دورية أكاديمية
Socioeconomic and sex inequalities in chronic pain: A population-based cross-sectional study.
| العنوان: | Socioeconomic and sex inequalities in chronic pain: A population-based cross-sectional study. |
|---|---|
| المؤلفون: | Oliveira AMB; Department of Physiotherapy, Federal University of Sergipe, Lagarto, Brazil.; Rehabilitation Sciences Program, School of Medicine, University of São Paulo, São Paulo, Brazil., Teixeira DSDC; 'Health, Well-being and Aging' (SABE) Study, School of Public Health, University of São Paulo, São Paulo, Brazil., Menezes FDS; Department of Health Education, Federal University of Sergipe, Lagarto, Brazil.; School of Dentistry, University of São Paulo, São Paulo, Brazil., Marques AP; Rehabilitation Sciences Program, School of Medicine, University of São Paulo, São Paulo, Brazil., Duarte YAO; 'Health, Well-being and Aging' (SABE) Study, School of Public Health, University of São Paulo, São Paulo, Brazil., Casarotto RA; Rehabilitation Sciences Program, School of Medicine, University of São Paulo, São Paulo, Brazil. |
| المصدر: | PloS one [PLoS One] 2023 May 25; Vol. 18 (5), pp. e0285975. Date of Electronic Publication: 2023 May 25 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: San Francisco, CA : Public Library of Science |
| مواضيع طبية MeSH: | Chronic Pain*/epidemiology, Male ; Female ; Humans ; Aged ; Cross-Sectional Studies ; Brazil/epidemiology ; Socioeconomic Factors ; Social Class |
| مستخلص: | Objective: We investigated the impact of socioeconomic inequalities on chronic pain of older adults according to sex. Materials and Methods: This population-based cross-sectional study used survey data from the 2015 cohort of the SABE Study (Saúde, Bem-estar e Envelhecimento), Brazil. Socioeconomic status was examined at individual level (educational attainment, financial independence, and race/skin color) and contextual level (Human Development Index). We analyzed the association between variables using the chi-square test and the Rao & Scott correction. Logistic regression models were adjusted for risk factors. Results: The study comprised 1,207 older adults representing 1,365,514 residents 60≥ years of age in the city of São Paulo. Chronic pain was more frequent in females (27.2%) than in males (14.5%) (p<0.001). Females evidenced the worst self-perception of pain, especially those of the most vulnerable socioeconomic strata. Social inequalities impacted chronic pain in different ways between sexes. Among females, unfavorable living conditions (OR = 1.59; 95%CI 1.07; 2,37) and Blacks/Browns females were most likely to have chronic pain (OR = 1.32; 95%CI 1.01; 1.74). Among males, only the individual aspects were significant for the occurrence of chronic pain, such as low educational attainment (OR = 1.88; 95%CI 1.16; 3.04) and insufficient income (OR = 1.63; 95%CI 1.01; 2.62). Discussion: The potential for inequality was greater for females than for males reflecting structural factors inherent in a highly unequal society. Conclusions: Equity-oriented health policies are critical to preventing pain in human aging. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2023 Oliveira et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.) |
| References: | PLoS One. 2019 Nov 14;14(11):e0224204. (PMID: 31725729) Eur J Pain. 2006 May;10(4):287-333. (PMID: 16095934) Pain Manag Nurs. 2021 Apr;22(2):133-140. (PMID: 33358486) Mayo Clin Proc. 2019 Sep;94(9):1707-1717. (PMID: 31486377) Pain. 2020 Sep 1;161(9):1976-1982. (PMID: 32694387) PLoS One. 2020 Sep 24;15(9):e0239560. (PMID: 32970746) Arch Public Health. 2020 Apr 06;78:20. (PMID: 32280462) Pain. 2017 Apr;158 Suppl 1:S11-S18. (PMID: 27902569) Int J Environ Res Public Health. 2020 Jul 29;17(15):. (PMID: 32751107) Geriatr Gerontol Int. 2019 Nov;19(11):1153-1156. (PMID: 31646711) J Pain. 2017 Dec;18(12):1459-1467. (PMID: 28760648) Lancet. 2015 Apr 27;385 Suppl 2:S10. (PMID: 26313056) Geriatr Gerontol Int. 2020 May;20(5):422-429. (PMID: 32107836) Syst Rev. 2020 Apr 26;9(1):94. (PMID: 32336290) Bol Oficina Sanit Panam. 1995 Dec;119(6):538-46. (PMID: 8713444) Cien Saude Colet. 2015 Dec;20(12):3865-76. (PMID: 26691810) Annu Rev Public Health. 2011;32:381-98. (PMID: 21091195) Lancet. 2014 Mar 15;383(9921):927. (PMID: 24629279) J Alzheimers Dis. 2020;78(3):1177-1195. (PMID: 33252087) Pain Rep. 2019 Dec 06;4(6):e797. (PMID: 31984301) BMC Public Health. 2021 Mar 31;21(1):627. (PMID: 33789623) Wien Klin Wochenschr. 2018 Jan;130(1-2):23-30. (PMID: 29322378) Pain Med. 2014 Sep;15(9):1508-21. (PMID: 25138172) Pain. 2017 Sep;158(9):1656-1665. (PMID: 28753588) Rev Saude Publica. 2017 Jun 01;51(suppl 1):9s. (PMID: 28591350) J Pain Res. 2020 Jan 09;13:39-47. (PMID: 32021393) Rev Bras Epidemiol. 2019 Feb 04;21Suppl 02(Suppl 02):e180004. (PMID: 30726349) Pain. 2017 Feb;158(2):313-322. (PMID: 28092650) Rev Bras Epidemiol. 2019 Feb 04;21Suppl 02(Suppl 02):e180002. (PMID: 30726347) Pain Manag Nurs. 2004 Sep;5(3):105-17. (PMID: 15359222) J Pain. 2019 Jan;20(1):83-96. (PMID: 30179671) Br J Anaesth. 2019 Aug;123(2):e273-e283. (PMID: 31079836) Prog Neuropsychopharmacol Biol Psychiatry. 2019 Jul 13;93:284-290. (PMID: 31004724) Medicine (Baltimore). 2020 Mar;99(12):e19454. (PMID: 32195941) MMWR Morb Mortal Wkly Rep. 2018 Sep 14;67(36):1001-1006. (PMID: 30212442) Br J Anaesth. 2013 Jul;111(1):52-8. (PMID: 23794645) PLoS One. 2022 May 19;17(5):e0268519. (PMID: 35588124) PLoS One. 2014 Jun 05;9(6):e99048. (PMID: 24901358) |
| تواريخ الأحداث: | Date Created: 20230525 Date Completed: 20230529 Latest Revision: 20230616 |
| رمز التحديث: | 20230616 |
| مُعرف محوري في PubMed: | PMC10212187 |
| DOI: | 10.1371/journal.pone.0285975 |
| PMID: | 37228121 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder كن أول من يترك تعليقا!