PDF(Sci-hub)
Abstract：
Using a simple approach for coding pain severity, the present study describes self-reported pain in U.S. adults. Data are included for 8,781 adults who completed the Functioning and Disability Supplement of the 2012 National Health Interview Survey. An internationally piloted pain severity coding system was used to group participants into 5 discrete ordered pain categories based on their pain persistence (days with pain in the last 3 months) and bothersomeness (little, a lot, somewhere in between): pain free and categories 1 (low) to 4 (high). It is estimated that 126.1 million adults reported some pain in the previous 3 months, with 25.3 million adults (11.2%) suffering from daily (chronic) pain and 23.4 million (10.3%) reporting a lot of pain. Based on the persistence and bothersomeness of their pain, 14.4 million adults (6.4%) were classified as having the highest level of pain, category 4, with an additional 25.4 million adults (11.3%) experiencing category 3 pain. Individuals with category 3 or 4 pain were likely to have worse health status, to use more health care, and to suffer from more disability than those with less severe pain. Associations were seen between pain severity and selected demographic variables including race, ethnicity, preferred language, sex, and age.
CONCLUSIONS: U.S. estimates of pain prevalence are presented using a simple approach for assigning pain severity developed by the Washington Group on Disability Statistics. Concurrent validity is assessed. Although this approach is promising, additional work is required to determine the usefulness of the Washington Group pain categories for pain research or clinical practice.
CONCLUSIONS: U.S. estimates of pain prevalence are presented using a simple approach for assigning pain severity developed by the Washington Group on Disability Statistics. Concurrent validity is assessed. Although this approach is promising, additional work is required to determine the usefulness of the Washington Group pain categories for pain research or clinical practice.
摘要：
使用一种简单的方法来编码疼痛严重程度，本研究描述了美国成年人自我报告的疼痛.数据包括8,781名完成2012年全国健康访谈调查的功能和残疾补充的成年人。使用国际试点的疼痛严重程度编码系统，根据参与者的疼痛持久性（过去3个月中疼痛的天数）和烦恼（很少，很多,介于两者之间）：无痛和第1类（低）至第4类（高）。据估计，在过去的3个月中，有1.261亿成年人报告了一些疼痛。2530万成年人（11.2％）患有日常（慢性）疼痛，2340万成年人（10.3％）报告大量疼痛。基于他们痛苦的坚持和烦恼，1440万成年人(6.4%)被归类为疼痛程度最高的人。第4类疼痛，另有2540万成年人(11.3%)经历第3类疼痛。患有3类或4类疼痛的人可能健康状况较差，使用更多的医疗保健，比那些疼痛不太严重的人遭受更多的残疾。疼痛严重程度和选定的人口统计学变量之间存在关联，包括种族，种族,首选语言,性别,和年龄。
结论：美国对疼痛患病率的估计是使用华盛顿残疾统计小组开发的一种简单的方法来分配疼痛严重程度。评估并发有效性。尽管这种方法很有希望，需要额外的工作来确定华盛顿小组疼痛类别对疼痛研究或临床实践的有用性。
结论：美国对疼痛患病率的估计是使用华盛顿残疾统计小组开发的一种简单的方法来分配疼痛严重程度。评估并发有效性。尽管这种方法很有希望，需要额外的工作来确定华盛顿小组疼痛类别对疼痛研究或临床实践的有用性。
