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Instituto Nacional de Salud Pública

2007, Number S4

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salud publica mex 2007; 49 (S4)

Pain in the elderly: prevalence and associated factors

Barragán-Berlanga AJ, Mejía-Arango S, Gutiérrez-Robledo LM

Language: Spanish
References: 26
Page: 488-494
PDF size: 181.64 Kb.


ABSTRACT

Objective. To determine the prevalence and the factors associated with pain in the Mexican elderly. Material and Methods. Persons ages 50 years or older answered the question: “Do you often suffer physical pain?” Prevalences were obtained, afterwhich multivariate analyses were conducted for the entire sample and for each age group to determine the associated factors. Results. Pain prevalence was 41.5%, more frequent in women (48.3% vs. 33.6%) and increased with age. There was a lower prevalence for persons with more education. Pain was directly associated with the report of arthritis, lung disease, falls, hypertension, depression, stroke, cancer history and problems with activities of daily living and instrumental activities of daily living. Conclusions. Pain is a common problem among elderly and is associated with some comorbidities.


REFERENCES

  1. Català E, Reig E, Artés M, Aliaga L, López JS, Segú JL. Prevalence of pain in the spanish population: telephone survey in 5 000 homes. Eur J Pain 2002; 6:133-140.

  2. Herr KA, Garand L. Assessment and measurement of pain in older adults. Clin Geriatr Med 2001;17:457-478.

  3. Helme RD, Gibson SJ. The epidemiology of pain in elderly people. Clin Geriatr Med 2001;17:417-431.

  4. Crook J, Rideout E, Browne G. The prevalence of pain complaints in a general population. Pain 1984;18:299-314.

  5. Brattberg G, Thorslund M, Wikman A. The prevalence of pain in a general population. The results of a postal survey in a county of Sweden. Pain 1989;37:215-222.

  6. Bassols A, Bosch F, Campillo M, Cañellas M, Baños JE. An epidemiological comparison of pain complaints in the general population of Catalonia (Spain). Pain 1999;83:9-16.

  7. Thomas E, Peat G, Harris L, Wilkie R, Croft PR. The prevalence of pain and pain interference in a general population of older adults: crosssectional findings from the North Staffordshire Osteoarthritis Project (NorStOP). Pain 2004;10:361-368.

  8. Miu D, Chan T, Chan M. Pain and disability in a group of Chinese elderly out-patients in Hong Kong. Hong Kong Med J 2004;10:160-165.

  9. Andersson HI, Ejlertsson G, Leden I, Rosenberg C. Chronic pain in a geographically defined general population: studies of differences in age, gender, social class and pain localization. Clin J Pain 1993;9:174-182.

  10. Bernabei R, Gambassi G, Lapane K, Landi F, Gatsonis C, Dunlop R et al. Management of pain in elderly patients with cancer. JAMA 1998;279:1877-1882.

  11. Won AB, Lapane KL, Vallow S, Schein J, Morris JN, Lipsitz LA. Persistent nonmalignant pain and analgesic prescribing patterns in elderly nursing home residents. J Am Geriatr Soc 2004;52:867-874.

  12. Jorm AF, Henderson AS, Scott R, Korten AE, Christensen H, Mackinnon AJ. Factors associated with the wish to die in elderly people. Age Ageing 1995;24:389-392.

  13. Consejo Nacional de Población. Disponible en: http://www.conapo.gob.mx//00cifras/5.htm.

  14. Tapia-Conyer R, Cravioto P, Borges-Yáñez A, De la Rosa B. Consumo de drogas médicas en población de 60 a 65 años en México. Encuesta Nacional de Adicciones 1993. Salud Publica Mex 1996;38:458-465.

  15. Glosser G, Wolfe N, Albert ML, Lavine L, Steele JC, Calne DB et al. Cross-cultural cognitive examination: validation of a dementia screening instrument for neuroepidemiological research. J Am Geriatr Soc 1993;41:931-939.

  16. Mäntyselkä PT, Turunen JHO, Ahonen RS, Kumpusalo EA. Chronic pain and poor self-rated health. JAMA 2003;290:2435-2442.

  17. Roy R, Thomas M. Elderly persons with and without pain: A comparative study. Clin J Pain 1987;3:102-106.

  18. Magni G, Marchetti M, Moreschi C, Merskey H, Luchini SR. Chronic musculoskeletal pain and depressive symptoms in the National Health and Nutrition Examination I. Epidemiologic follow-up study. Pain 1993;53:163-168.

  19. Suzuki M, Shimamoto Y, Kawamura I, Takahashi H. Does gender make a difference in the risk of falls? a Japanese study. J Gerontol Nurs 1997;23:41-48.

  20. Leveille SG, Bean J, Bandeen-Roche K, Jones R, Hochberg M, Guralnik JM. Musculoskeletal pain and risk for falls in older disabled women living in the community. J Am Geriatr Soc 2002;50:671-678.

  21. Magni G, Caldieron C, Rigatti-Luchini S, Merskey H. Chronic musculoskeletal pain and depressive symptoms in the general population. An analysis of the 1st National Health and Nutrition Examination Survey data. Pain 1990;43:299-307.

  22. Bair MJ, Robinson RL, Katon W, Kroenke K. Depression and pain comorbidity. Arch Intern Med 2003;163:2433-2445.

  23. Lin EHB, Katon W, Von Korff M, Tang L, Williams JW, Kroenke K et al. Effect of improving depression care on pain and functional outcomes among older adults with arthritis. A randomized controlled trial. JAMA 2003;290:2428-2434.

  24. Hanger HC, Whitewood P, Brown G, Ball MC, Harper J, Cox R et al. A randomized controlled trial of strapping to prevent post-stroke shoulder pain. Clin Rehabil 2000;14:370-380.

  25. Roy CW, Sands MR, Hill LD. Shoulder pain in acutely admitted hemiplegics. Clin Rehabil 1994;8:334-340.

  26. Bowsher D, Leijon G, Thuomas KA. Central poststroke pain. Correlation of MRI with clinical pain characteristics and sensory abnormalities. Neurology 1998;51:1352-1358.




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