; experience; health disparity; health inequalities; healthy aging; high risk; innovation; knowledge base; middle age; mortality; multilevel analysis; neglect; opioid epidemic; pain patient; pain-related disability; peer; population health; prevent; programs; psychologic; psychosocial; social; social disparities; sociodemographic group; socioeconomics; suicide rate; theories; tool; trend; virtual

PROJECT SUMMARY / ABSTRACT This project on the Demography of Chronic Pain will use demographic data, methods, and theories to comprehensively investigate high-priority questions about chronic pain's prevalence, distribution, long-term trends, precursors, and consequences. The project's long-term goal is to enhance U.S. public health by greatly expanding the scientific knowledge base regarding patterns and trends in chronic pain, pain's links to disability and mortality, and individual and population-level factors that could reduce the burden of pain. Through quantitative analyses of large, longitudinal or repeated cross-sectional datasets (primarily American, but also Canadian and European for comparative purposes), this research will advance four specific aims: • Aim 1: To identify national and regional trends in the prevalence and social distribution of chronic pain. • Aim 2: To identify individual-level and contextual factors shaping temporal and social patterns in pain. • Aim 3: To theoretically and empirically integrate chronic pain into models of disability. • Aim 4: To investigate the association between chronic pain and mortality. This research is significant and timely because chronic pain is one of the country's most common, costly, and disabling health problems, with a strikingly unequal social distribution. Chronic pain is also implicated in many of the most troubling contemporary U.S. health trends, including the opioid epidemic, rising suicide rates, increasing mid-life disability and mortality, and growing educational inequalities in health and mortality. Pain is thus both a major problem in its own right, and a potential missing link in recent adverse trends in U.S. population health more broadly. This research is innovative because the field of demography has nearly completely neglected the topic of chronic pain, even though pain is a (perhaps the) leading cause of disability, a powerful predictor of mortality, and a major contributor to social disparities in health. Little is known about long-term trends in pain or pain disparities, cross-national differences in such trends, individual or contextual (regional or national) factors shaping such trends, the role of pain in development of disability, or pain's contributions to mortality patterns. This project will establish a new subfield within the demography of health and aging that investigates these topics. Findings will clarify how health policies and practices can best prevent and address chronic pain, support healthy aging, and enhance overall U.S. population health.

项目概要/摘要 这个关于慢性疼痛人口统计学的项目将使用人口统计学数据、方法和理论来 全面调查有关慢性疼痛的患病率、分布、长期 趋势、前兆和后果。该项目的长期目标是通过极大地增强美国公共卫生 扩大关于慢性疼痛的模式和趋势、疼痛与残疾的联系的科学知识库 和死亡率，以及可以减轻疼痛负担的个人和人口层面的因素。 通过对大型纵向或重复横截面数据集（主要是美国、 但出于比较目的，也包括加拿大和欧洲），这项研究将推进四个具体目标： • 目标1：确定国家和地区慢性疼痛患病率和社会分布的趋势。 • 目标2：确定影响疼痛时间和社会模式的个人层面和背景因素。 • 目标3：从理论上和经验上将慢性疼痛纳入残疾模型。 • 目标4：调查慢性疼痛与死亡率之间的关联。 这项研究意义重大且及时，因为慢性疼痛是该国最常见、成本最高且最常见的疼痛之一。 造成残疾的健康问题，社会分配极其不平等。慢性疼痛还与许多疾病有关 当代美国最令人不安的健康趋势，包括阿片类药物流行、自杀率上升、 中年残疾和死亡率，以及健康和死亡率方面日益严重的教育不平等。因此，疼痛既是 其本身就是一个重大问题，也是美国人口健康近期不利趋势中潜在缺失的一环 更广泛地说。 这项研究具有创新性，因为人口学领域几乎完全忽视了慢性病这一主题 疼痛，尽管疼痛是（也许是）残疾的主要原因、死亡率的有力预测因素以及 健康方面社会差异的主要因素。人们对疼痛或疼痛差异的长期趋势知之甚少， 此类趋势的跨国差异、影响此类趋势的个人或背景（区域或国家）因素 趋势、疼痛在残疾发展中的作用或疼痛对死亡率的影响。 该项目将在健康和老龄化人口统计学中建立一个新的子领域来调查这些问题 主题。研究结果将阐明卫生政策和实践如何最好地预防和解决慢性疼痛，支持 健康老龄化，并提高美国人口的整体健康水平。

项目成果

Self-Reported Pain Treatment Practices Among U.S. and Canadian Adults: Findings From a Population Survey.

• DOI: 10.1093/geroni/igad103
• 发表时间: 2023
• 期刊: INNOVATION IN AGING
• 影响因子: 7
• 作者: Zajacova, Anna;Pereira Filho, Alvaro;Limani, Merita;Grol-Prokopczyk, Hanna;Zimmer, Zachary;Scherbakov, Dmitry;Fillingim, Roger B.;Hayward, Mark D.;Gilron, Ian;Macfarlane, Gary J.;Reid, Cary
• 通讯作者: Reid, Cary

Educational Differences in Life Expectancies With and Without Pain.

有疼痛和无疼痛的预期寿命的教育差异。

• DOI: 10.1093/geronb/gbac169
• 发表时间: 2023
• 期刊: The journals of gerontology. Series B, Psychological sciences and social sciences
• 作者: Sun,Feinuo;Zimmer,Zachary;Zajacova,Anna
• 通讯作者: Zajacova,Anna

Pain Trends Among American Adults, 2002-2018: Patterns, Disparities, and Correlates.

• DOI: 10.1215/00703370-8977691
• 发表时间: 2021-04-01
• 期刊: Demography
• 影响因子: 3.5
• 作者: Zajacova A;Grol-Prokopczyk H;Zimmer Z
• 通讯作者: Zimmer Z

Chronic pain among U.S. sexual minority adults who identify as gay, lesbian, bisexual, or "something else".

• DOI: 10.1097/j.pain.0000000000002891
• 发表时间: 2023-09-01
• 期刊: Pain
• 影响因子: 7.4

Educational disparities in joint pain within and across US states: do macro sociopolitical contexts matter?

美国各州内外的关节痛苦中的教育差异：宏观社会政治背景是否重要？

• DOI: 10.1097/j.pain.0000000000002945
• 发表时间: 2023-10-01
• 期刊: Pain
• 影响因子: 7.4