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Chronic pain :
Chronic pain : epidemiological studies in a general population
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- Andersson, H. Ingemar, 1950- (author)
- Department of Community Health Sciences, Lund University, Sweden
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- Scherstén, Bengt, Professor (thesis advisor)
- Department of Community Health Sciences, Lund University, Sweden
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- Ejlertsson, Göran, Docent (thesis advisor)
- Högskolan Kristianstad, Institutionen för hälsovetenskaper
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- Leden, Ido, Överläkare (thesis advisor)
- Department of Medicine, Rheumatology section, Central Hospital, Kristianstad
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- 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:
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http://www.lu.se/o.o...
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http://libris.kb.se/...
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Abstract
Subject headings
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- 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)