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Less Exercise and More Drugs: How a Low-Income Population Manages Chronic Pain
Barbara J Turner1, Natalia Rodriguez2, Melissa A Valerio3
1Department of Medicine, UT Health San Antonio, San Antonio, TX; Center for Research to Advance Community Health, UT Health San Antonio, San Antonio, TX.
Objectives:
To evaluate chronic pain management in a multistate, low-income Hispanic population, and to examine predictors of exercising and prescription pain medication (PPM) use.
Design:
Online survey administered to a representative sample of Hispanic adults in June 2015.
Setting:
Five southwestern states.
Participants:
Among all online panel members who were Hispanic (N=1007), aged 35 to 75 years from 5 states, representing 11,016,135 persons, the survey was completed by 516 members (51%). Among these, 102 participants were identified with chronic noncancer pain representing 1,140,170 persons.
Interventions:
Not applicable.
Main Outcome Measures:
Exercising or using PPM for chronic pain in past year.
Results:
Most participants reported using PPM (58%) and exercise (54%) to manage pain. Compared with annual household incomes >$75,000, adjusted odds ratios [AORs] for exercising were .20 for <$10,000 (P=.12); .40 for $10,000 to $34,999 (P=.22); and .15 for $35,000 to $74,999 (P=.015). Conversely, AORs for PPM were over 4-fold higher for lower-income groups as follows: 14.2, 4.79, and 4.85, respectively (all P<.065). PPM users rated the importance of accessing a gym to manage pain lower (P=.01), while exercisers rated the feasibility of gym access to manage pain higher (P=.001).
Conclusions:
In a Hispanic population-based sample with chronic pain, lower-income groups tended to exercise less but use PPM more. Barriers to gym access and use may play a role in these disparities.