Is experimentally induced pain associated with socioeconomic status? Do poor people hurt more?

Miljković, Ana; Stipčić, Ana; Braš, Marijana; Đorđević, Veljko; Brajković, Lovorka; Hayward, Caroline; Pavić, Arsen; Kolčić, Ivana; Polašek, Ozren

doi:10.12659/msm.890714

Cited by 16 publications

(5 citation statements)

References 40 publications

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“…The validity of our results depended upon the unbiased and accurate self-reporting of symptoms and sickness absence among cases. If those of lower SES perceived their symptoms differently to those of higher SES, which has been observed in studies investigating perceptions of pain across socioeconomic groups [ 35 , 36 ], our results could be a mere artefact of the severity measurement. Nonetheless, the variables used to derive the symptom severity score in our study were related to the presence and duration of symptoms, which are rather more objective measures of severity compared to, for example, a subjective rating of symptom severity from mild to severe.…”

Section: Discussionmentioning

confidence: 64%

Socioeconomic status is associated with symptom severity and sickness absence in people with infectious intestinal disease in the UK

et al. 2017

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BackgroundThe burden of infectious intestinal disease (IID) in the UK is substantial. Negative consequences including sickness absence are common, but little is known about the social patterning of these outcomes, or the extent to which they relate to disease severity.MethodsWe performed a cross-sectional analysis using IID cases identified from a large population-based survey, to explore the association between socioeconomic status (SES) and symptom severity and sickness absence; and to assess the role of symptom severity on the relationship between SES and absence. Regression modelling was used to investigate these associations, whilst controlling for potential confounders such as age, sex and ethnicity.ResultsAmong 1164 cases, those of lower SES versus high had twice the odds of experiencing severe symptoms (OR 2.2, 95%CI;1.66–2.87). Lower SES was associated with higher odds of sickness absence (OR 1.8, 95%CI;1.26–2.69), however this association was attenuated after adjusting for symptom severity (OR 1.4, 95%CI;0.92–2.07).ConclusionsIn a large sample of IID cases, those of low SES versus high were more likely to report severe symptoms, and sickness absence; with greater severity largely explaining the higher absence. Public health interventions are needed to address the unequal consequences of IID identified.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-017-2551-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 64%

Socioeconomic status is associated with symptom severity and sickness absence in people with infectious intestinal disease in the UK

et al. 2017

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“…The findings are consistent with previous studies. Researches had indicated that the higher risk of pain is correlated with lower sociodemographic status [7, 9, 28]. As it reported by National Bureau of Statistics of China, the average monthly income of Chinese was 2165 Yuan (318 USD) in 2017 and lower in rural area [29].…”

Section: Discussionmentioning

confidence: 99%

Pain situations among working adults and the educational needs identified: an exploratory survey via WeChat

Tse

2019

BMC Public Health

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Objectives The aim of this study is to 1) investigate the pain situation among working adults in China; 2) explore the self-initiate pain reliving strategies applied by working adults; and 3) collect people’s interests and suggestions to the topics of the online pain education program. Methods This is an exploratory survey through WeChat. The study was conducted from May 2018 to December 2018. Participants were recruited following the snowball sampling. In total of 664 people were recruited and 502 satisfied the criteria. SPSS was used for data analysis. Descriptive statistical analysis were used to present the utilization of pain treatments and suggested topics. Chi-square test, independent multiple logistic regression and Spearman’s correlation were used to analysis the data. Results The overall incidence of pain among the participants is 45% and higher among female (63%) than male (37%). Neck (68.72%, 4.10 ± 2.31), shoulder (62.56%, 3.78 ± 2.41) and head (49.34%, 4.23 ± 2.52) are reported as the most common and severe pain sites. Working is affected by pain and the results show that there is a negative correlation between pain intensity and work (rs = − 0.194) among the working population. Non-pharmacological treatments (55.77%) were chosen more by pain suffers. Totally 63.39% of participants show interests in the online pain education program and physical and psychological impact of pain is the most suggested topic (22.51%). Conclusion The pain prevalence is high among working adults in China. Impact of pain on work is a significant problem for the working adults. It is important to identify people at risk and deliver timely intervention to reduce pain. People showed their willingness in joining the online program. Therefore, future online pain education program can be developed.

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“…For instance, Jin et al ( 2004 ) conducted a cross-sectional study in China and found that garment workers had a higher annual prevalence of lower back pain (74 %) than teachers (40 %) (PR 1.9, 95 % CI 1.4–2.4); this could be explained by the garment workers’ long duration of sedentary positions. Miljković et al ( 2014 ) investigated the association of experimentally induced pain threshold and tolerance with socioeconomic status, and their results suggested that poor people have a higher prevalence of pain. A significant association was found between the experimentally induced pain threshold and tolerance and marital socioeconomic status.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of chronic body pain in China: a national study

Chen

Donovan

et al. 2016

SpringerPlus

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BackgroundChinese citizens regularly experience some form of bodily pain, yet little is known regarding the epidemiology of pain.MethodsWe conducted a nationally representative sample cross sectional study to estimate the prevalence of pain and identify risk factors of pain among 19,665 community residents aged 18–65 years in China. The China Sub-optimal Health Survey (CSHS) data was used to estimate pain prevalence. Body pain was also estimated by self-reports from the sample population. A logistical regression model was applied to estimate the odds ratio and 95 % CIs of acute pain and chronic pain to explore the potential risk factors.ResultsWomen had a higher prevalence of pain than men (39.92 vs. 32.17 % for chronic pain). The prevalence of pain increased with age (29.72 % for ages 18–25 vs. 42.23 % for ages 45–65). The most common complaints were head, neck/shoulder, and waist/back pain. Females (OR 1.57, 95 % CI 1.44–1.71) ages 25 or older (25–45: OR 1.19, 95 % CI 1.04–1.36; 45–65: OR 1.47, 95 % CI 1.26–1.73) were more likely to report having chronic pain. Subjects’ living areas, and their drinking status (OR 1.32, 95 % CI 1.13–1.53) or smoking status (OR 1.01, 95 % CI 0.91–1.11), were also factors that were significantly associated with increased reporting of chronic pain.ConclusionWomen had a higher prevalence of chronic pain than men, although both sexes had a high prevalence for chronic pain. There were significant differences between the two sexes and the location of chronic pain in the body, most notably in the shoulders, stomach, abdomen, and waist.

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Is experimentally induced pain associated with socioeconomic status? Do poor people hurt more?

Cited by 16 publications

References 40 publications

Socioeconomic status is associated with symptom severity and sickness absence in people with infectious intestinal disease in the UK

Socioeconomic status is associated with symptom severity and sickness absence in people with infectious intestinal disease in the UK

Pain situations among working adults and the educational needs identified: an exploratory survey via WeChat

Prevalence and characteristics of chronic body pain in China: a national study

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