“I'm healthy, I don't have pain”- health screening participation and its association with chronic pain in a low socioeconomic status Singaporean population

Wee, Liang En; Sin, David; Cher, Wen Qi; Li, Zong Chen; Tsang, Tammy Yun-Ying; Shibli, Sabina; Koh, Gerald Choon-Huat

doi:10.3344/kjp.2017.30.1.34

Cited by 7 publications

(10 citation statements)

References 26 publications

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“…Neuroticism as a higher order personality trait proved to be directly associated with pain reports and pain catastrophizing (a lower order personality trait) served as a partial mediator to this association, contrary to the recent literature [ 34 35 36 37 38 ].…”

Section: Discussioncontrasting

confidence: 81%

“…Our results support the idea that neuroticism could be perceived as a vulnerability factor within a diathesis-stress framework [ 15 ]. When a person is faced with a stressor, such as (acute) pain, neuroticism may influence whether the person appraises the pain as threatening or not [ 36 39 40 ]. No direct effect of catastrophizing could also be a consequence of contextual factors such as the threat value of pain, which may differ in laboratory settings versus clinical environments.…”

Section: Discussionmentioning

confidence: 99%

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Neuroticism and pain catastrophizing aggravate response to pain in healthy adults: an experimental study

et al. 2018

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BackgroundThe aim of this study was to investigate the association between neuroticism, pain catastrophizing, and experimentally induced pain threshold and pain tolerance in a healthy adult sample from two regions of the country of Croatia: the island of Korcula and city of Split.MethodsA total of 1,322 participants were enrolled from the Island of Korcula (n = 824) and the city of Split (n = 498). Participants completed a self-reported personality measure Eysenck Personality Questionnaire (EPQ) and pain catastrophizing questionnaire Pain Catastrophizing Scale (PCS), followed by a mechanical pain pressure threshold and tolerance test. We have explored the mediating role of catastrophizing in the relationship between neuroticism and pain intensity.ResultsThe results showed that pain catastrophizing partially mediated the relationship between neuroticism and pain intensity, suggesting the importance of pain catastrophizing in increasing vulnerability to pain. The results also indicated gender-related differences, marked by the higher pain threshold and tolerance in men.ConclusionsThis study adds to the understanding of the complex interplay between personality and pain, by providing a better understanding of such mechanisms in healthy adults.

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Section: Discussioncontrasting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Neuroticism and pain catastrophizing aggravate response to pain in healthy adults: an experimental study

et al. 2018

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“…A total of 14 articles which includes 4 prospective studies [ 13 – 16 ], 8 cross-sectional studies [ 17 – 24 ] and 2 retrospective cohort studies [ 25 , 26 ] were obtained for the review. Among these studies, 4 of the articles included qualitative interviews [ 14 , 20 , 23 , 24 ]. Effect of a community interventional program on outcomes was also studied in 4 of the articles [ 13 , 15 , 16 , 22 ].…”

Section: Resultsmentioning

confidence: 99%

“… In rental housing community, chronic pain associated with unemployment and functional limitation. Poor Wee LE (2017) [ 20 ] Cross-sectional and Qualitative From 2009 to 2014 Health screening participation and its association with chronic pain. Residents 40–59 y/o.…”

Section: Resultsmentioning

confidence: 99%

“…There was an association between chronic pain with unemployment (adj OR 1.92, CI 1.05–2.78, p = 0.030) and being less independent in instrumental activities of daily living (adj OR 0.42, CI 0.20–0.90, p = 0.025). In another study on chronic pain [ 20 ], it was found that those with chronic pain had higher participation in screening for diabetes (adj OR 2.11, CI 1.36–3.27, p < 0.001), dyslipidaemia (adj OR 2.06, CI 1.25–3.39, P = 0.005), colorectal cancer (adj OR 2.28, CI 1.18–4.40, p = 0.014), cervical cancer (adj OR 2.65, CI 1.34–5.23, p = 0.005) and breast cancer (adj OR 3.52, CI 1.94–6.41, p < 0.001). And this was not seen in the owner-occupied housing community.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of health status, health seeking behaviour and healthcare utilisation of low socioeconomic status populations in urban Singapore

Chan

Lee

Low

2018

Int J Equity Health

103

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IntroductionIt is well-established that low socioeconomic status (SES) influences one’s health status, morbidity and mortality. Housing type has been used as an indicator of SES and social determinant of health in some studies. In Singapore, home ownership is among the highest in the world. Citizens who have no other housing options are offered heavily subsidised rental housings. Residents staying in such rental housings are characterised by low socioeconomic status. Our aim is to review studies on the association between staying in public rental housing in Singapore and health status.MethodsA PubMed and Scopus search was conducted in January 2017 to identify suitable articles published from 1 January 2000 to 31 January 2017. Only studies that were done on Singapore public rental housing communities were included for review. A total of 14 articles including 4 prospective studies, 8 cross-sectional studies and 2 retrospective cohort studies were obtained for the review. Topics addressed by these studies included: (1) Health status; (2) Health seeking behaviour; (3) Healthcare utilisation.ResultsStaying in public rental housing was found to be associated with poorer health status and outcomes. They had lower participation in health screening, preferred alternative medicine practitioners to western-trained doctors for primary care, and had increased hospital utilisation. Several studies performed qualitative interviews to explore the causes of disparity and concern about cost was one of the common cited reason.ConclusionStaying in public rental housing appears to be a risk marker of poorer health and this may have important public health implications. Understanding the causes of disparity will require more qualitative studies which in turn will guide interventions and the evaluation of their effectiveness in improving health outcome of this sub-population of patients.

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Attending to Marginalization in The Chronic Pain Literature: A Scoping Review

Connoy,

Solomon,

Longo

et al. 2024

Canadian Journal of Pain

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Background There has been a recent and, for many within the chronic pain space, long-overdue increase in literature that focuses on equity, diversity, inclusion, and decolonization (EDI-D) to understand chronic pain among people who are historically and structurally marginalized. Aims In light of this growing attention in chronic pain research, we undertook a scoping review of studies that focus on people living with chronic pain and marginalization to map how these studies were carried out, how marginalization was conceptualized and operationalized by researchers, and identify suggestions for moving forward with marginalization and EDI-D in mind to better support people living with chronic pain. Methods We conducted this scoping review using critical analysis in a manner that aligns with dominant scoping review frameworks and recent developments made to scoping review methodology as well as reporting guidelines. Results Drawing on 67 studies, we begin with a descriptive review of the literature followed by a critical review that aims to identify fissures within the field through the following themes: (1) varying considerations of sociopolitical and socioeconomic contexts, (2) conceptual conflations between sex and gender, and (3) differing approaches to how people living with chronic pain and marginalization are described. Conclusion By identifying strengths and limitations in the research literature, we aim to highlight opportunities for researchers to contribute to a more comprehensive understanding of marginalization in chronic pain experiences.

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“I'm healthy, I don't have pain”- health screening participation and its association with chronic pain in a low socioeconomic status Singaporean population

Cited by 7 publications

References 26 publications

Neuroticism and pain catastrophizing aggravate response to pain in healthy adults: an experimental study

Neuroticism and pain catastrophizing aggravate response to pain in healthy adults: an experimental study

A systematic review of health status, health seeking behaviour and healthcare utilisation of low socioeconomic status populations in urban Singapore

Attending to Marginalization in The Chronic Pain Literature: A Scoping Review

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