■研究与参与(1)综合健康和医学(IHM)和(2)非药物模式相关的变量,而不是美国成人慢性疼痛的阿片类药物。
■使用2019年全国健康访谈调查,我们检查了社会人口统计学,疼痛,和心理健康预测因素(1)IHM模式的总和(即,脊椎按摩护理,瑜伽/太极拳,按摩,或冥想/引导图像)用于管理疼痛和(2)独家参与非药理学疼痛管理模式(即,IHM,慢性疼痛自我管理计划,支持团体,或身体,康复,职业,或谈话疗法)或过去3个月的阿片类药物。
■大都会居民,家庭收入较高,高等教育水平,疼痛部位的数量增加,疼痛限制生活/工作活动的频率增加与IHM参与的几率增加相关。年纪大了,男性,非西班牙裔黑人/非洲裔美国人种族/种族,每日使用阿片类药物与IHM参与几率降低相关。年纪大了,男性,抑郁症状增加与用于控制疼痛的IHM模式计数减少相关。大都会居民,家庭收入较高,和更高的教育水平与独家非药物模式参与的几率增加相关.年龄较大和限制生活/工作活动的疼痛频率增加与排他性非药物模式参与的几率降低有关。
■我们确定了慢性疼痛个体中普遍存在的因素与参与非药物和IHM模式相关因素之间的几种对比。这些结果支持努力解决在患有慢性疼痛的成年人亚群中获得这些模式的障碍(例如,老年人,个人识别为黑人/非洲裔美国人,农村居民,以及教育水平和收入水平较低的人)。
UNASSIGNED: To examine variables associated with engagement in (1) integrative health and medicine (IHM) and (2)
nonpharmacologic modalities rather than opioids among United States adults with chronic pain.
UNASSIGNED: Using the 2019 National Health Interview Survey, we examined sociodemographic, pain, and mental health predictors of (1) the sum of IHM modalities (ie, chiropractic care, yoga/Tai Chi, massage, or meditation/guided imagery) used to manage pain and (2) exclusive engagement in
nonpharmacologic pain management modalities (ie, IHM, a chronic pain self-management program, support groups, or physical, rehabilitative, occupational, or talk therapy) or opioids in the past 3 months.
UNASSIGNED: Metropolitan residency, higher family income, higher education levels, increased number of pain locations, and increased frequency of pain limiting life/work activities were associated with increased odds of IHM engagement. Older age, male sex, non-Hispanic Black/African American race/ethnicity, and daily opioid use were associated with decreased odds of IHM engagement. Older age, male sex, and increased depressive symptoms were associated with decreases in the count of IHM modalities used to manage pain. Metropolitan residency, higher family income, and higher education levels were associated with increased odds of exclusive
nonpharmacologic modality engagement. Older age and increasing frequency of pain limiting life/work activities were associated with decreased odds of exclusive
nonpharmacologic modality engagement.
UNASSIGNED: We identified several contrasts between factors prevalent among individuals with chronic pain and factors associated with engagement in
nonpharmacologic and IHM modalities. These results support efforts to address barriers to accessing these modalities among subpopulations of adults with chronic pain (eg, older adults, individuals identifying as Black/African American, rural residents, and those with lower levels of education and income).