Less Exercise and More Drugs: How a Low-Income Population Manages Chronic Pain.
Arch Phys Med Rehabil
; 98(11): 2111-2117, 2017 Nov.
Article
in En
| MEDLINE
| ID: mdl-28341586
ABSTRACT
OBJECTIVES:
To evaluate chronic pain management in a multistate, low-income Hispanic population, and to examine predictors of exercising and prescription pain medication (PPM) use.DESIGN:
Online survey administered to a representative sample of Hispanic adults in June 2015.SETTING:
Five southwestern states.PARTICIPANTS:
Among all online panel members who were Hispanic (N=1007), aged 35 to 75 years from 5 states, representing 11,016,135 persons, the survey was completed by 516 members (51%). Among these, 102 participants were identified with chronic noncancer pain representing 1,140,170 persons.INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
Exercising or using PPM for chronic pain in past year.RESULTS:
Most participants reported using PPM (58%) and exercise (54%) to manage pain. Compared with annual household incomes >$75,000, adjusted odds ratios [AORs] for exercising were .20 for <$10,000 (P=.12); .40 for $10,000 to $34,999 (P=.22); and .15 for $35,000 to $74,999 (P=.015). Conversely, AORs for PPM were over 4-fold higher for lower-income groups as follows 14.2, 4.79, and 4.85, respectively (all P<.065). PPM users rated the importance of accessing a gym to manage pain lower (P=.01), while exercisers rated the feasibility of gym access to manage pain higher (P=.001).CONCLUSIONS:
In a Hispanic population-based sample with chronic pain, lower-income groups tended to exercise less but use PPM more. Barriers to gym access and use may play a role in these disparities.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Poverty
/
Exercise
/
Hispanic or Latino
/
Chronic Pain
/
Pain Management
/
Analgesics
Type of study:
Prognostic_studies
Aspects:
Determinantes_sociais_saude
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
Arch Phys Med Rehabil
Year:
2017
Document type:
Article