Epidemiology of chronic non-malignant pain in Denmark
Epidemiology of chronic non-malignant pain in Denmark
复制标题
DOI：
10.1016/s0304-3959(03)00225-2
复制
发表时间：
2003-12-01
期刊：
影响因子：
7.4
通讯作者：
Rasmussen, NK
中科院分区：
文献类型：
--
作者：
Eriksen, J;Jensen, MK;Rasmussen, NK
丹麦每六年至七年进行一系列健康调查。在2000年的最近一次调查中，从丹麦中央个人登记册中抽取了一个全国性的随机样本（> 16岁）。在原始样本中，12，333人（74%）接受了访谈，其中10，066人返回了完整的问卷（SF-36）。本研究仅包括那些既参加了访谈，又参加了邮寄问卷的人。排除了癌症患者。患有慢性疼痛（PG）的人通过问题“您是否有持续6个月或更长时间的慢性/长期疼痛”来确定？发现总体慢性疼痛患病率为19%-男性为16%，女性为21%。慢性疼痛患病率随年龄增长而增加。大于或等于67岁的人患慢性疼痛的几率比16-24岁年龄组的人高3.9倍。与已婚人士相比，离婚或分居的人患慢性疼痛的几率高出1.5倍。受教育少于10年的人患慢性疼痛的几率比受教育13年或以上的人高1.9倍。在14天的时间内，慢性疼痛报告者平均因疾病损失0.8天（范围0-10），而对照组（CG）平均为0.4天（范围0-10）（比值比（OR）2.0）。与久坐不动的工作相比，从事需要高体力劳动的工作的人更容易报告慢性疼痛（OR 2.2）。属于PG的人因健康状况不佳而辞职的几率高出7倍。慢性疼痛和自我评估的健康状况不佳之间也有很强的关联。与CG相比，PG与各种卫生专业人员的接触次数是CG的两倍。平均而言，PG使用的医疗保健系统（总接触人数）比普通人群多25%。在PG中，33%的人对与其疼痛状况有关的检查不满意，40%的人对提供的治疗不满意。近13万成年人，相当于丹麦人口的3%，经常使用阿片类药物。12%的PG使用阿片类药物（C）2003年国际疼痛研究协会。由Elsevier Science B. V.出版，版权所有。
A series of health surveys are conducted every sixth to seventh year in Denmark. In the most recent survey of 2000, a national random sample (> 16 years) was drawn from the Danish Central Personal Register. Out of the original sample 12,333 (74%) were interviewed and of these 10,066 returned a completed questionnaire (SF-36). The present study includes only those who both took part in the interview and the postal questionnaire. Cancer patients were excluded. Persons suffering from chronic pain (PG) were identified through the question 'Do you have chronic/long lasting pain lasting 6 months or more'? An overall chronic pain prevalence of 19% was found - 16% for men and 21% for women. Prevalence of chronic pain increased with increasing age. Persons greater than or equal to67 years had 3.9 higher odds of suffering from chronic pain than persons in the age group 16-24 years. Compared with married persons, divorced or separated persons had 1.5 higher odds of chronic pain. Odds for chronic pain were 1.9 higher among those with an education of less than 10 years compared with individuals with an education of 13 years or more. During a 14-day period reporters of chronic pain had an average of 0.8 days (range 010) lost due to illness compared with an average of 0.4 days (range 0-10) for the control group (CG) (Odds Ratio (OR)) 2.0). Persons with a job which required high physical strain were more likely to report chronic pain compared with those with a sedentary job (OR 2.2). The odds of quitting one's job because of ill health were seven times higher among people belonging to the PG. A strong association between chronic pain and poor self-rated health was also demonstrated. The PG had twice as many contacts with various health professionals compared with the CG. and the health care system was, on average, utilised 25% more (overall contacts) by the PG than by the general population. Among the persons in the PG, 33% were not satisfied with the examinations carried out in connection with their pain condition and 40% were not satisfied with the treatment offered. Nearly 130,000 adults, corresponding to 3% of the Danish population, use opioids on a regular basis. Opioids are used by 12% of the PG. (C) 2003 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.