Chronic pain: epidemiological studies in a general population

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Chronic pain : epidemiological studies in a general population

Andersson, H. Ingemar, 1950- (author): Department of Community Health Sciences, Lund University, Sweden

Scherstén, Bengt, Professor (thesis advisor): Department of Community Health Sciences, Lund University, Sweden

Ejlertsson, Göran, Docent (thesis advisor): Högskolan Kristianstad, Institutionen för hälsovetenskaper

Leden, Ido, Överläkare (thesis advisor): Department of Medicine, Rheumatology section, Central Hospital, Kristianstad

Bengtsson, Calle, Professor (opponent): Department of Primary Health Care, University of Gothenburg

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(creator_code:org_t)

ISBN 9162829351
Lund : Univ. 1998
English 142 s.

Related links:: http://www.lu.se/o.o...; show more...; http://libris.kb.se/...; show less...

Doctoral thesis (other academic/artistic)

Abstract Subject headings

The aim was to study the epidemiology of chronic pain (> 3 months duration) and factors associated to pain prevalence, prognosis, health care and medication in a general population. A cross-sectional mailed survey to a random population sample (n = 1806) was followed by a clinical examination and a prospective study of three selected groups. Pain related diagnoses from primary health care was monitored and compared with pain prevalence. The most important findings were: - a high total prevalence of chronic pain, 55.2%, without gender difference but varying by age and socioeconomic level. About one fourth (12.8%) reported high pain intensity and functional impairments. Women experienced pain at more locations and with higher intensity. - in a multivariate analysis increasing age, female gender, low education, high work strain, depression and insomnia were associated with chronic pain. - widespread pain showed a worse 2- year prognosis compared with neck shoulder pain. - musculoskeletal location of pain dominated, myalgia and myofascial pain being the most common symptom descriptions. - co-morbidity with chronic pain was common. More hypertensives and an increased level of serum uric acid associated to widepread pain indicated possible metabolic connections to pain. - smoking (current and previous) was associated with low-back and widespread pain. - chronic pain had a substantial influence of primary health care-seeking and medication; high pain intensity being the most important predictor of care and medication. - pain related diagnoses in primary health care increased between 1987 and 1996. Chronic pain, mainly with musculoskeletal location, is a community health problem. A multi-factorial approach in prevention and treatment on the basis of present knowledge is necessary.

Subject headings

MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskaper -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)

Keyword

chronic pain
epidemiology
health care
Epidemiology
Epidemiologi
MEDICINE
MEDICIN

Publication and Content Type

vet (subject category)
dok (subject category)

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Kristianstad University College

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