Population-based survey of pain in the united states: Differences among white, african american, and hispanic subjects

Portenoy, Russell K.; Ugarte, Carlos; Fuller, Ivonne; Haas, Gregory

doi:10.1016/j.jpain.2004.05.005

Cited by 296 publications

(288 citation statements)

References 42 publications

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“…Specifically, those with chronic conditions, psychological distress, a lower level of education, or receiving Medicaid were shown to be at greater risk for severe pain, suggesting the need for better pain management for these high-risk groups. This is consistent with the study by Portenoyet al 55 In a nationally representative sample of 454 whites, 447 African Americans, and 434 Hispanics, they found that neither race nor ethnicity predicted disabling pain. However, racial/ethnic minorities had more characteristics identified as predictors of disabling pain such as income of $25,000 or less (OR, 2.54), less than a high school education (OR, 1.59), and being unemployed (OR, 1.50).…”

Section: Discussionsupporting

confidence: 91%

Pain in Aging Community-Dwelling Adults in the United States: Non-Hispanic Whites, Non-Hispanic Blacks, and Hispanics

Reyes‐Gibby

Aday

Todd

et al. 2007

The Journal of Pain

149

134

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Racial and ethnic disparities in healthcare persist in the U.S. Although pain is one of the most prevalent and disabling symptoms of disease, only a few studies have assessed disparities in pain in large racially and ethnically diverse, middle-to late aged community samples, thus limiting the generalizability of study findings in broader populations. With data from the 2000 Health and Retirement Study, we assessed the prevalence and impact of pain in a community sample of aging (≥51 years old) non-Hispanic whites (n = 11,021), non-Hispanic blacks (n = 1,804), and Hispanics (n = 952) in the U.S. Pain, pain severity, activity limitation as a result of pain, comorbid conditions, and sociodemographic variables were assessed. Results showed that pain prevalence was 28%, and 17% of the sample reported activity limitation as a result of pain. Non-Hispanic blacks (odds ratio [OR], 1.78; 99% confidence interval [CI], 1.33-2.37) and Hispanics (OR, 1.80; 99% CI, 1.26-2.56) had higher risk for severe pain compared with non-Hispanic whites. Analyses of respondents with pain (n = 3,811) showed that having chronic diseases (2 comorbid conditions, OR, 1.5; 99% CI, 1.09-2.17), psychological distress (OR, 1.99; 99% CI, 1.54-2.43), being a Medicaid recipient (OR, 1.63; 99% CI, 1.17-2.25), and lower educational level (OR, 1.45; 99% CI, 1.14-1.85) were significant predictors for severe pain and helped to explain racial/ethnic differences in pain severity.Perspective-This study, which used a large racially and ethnically diverse community sample, provided empirical evidence that racial/ethnic difference in pain severity in aging community adults in the U.S. can be accounted for by differential vulnerability in terms of chronic disease, socioeconomic conditions, and access to care. KeywordsPain; disparities; aging; epidemiology; race; ethnicity Disparities in healthcare persist for racial and ethnic minorities in the United States. 26,50, 63 Racial/ethnic minorities are at a higher risk for poorer health and shorter survival,18,22, 31 have poorer access to healthcare services,33,52 and have lower quality of healthcare.4,25 Despite the fact that pain is one of the most frequent and devastating symptoms of disease, studies on racial/ethnic differences in pain are limited.11,39,40 Most studies of racial and ethnic disparities in healthcare come from studies of diseases such as cardiovascular diseases,9,17, 34 renal diseases,12,24 cancer,10,49,62 In this study, we describe the prevalence and impact of pain in a racially and ethnically diverse, nationally representative sample of middle-to late-aged adults (older than 50 years) in the United States. Studies show that although the pattern of pain prevalence in older people is unclear,28,35 overall, aging populations are at increased risk for pain.14,58,59,74 It is generally accepted that increased pathologic load is an overriding factor contributing to increased pain complaint with advancing age,35 with older adults at a greater risk for diseases that cause pain, such as arthriti...

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Section: Discussionsupporting

confidence: 91%

Pain in Aging Community-Dwelling Adults in the United States: Non-Hispanic Whites, Non-Hispanic Blacks, and Hispanics

Reyes‐Gibby

Aday

Todd

et al. 2007

The Journal of Pain

149

134

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“…Of the 109 participants reporting non-opioid pain medication use, 87 (79.9 %) were using nonsteroidal anti-inflammatory drugs, 11 (10 %) were using gabapentin, 11 (10 %) were using acetaminophen, and eight (7.3 %) were using muscle relaxants. Mean daily doses of buprenorphine were 14.86 mg (SD= 5.96), 16.95 mg (SD=6.12), and 17.84 mg (SD=5.51) in the no chronic pain, mild chronic pain, and moderate/severe chronic pain groups (p=0.01). There were no significant differences in proportion of persons with no pain, mild pain and moderate/severe pain across the three primary care recruitment sites (p=0.60).…”

