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Pain Trends Among American Adults, 2002-2018: Patterns, Disparities, and Correlates.
Demography ( IF 3.6 ) Pub Date : 2021-04-01 , DOI: 10.1215/00703370-8977691
Anna Zajacova 1 , Hanna Grol-Prokopczyk 2 , Zachary Zimmer 3
Affiliation  

Determining long-term trends in chronic pain prevalence is critical for evaluating and shaping U.S. health policies, but little research has examined such trends. This study (1) provides estimates of pain trends among U.S. adults across major population groups; (2) tests whether sociodemographic disparities in pain have widened or narrowed over time; and (3) examines socioeconomic, behavioral, psychological, and medical correlates of pain trends. Regression and decomposition analyses of joint, low back, neck, facial/jaw pain, and headache/migraine using the 2002-2018 National Health Interview Survey for adults aged 25-84 (N  =  441,707) assess the trends and their correlates. We find extensive escalation of pain prevalence in all population subgroups: overall, reports of pain in at least one site increased by 10%, representing an additional 10.5 million adults experiencing pain. Socioeconomic disparities in pain are widening over time, and psychological distress and health behaviors are among the salient correlates of the trends. This study thus comprehensively documents rising pain prevalence among Americans across the adult life span and highlights socioeconomic, behavioral, and psychological factors as important correlates of the trends. Chronic pain is an important dimension of population health, and demographic research should include it when studying health and health disparities.

中文翻译:

2002年至2018年美国成年人的疼痛趋势:模式,差异和相关性。

确定慢性疼痛患病率的长期趋势对于评估和制定美国卫生政策至关重要,但是很少有研究检查这种趋势。这项研究(1)提供了主要人群中美国成年人疼痛趋势的估计值;(2)测试疼痛的社会人口统计学差异是否随着时间的流逝而扩大或缩小;(3)研究疼痛趋势的社会经济,行为,心理和医学相关性。使用2002-2018年全国健康采访调查对25-84岁的成年人(N = 441,707)进行关节,下背部,颈部,面部/下巴疼痛和头痛/偏头痛的回归和分解分析,评估了趋势及其相关性。我们发现所有人群亚组的疼痛患病率都在急剧上升:总体而言,至少一个部位的疼痛报告增加了10%,又增加了10%。500万成年人遭受痛苦。随着时间的流逝,疼痛的社会经济差异不断扩大,心理困扰和健康行为是这一趋势的主要相关因素。因此,这项研究全面记录了美国人在成年后的整个年龄段中疼痛患病率的上升趋势,并着重指出了社会经济,行为和心理因素是这一趋势的重要相关因素。慢性疼痛是人口健康的重要方面,人口研究应在研究健康和健康差异时将其包括在内。因此,这项研究全面记录了美国人在成年后的整个年龄段中疼痛患病率的上升趋势,并着重指出了社会经济,行为和心理因素是这一趋势的重要相关因素。慢性疼痛是人口健康的重要方面,人口研究应在研究健康和健康差异时将其包括在内。因此,这项研究全面记录了美国人在成年后的整个年龄段中疼痛患病率的上升趋势,并着重指出了社会经济,行为和心理因素是这一趋势的重要相关因素。慢性疼痛是人口健康的重要方面,人口研究应在研究健康和健康差异时将其包括在内。
更新日期:2021-04-01
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