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首页> 外文期刊>Pain medicine : >Relationship Between Opioid Analgesic Prescription and Unemployment in Patients Seeking Acupuncture for Chronic Pain in Urban Primary Care
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Relationship Between Opioid Analgesic Prescription and Unemployment in Patients Seeking Acupuncture for Chronic Pain in Urban Primary Care

机译：阿片类药物镇痛处方与失业对城市初级保健治疗慢性疼痛的患者的关系

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Objective. The widespread use of opioid analgesics to treat chronic nonmalignant pain has contributed to the ongoing epidemic of opioid-related morbidity and mortality. Previous studies have also demonstrated a relationship between opioid analgesic use and unemployment due to disability. These studies have been limited to mainly white European and North American populations. The objective of this study is to explore the relationship between opioid analgesic use for chronic nonmalignant pain in an urban, mainly black and Hispanic, low-income population. Design. This is a cross-sectional observational study. Setting. Subjects were recruited from six urban primary care health centers. Subjects. Adults with chronic neck, back, or osteoarthritis pain participating in an acupuncture trial were included. Methods. Survey data were collected as a part of the Acupuncture Approaches to Decrease Disparities in Pain Treatment two-arm (AADDOPT-2) comparative effectiveness trial. Participants completed a baseline survey including employment status, opioid analgesic use, the Brief Pain Inventory, the global Patient Reported Outcomes Measurement Information Systems quality of life measure, the Patient Health Questionnaire-9 (PHQ-9), and demographic information. A multivariable logistic regression model was built to examine the association between opioid analgesic use and unemployment. Results. Opioid analgesic use was associated with three times the odds of unemployment due to disability while controlling for potential confounders, including depression, pain severity, pain interference, global physical and mental functioning, and demographic characteristics. Conclusions. This study adds to the growing body of evidence that opioid analgesics should be used with caution in chronic nonmalignant pain.
机译：客观的。阿片类镇痛药治疗慢性非开始疼痛的广泛使用有助于持续的阿片类药物的发病率和死亡率。以前的研究还表明阿片类药物镇痛使用与因残疾失业之间的关系。这些研究主要限于白色欧洲和北美人口。本研究的目的是探讨阿片类药物镇痛用途与城市，主要是黑人和西班牙裔的慢性非血管疼痛之间的关系。设计。这是一个横截面观察研究。环境。受试者从六个城市初级保健保健中心招募。主题。包括参与针灸试验的慢性颈部，背部或骨关节炎疼痛的成年人。方法。将调查数据作为针灸方法的一部分收集，以减少疼痛治疗两臂（Aaddopt-2）比较效果试验的差距。参与者完成了基线调查，包括就业状况，阿片类药物镇痛药，短暂的疼痛库存，全球患者报告了结果测量信息系统生活质量措施，患者健康问卷-9（PHQ-9）和人口统计信息。建立了多变量逻辑回归模型，以检查阿片类药物镇痛和失业率之间的关联。结果。阿片类镇痛药与失业率因残疾而有关的三倍，同时控制潜在的混乱，包括抑郁症，疼痛严重程度，痛苦干扰，全球身体和心理运作，以及人口特征。结论。本研究增加了越来越多的证据，即阿片类镇痛药应在慢性非正起疼痛中谨慎使用。

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