疼痛评估:美国社区日记调查
Alan B Krueger1, Arthur A Stone
1Department of Economics and Woodrow Wilson School, Princeton University, Princeton, NJ 08540, USA. akrueger@princeton.edu
Lancet (London, England)
|May 6, 2008
概括
大约28%的美国成年人在任何时候都会经历疼痛. 收入较低,教育程度较低,年龄较大等因素与疼痛的患病率和严重程度增加有关.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 疼痛管理 疼痛管理
背景情况:
- 疼痛代表着严重的公共卫生负担,也是医疗咨询的主要驱动因素.
- 了解一般人群中疼痛的患病率和严重程度对于有效的医疗保健计划至关重要.
研究的目的:
- 确定在美国代表性样本中经历疼痛和疼痛严重程度的个体比例.
- 调查与疼痛患病率和强度相关的人口和社会经济因素.
主要方法:
- 一项以社区为基础的电话调查使用随机数字拨号来接触大约10,700个人.
- 在24小时内,在3个随机选择的15分钟间隔内,使用0-6级评估疼痛强度.
- 样本权重被应用,以确保结果对美国人口具有代表性.
主要成果:
- 总共有3,982人接受了采访,回复率为37%.
- 调整后的数据显示,28.8%的男性和26.6%的女性在采样时间报告疼痛.
- 在收入和教育水平较低的人群中观察到更高的疼痛患病率和严重程度,疼痛强度随着年龄的增长而增加到平原.
结论:
- 采用的日记调查方法在人口层面的疼痛研究中是有效的.
- 这种方法可以将疼痛评估与日常生活活动相结合,从而全面了解疼痛的影响.
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