家庭支持作为非洲裔美国老年人的疼痛保护因素:在2个国家纵向数据集中进行潜伏类分析
Patricia N E Roberson1, Kendall P Brady2, Bhaskar Thakur3
1Department of Surgery, Graduate School of Medicine, College of Nursing, The University of Tennessee, Knoxville, Knoxville, TN, United States.
Pain
|October 14, 2025
概括
紧张的家庭关系增加了非裔美国人的慢性疼痛风险. 了解家庭情绪气候对于管理老年人群的疼痛结果至关重要.
科学领域:
- 老年学是一门学科.
- 社会学 社会学 社会学
- 健康差异 在健康上的差异
背景情况:
- 家庭关系显著影响健康结果,但它们对非裔美国人慢性疼痛的影响仍未得到充分研究.
- 现有的模型可能无法完全捕捉影响疼痛的家庭动态的复杂性.
研究的目的:
- 用老年非洲裔美国人的潜在阶级分析来识别不同的家庭情绪气候 (FEC) 群体.
- 检查已识别的FEC群体与慢性疼痛的发病率和持续性之间的关联.
主要方法:
- 利用了两个全国代表性的数据集:美国中年 (MIDUS) 和健康退休研究 (HRS).
- 采用潜阶级分析来描述各种关系类型的家庭情绪气候 (疲劳,支持,不参与).
- 应用后勤回归来评估FEC组与慢性疼痛结果之间的联系.
主要成果:
- 紧张的家庭情绪气候 (FEC) 与慢性疼痛发病率 (OR=2.06在MIDUS) 和持续性 (OR=2.14在HRS) 的几率增加有关.
- 在包括亲子关系在内的模型中,紧张的家庭和亲子FEC独立地增加了疼痛发作风险.
- 与支持性家庭和父母-孩子FEC相比,紧张的家庭和父母-孩子FEC也显著增加了慢性疼痛持久性的风险.
结论:
- 对家庭关系的多维方法对于理解老年非洲裔美国人的慢性疼痛至关重要.
- 家庭的情感气候,特别是紧张的关系,是慢性疼痛发展和持续的一个重要因素.
- 针对家庭动态可能为这一人口群的疼痛管理干预提供新的策略.
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