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Chronic Pain in a Biracial Cohort of Young Women

机译:混血儿年轻女性的慢性疼痛

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This is a longitudinal study of a large US biracial community cohort of 732 young women – 50% African-American and 50% Caucasian – specifically investigating incidence, remission, and progression of, as well as factorsassociated with common chronic pains (back, head, face, chest and abdomen). The results show back, head and abdominalpains were the most common, severe and persistent pains. Facial pain, although less common and severe, was the onlypain presenting significant racial differences with Caucasians having higher prevalence, incidence and persistence;incidence per 1000 person-years was 58 for Caucasians and 18 for African-Americans while remission per 1000 personyearswas 107 for Caucasians and 247 for African-Americans (p<0.05). Risk factors associated with incidence (I) differedfrom those associated with persistence(P), perhaps due to the young age and shorter pain duration in this population. Facepain incidence, but not persistence for example, was associated with student status, fatigue, perceived stress and generalhealth. Depression does not seem to be associated with any of these pains. However, increased number of existing painsites was related to subsequent increase chance of developing new pain (I) or maintaining the existing pain (P).Perspective: This study offers insight into risk factors associated with incidence and progression of chronic pains in youngwomen. We showed certain types of pain such as headaches and back pain present higher severity and persistence, andpredicted the incidence of other chronic pains. The clinical implications of these findings relate to the needs for moreaggressive intervention in young women developing these types of pain when addressing women’s health problems.
机译:这是一项针对美国732个年轻女性混血社区的纵向研究,其中50%是非裔美国人,50%是白人。他们专门调查了发病率,缓解程度,病情发展以及与常见慢性疼痛(后背,头部,脸,胸部和腹部)。结果显示,背部,头部和腹痛是最常见,严重和持续的疼痛。面部疼痛虽然不那么常见且严重,但却是唯一具有明显种族差异的疼痛,而白种人的患病率,发病率和持久性更高;白种人每1000人年的发病率是58,非洲裔美国人是18,而每1000人年的缓解是白种人的107非裔美国人为247(p <0.05)。与发病率(I)相关的风险因素与与持续性(P)相关的风险因素有所不同,这可能是由于该人群的年龄较小且疼痛持续时间较短。例如,面部疼痛的发生率与学生的状态,疲劳,感知到的压力和整体健康有关,而与持久性无关。抑郁似乎与这些痛苦无关。然而,现有疼痛部位数量的增加与随后出现新疼痛的可能性增加(I)或维持现有疼痛的可能性(P)有关。观点:本研究提供了与年轻女性慢性疼痛发生和发展相关的危险因素的见解。我们显示出某些类型的疼痛,例如头痛和背痛表现出更高的严重程度和持续性,并预测了其他慢性疼痛的发生率。这些发现的临床意义涉及在解决妇女的健康问题时,年轻妇女发展出此类疼痛的积极干预措施的需求。

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