Section: Key Resultsmentioning

confidence: 99%

“…[12][13][14] Thus, buprenorphine recipients report far higher rates of chronic pain than the 10 % prevalence estimated in the general US population by the World Health Organization. 15,16 Heterogeneous clinical conditions account for the sites of pain-low back, legs, total body-that comprise the majority of pain complaints among opioid-dependent patients. 6,17 Pain in this population has been attributed to past traumatic injuries, chronic medical conditions, human immunodeficiency virus and hepatitis C virus infection, 18,19 opioid-induced hyperalgesia, 20 and non-specific factors unrelated to opioid withdrawal.…”

Section: Introductionmentioning

confidence: 99%

Chronic Pain and DepressionAmong Primary Care Patients Treated with Buprenorphine

et al. 2015

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“…çalışmala-rında %47 kalça ve alt ekstremite, %40 bel, %28 baş ve boyun, %24 omuz ve üst ekstremite ağrıla-rı bildirmişlerdir. [26] İspanya'da toplumda yaygın ağ-rılı bölgeler sırasıyla alt ekstremite, bel, baş bölge-si olarak bulunmuştur. [20] James ve ark.…”

Section: Discussionunclassified

“…Pek çok çalışmada evliliğin, [21,26] ev hanımlığı ve emekliliğin [20,31] ağrıyı arttırdığı görülmüştür. Ağır fiziksel çalışma koşullarının da ağrıyı 2.2 kat arttır-dığı belirtilmiştir.…”

Section: Discussionunclassified

Sociodemographic properties and pain prevalance of patient's applied to policlinic of Algology Department of Adnan Menderes University Medical Faculty

Ayvat¹,

Aydın²,

Oğurlu³

2011

Agri

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ÖzetAmaç: Hastaların sosyodemografik özelliklerinin ve ağrı durumlarının, dünyada yapılmış diğer ağrı çalışmaları ile benzerliklerini ve farklılıklarını ortaya koymayı amaçladık. Gereç ve Yöntem: Çalışmamız 1 Ocak 2006-31 Aralık 2007 tarihleri arasında algoloji polikliniğimize başvuran 772 yeni hastanın sonuçlarını içermektedir. Polikliniğimizde hastalara, "Ağrı Değerlendirme Formu"ndaki sorular sorulmakta ve bilgiler bu forma kaydedilmektedir. Hastaların yaş, cinsiyet, meslek, medeni hal, öğrenim ve ekonomik durumu gibi demografik özellikleri forma işlenmektedir. Detaylı ağrı anamnezi için ağrının yeri, niteliği, başlangıç zamanı, atak süresi, sıklığı, şiddeti, ağrıya eşlik eden semptomlar, bu ağrılı hastalık nedeniyle daha önce aldığı ilaçlar ve uygulanan tedaviler, sorgulanmakta ve ağrı değerlendirme formuna kaydedilmektedir. Bulgular: En sık ağrı şikâyetinin bel, omuz ve baş bölgesinden kaynaklandığı görüldü. Hastalara en sık bel, muskuloskeletal ve baş ağrısı tanısı konuldu. İlk başvuruda ortalama VAS değeri 7.3 idi. Hastaların ağrıları genellikle sızlama, zonklama niteliğindeydi ve %73'ünün kronik ağrısı vardı. Ağrıya en sık halsizlik, bulantı-kusma ve uykusuzluk eşlik ediyordu. Hastaların %58'i önceden ilaç tedavisi almıştı. En sık ilaç tedavisi ve beraberinde invaziv girişimler uygulandığı görüldü. Sonuç: Hastaların sosyodemografik özelliklerinin bilinmesi ve tedaviye yanıtın yakın takibi önemlidir. Uygun farmakolojik tedavi yetersizse, ihtiyaç duyulan invaziv yöntemler deneyimli doktorlarca uygulanmalıdır. Uygulanan yöntemlerin hasta ve yakınlarına anlatılması tedavinin başarısını arttırır.

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Population-based survey of pain in the united states: Differences among white, african american, and hispanic subjects

Cited by 296 publications

References 42 publications

Pain in Aging Community-Dwelling Adults in the United States: Non-Hispanic Whites, Non-Hispanic Blacks, and Hispanics

Pain in Aging Community-Dwelling Adults in the United States: Non-Hispanic Whites, Non-Hispanic Blacks, and Hispanics

Chronic Pain and DepressionAmong Primary Care Patients Treated with Buprenorphine

Sociodemographic properties and pain prevalance of patient's applied to policlinic of Algology Department of Adnan Menderes University Medical Faculty

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