Epidemic characteristics analysis of outpatient middle-aged and elderly chronic pain patients in 3 provinces and cities in China
Objective:To investigate the epidemic characteristics of middle-aged and elderly chronic pain patients in outpatient department in 3 provinces and cities in China.Methods:From April to August 2023,a multi-stage stratified sampling method was used to select a tertiary class A general hospital and a secondary class A general hospital in each of Beijing,Chongqing,Jiangxi Province.Outpatient chronic pain patients aged≥45 years who complained of pain for more than 3 months were included.Questionnaire was used to collect information about the patients'general characteristics and the epidemiological features of chronic pain.Counting data is expressed in rate,the rank sum test was used to analyze the one-way ordinal data,the trend X2 test was used to analyze the two-way ordinal data,binary logistic regression analysis was used to identify factors influencing the severity of pain in patients.Results:The effective samples included in the analysis were 4151 outpatients with chronic pain,of which 1803(43.4%)were male and 2348(56.6%)were female.There were 2193 cases(52.8%)aged 45-64 years and 1958 cases(47.2%)aged≥65 years.The number of patients with mild,moderate,and severe pain was 1079(26.0%),2535(61.1%),and 537(12.9%),respectively.Pain severity in patients with chronic pain was significantly different in age(X2=39.061,P<0.001),east-central-west region(Z=768.542,P<0.001),urban and rural areas(Z=-10.513,P<0.001),education level(X2=4.280,P<0.05),family annual income(X2=26.707,P<0.001),previous medical history(Z=-3.685,P<0.001),drinking(X2=10.172,P<0.01),pain duration(X2=12.617,P<0.001),number of pain sites(X2=106.442,P<0.001).Binary logistic regression analysis showed that age≥65 years old(OR=1.69,95%CI:1.38-2.07),living in rural areas(OR=2.09,95%CI:1.58-2.77),college degree or above(OR=1.48,95%CI:1.10-2.00),number of pain sites≥2(OR=1.73,95%CI:1.42-2.10),is a risk factor for severe pain(P<0.05).Conclusion:In outpatient department across three provinces and cities in China,middle-aged and elderly patients predominantly experience moderate chronic pain.Age,urban or rural areas,education level and number of pain sites are significant influencing factors for pain severity.Early identification and intervention of these relevant factors are essential to comprehensively assess pain levels and develop personalized treatment plans,ultimately enhancing the effectiveness of pain management and treatment for patients.
middle-aged and elderlychronic painpain severityinfluencing factor
万方数据
维普
