慢性的な痛みと自己評価の悪い健康状態
Pekka T Mäntyselkä1, Juha H O Turunen, Riitta S Ahonen
1Department of Public Health and General Practice, University of Kuopio and Unit of General Practice, Kuopio University Hospital, Finland. pekka.mantyselka@uku.fi
JAMA
|November 13, 2003
まとめ
慢性疼痛は,自己評価された健康に著しく影響を与えます. 日常の慢性痛は,自己評価の悪い健康状態の確率を11倍以上高め,強い独立した関係を強調しています.
科学分野:
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
- 医療サービス 研究 医療サービス
背景:
- 慢性的な痛みは,西欧社会における人口のかなりの部分に影響します.
- 自己評価された健康は,罹病率と死亡率の重要な予測要因です.
- 慢性疼痛と一般人口の自己評価の健康との関係については,さらなる調査が必要である.
研究 の 目的:
- 慢性疼痛と自己評価の健康との関連を調査する.
- 慢性疼痛の頻度が自己評価した健康状態に与える影響を判断する.
主な方法:
- フィンランドで15歳から74歳までの4542人を対象とした横断調査.
- 慢性疼痛は,頻度 (毎週,毎日) によって分類され,少なくとも3ヶ月間続く痛みとして定義されます.
- 5項目のアンケートを使用して評価された自己評価の健康状態は,良好,中等,または貧弱に分類されます.
- 年齢,性別,教育,労働状態,慢性疾患,および気分を含む共変数に調整された多項式ロジスティック回帰分析.
主要な成果:
- 慢性疼痛の罹患率は35.1%で,14.3%が毎日の痛みを経験しています.
- 適度な自己評価の健康は参加者の26.6%で,健康不良は参加者の7.6%で報告されました.
- 日常慢性疼痛を持つ人は,慢性疼痛のない人と比較して,自己評価の健康状態が適度な確率の3.69倍,自己評価の健康状態が悪い確率の11.82倍であった.
結論:
- 慢性疼痛は,一般人口の自己評価の低い健康と独立して関連しています.
- 慢性疼痛の頻度は,自己評価の悪い健康状態を報告する確率と直接相関しています.
- 研究結果は,慢性疼痛の治療が全人口の健康を改善する上で重要であることを強調しています.
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