经济困境,肥胖,以及疼痛的增加
Dana A Glei1, Maxine Weinstein2
1Center for Population and Health, Georgetown University, Washington, DC, USA.
Social science & medicine (1982)
|November 20, 2023
概括
经济困境,而不是肥胖,显著扩大了美国人背部和关节疼痛的社会经济差异. 这突显了经济困难对健康不平等的影响.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 流行病学 流行病学
背景情况:
- 肥胖率的增加可能与美国疼痛社会经济差距的扩大有关.
- 另一方面,贫困美国人的社会和经济状况恶化可能是这些差异的主要驱动因素.
- 了解社会经济地位 (SES),经济困境,肥胖和疼痛之间的相互作用对于公共卫生干预至关重要.
研究的目的:
- 评估疼痛中社会经济差异的扩大是否与经济困境的增加有关,特别是在低SES人群中.
- 评估肥胖是否调解了经济困境和痛苦之间的关系.
- 量化经济困境和肥胖对不同类型疼痛SES差异变化的贡献.
主要方法:
- 利用了1995-96年和2011-14年25-74岁美国成年人的全国代表性调查数据.
- 采用结构方程模型来分析社会经济地位 (SES) 时期变化和疼痛差异.
- 检查了背部疼痛,关节疼痛和头痛,考虑到经济困境和肥胖是潜在的因素.
主要成果:
- 背部疼痛和关节疼痛的社会经济差异显著扩大;对于头痛没有观察到显著的扩大.
- 经济困境占背痛SES差异扩大34%和关节疼痛SES差异扩大41%,基本上与肥胖无关.
- 肥胖独立地解释了8%的背痛和17%的关节疼痛中SES差异的扩大;导致肥胖的经济困境的证据很少.
结论:
- 经济困境是比肥胖更重要的驱动因素,扩大了背部和关节疼痛的社会经济差距.
- 经济困境对疼痛差异的影响与其随着时间的推移在低SES个体中增加有关.
- 持续扩大SES疼痛差异对整体福祉,劳动生产率和未来健康结果构成风险.
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