Living with disabling chronic pain: results from a face-to-face cross-sectional population-based study
Open accessAbstract
Objectives: To estimate the prevalence of disabling chronic pain (DCP) in Spanish adults, to analyse its characteristics, to determine its multimorbidity and to identify its associated factors. Settings: 2011 Andalusian Health Survey, a cross-sectional population survey based on face-to-face home interviews. Participants: 6507 people aged 16 years or older and living in Andalusia, Spain. Outcomes: The response variable was disabling chronic pain. Multivariate multinomial logistic regression models were used to analyse the association of factors with disabling chronic pain. The sample design was considered throughout the statistical analysis. Results: The prevalence of disabling chronic pain in the Spanish adult population was 11.36% (95% CI 11.23 to 11.49), while that of non-disabling chronic pain was 5.67% (95% CI 5.57 to 5.77). Disabling chronic pain was associated with high multimorbidity (especially in women (51%) and in the elderly (70%) with three or more additional chronic diseases), as well as with disadvantaged social status (such as female gender (OR=2.12), advanced age (OR 10-year increase=1.28), unemployment (OR=1.33), manual work (OR=1.26), low income (OR=1.14) and reduced emotional social support (OR=1.04)). Other influential factors were tobacco consumption (OR=1.42), sleeping ≤7 hours (OR=1.2)], environmental or work conditions (OR=1.16) and quality of life (OR mental=1.21, OR physical=2.37). Conclusions: The population with disabling chronic pain was associated with multimorbidity, vulnerable social status and an impaired quality of life. In contrast, the population with non-disabling chronic pain showed almost no differences when compared with the population without chronic pain. The association between DCP and mental disorders highlights the need for psychosocial services in the management of chronic pain.
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Disabling chronic pain is associated with higher multimorbidity, vulnerable social status and impaired quality of life.
“being disabling CP associated with higher multimorbidity, vulnerable social status and impaired quality of life.11”
From <p>Pain and Evil: From Local Nociception to Misery Following Social Harm</p> (2020) · cites this paper as [11]
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Evil and Pain: A Multi-modal View to Approach Pain-Related Conditions
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- Authors
- Cabrera-León, A., Cantero-Braojos, M. Á., Garcia-Fernandez, L., & Guerra de Hoyos, J. A.
- Corresponding author
- Cantero-Braojos, Miguel Ángel
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2018-11
- Volume
- 8
- Issue
- 11
- Pages
- e020913
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC6252717
- OpenAlex
- W2901415488
- Cited by
- 29
- References
- 58
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 7 · 2020: 6 · 2019: 2 · 2018: 2 · 2017: 2
- FWCI
- 2.74
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- RISalud Institutional Health Repository of Andalucía (submittedVersion, cc-by-nc)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Ministry of Health of the Junta de Andalucía, Spain
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- prevalence, multimorbidity, social determinants of health, unemployment, low income, manual labor, emotional support, tobacco use, sleep duration, quality of life, mental illness, psychosocial services, Andalusia
- MeSH terms
- Multimorbidity, Activities of Daily Living, Adult, Cross-Sectional Studies, Factor Analysis, Statistical, Female, Persons with Disabilities, Health Status, Humans, Male, Quality of Life, Social Support, Socioeconomic Factors, Spain, Prevalence, Sex Distribution, Chronic Pain
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