Arthritic pain among Latinos: results from a community-based survey.

Chad Cheriel, Nathalie Huguet, Shalini Gupta, Heather McClure, Richard F Leman, Duyen L Ngo
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引用次数: 14

Abstract

Objective: To examine factors associated with pain among Latinos with arthritis, identify common coping strategies and potentially effective interventions, and determine whether pain levels affect the level of interest in potentially useful programs.

Methods: Using a convenience sampling approach and a combination of face-to-face and telephone surveys, 588 Latino adults in Oregon with arthritis were interviewed. The intensity of pain during a typical day was assessed using a scale ranging from 0 (no pain) to 10 (worst pain). A score of >or=7 was defined as severe pain.

Results: More than 60% of Latinos reported severe pain. Results from an ordinary least square regression indicated that among Latinos with arthritis, women, those with lower levels of education, and those reporting poor or fair self-rated health and functional limitations had higher levels of pain, after controlling for confounders. Those with severe pain were more likely than those with lower levels of pain to use over the counter medicine and home remedies to manage their arthritis. In addition, Latinos with greater pain were more likely to be interested in arthritis management programs.

Conclusion: These findings have important implications for public health policy. The strong interest of Latinos in various arthritis and joint pain management programs could prove to be an important avenue for supporting a population with high levels of arthritic pain and lack of health insurance. These pain management programs are all the more appealing, given the availability of a number of evidence-based, low-cost interventions.

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拉丁美洲人的关节炎疼痛:来自社区调查的结果。
目的:研究与拉丁美洲关节炎患者疼痛相关的因素,确定共同的应对策略和潜在有效的干预措施,并确定疼痛水平是否影响对潜在有用项目的兴趣水平。方法:采用方便抽样和面对面和电话调查相结合的方法,对俄勒冈州588名患有关节炎的拉丁裔成年人进行了访谈。在一个典型的一天中,疼痛的强度使用从0(无疼痛)到10(最严重的疼痛)的等级来评估。评分>或=7分为重度疼痛。结果:超过60%的拉丁美洲人报告了严重的疼痛。普通最小二乘回归的结果表明,在控制混杂因素后,患有关节炎的拉丁美洲人中,女性、受教育程度较低的人、报告健康状况不佳或自我评估健康和功能限制的人的疼痛程度更高。与疼痛程度较轻的人相比,疼痛严重的人更有可能使用非处方药和家庭疗法来治疗关节炎。此外,疼痛更严重的拉美裔人更有可能对关节炎管理项目感兴趣。结论:这些发现对公共卫生政策具有重要意义。拉丁美洲人对各种关节炎和关节疼痛管理项目的强烈兴趣可能被证明是支持高度关节炎疼痛和缺乏健康保险的人群的重要途径。这些疼痛管理方案都是更有吸引力的,考虑到一些证据,低成本的干预措施的可用性。
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Arthritis and rheumatism
Arthritis and rheumatism 医学-风湿病学
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