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The prevalence and economic burden of pain on middle-aged and elderly Chinese people: results from the China health and retirement longitudinal study
BACKGROUND: To estimate the prevalence of pain among people aged 45 years and older in China, to analyze the effect factors of pain and pain related economic burden. METHODS: Nationally representative sample was derived from China Health and Retirement Longitudinal Study (CHARLS). Pain data, medical...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329515/ https://www.ncbi.nlm.nih.gov/pubmed/32611450 http://dx.doi.org/10.1186/s12913-020-05461-6 |
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author | Qiu, Yudian Li, Hu Yang, Ziyi Liu, Qiang Wang, Kai Li, Rujun Xing, Dan Hou, Yunfei Lin, Jianhao |
author_facet | Qiu, Yudian Li, Hu Yang, Ziyi Liu, Qiang Wang, Kai Li, Rujun Xing, Dan Hou, Yunfei Lin, Jianhao |
author_sort | Qiu, Yudian |
collection | PubMed |
description | BACKGROUND: To estimate the prevalence of pain among people aged 45 years and older in China, to analyze the effect factors of pain and pain related economic burden. METHODS: Nationally representative sample was derived from China Health and Retirement Longitudinal Study (CHARLS). Pain data, medical cost data were obtained, as well as information of demographic characteristics, social structure, social-economic status, other health needs and health behaviors. The prevalence of pain in 2011, 2013, and 2015 was calculated. Univariate analysis and multivariate analysis were used to find the effect factors of pain. An optimization two-part model was used to calculate the range of the direct medical costs caused by pain. RESULTS: The prevalence of pain among people 45 years or older in China was 31.73% in 2011, 37.27% in 2013 and 28.62% in 2015. When evaluating factors lead a higher prevalence of pain, the results of the multi-variable after one-way analysis were older age, female, lower education, rural residents, without insurance status, abstained from alcohol and lower body mass index (BMI). Through the optimization of two-part model, the direct medical costs caused by pain was 898.9–1563.0 yuan in 2011, 2035.8–2568.7 yuan in 2013 and 2628.8–3945.7 yuan in 2015 (129.9US$ - 225.9US$ in 2011, 294.2 US$ - 371.2US$ in 2013 and 379.9US$ - 570.2US$ in 2015, converted to 2010 RMB). CONCLUSION: The prevalence of pain among middle-aged and elderly Chinese is high. Residents with older age, female, lower education, rural residents, without insurance status, abstained from alcohol and lower BMI seem to have a higher pain prevalence. Pain can cause extra direct medical costs and will cause more economic loss with the progress of time. Future research should pay more attention to effective treatment, management and prevention of pain to decrease its burden. |
format | Online Article Text |
id | pubmed-7329515 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-73295152020-07-02 The prevalence and economic burden of pain on middle-aged and elderly Chinese people: results from the China health and retirement longitudinal study Qiu, Yudian Li, Hu Yang, Ziyi Liu, Qiang Wang, Kai Li, Rujun Xing, Dan Hou, Yunfei Lin, Jianhao BMC Health Serv Res Research Article BACKGROUND: To estimate the prevalence of pain among people aged 45 years and older in China, to analyze the effect factors of pain and pain related economic burden. METHODS: Nationally representative sample was derived from China Health and Retirement Longitudinal Study (CHARLS). Pain data, medical cost data were obtained, as well as information of demographic characteristics, social structure, social-economic status, other health needs and health behaviors. The prevalence of pain in 2011, 2013, and 2015 was calculated. Univariate analysis and multivariate analysis were used to find the effect factors of pain. An optimization two-part model was used to calculate the range of the direct medical costs caused by pain. RESULTS: The prevalence of pain among people 45 years or older in China was 31.73% in 2011, 37.27% in 2013 and 28.62% in 2015. When evaluating factors lead a higher prevalence of pain, the results of the multi-variable after one-way analysis were older age, female, lower education, rural residents, without insurance status, abstained from alcohol and lower body mass index (BMI). Through the optimization of two-part model, the direct medical costs caused by pain was 898.9–1563.0 yuan in 2011, 2035.8–2568.7 yuan in 2013 and 2628.8–3945.7 yuan in 2015 (129.9US$ - 225.9US$ in 2011, 294.2 US$ - 371.2US$ in 2013 and 379.9US$ - 570.2US$ in 2015, converted to 2010 RMB). CONCLUSION: The prevalence of pain among middle-aged and elderly Chinese is high. Residents with older age, female, lower education, rural residents, without insurance status, abstained from alcohol and lower BMI seem to have a higher pain prevalence. Pain can cause extra direct medical costs and will cause more economic loss with the progress of time. Future research should pay more attention to effective treatment, management and prevention of pain to decrease its burden. BioMed Central 2020-07-01 /pmc/articles/PMC7329515/ /pubmed/32611450 http://dx.doi.org/10.1186/s12913-020-05461-6 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Qiu, Yudian Li, Hu Yang, Ziyi Liu, Qiang Wang, Kai Li, Rujun Xing, Dan Hou, Yunfei Lin, Jianhao The prevalence and economic burden of pain on middle-aged and elderly Chinese people: results from the China health and retirement longitudinal study |
title | The prevalence and economic burden of pain on middle-aged and elderly Chinese people: results from the China health and retirement longitudinal study |
title_full | The prevalence and economic burden of pain on middle-aged and elderly Chinese people: results from the China health and retirement longitudinal study |
title_fullStr | The prevalence and economic burden of pain on middle-aged and elderly Chinese people: results from the China health and retirement longitudinal study |
title_full_unstemmed | The prevalence and economic burden of pain on middle-aged and elderly Chinese people: results from the China health and retirement longitudinal study |
title_short | The prevalence and economic burden of pain on middle-aged and elderly Chinese people: results from the China health and retirement longitudinal study |
title_sort | prevalence and economic burden of pain on middle-aged and elderly chinese people: results from the china health and retirement longitudinal study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329515/ https://www.ncbi.nlm.nih.gov/pubmed/32611450 http://dx.doi.org/10.1186/s12913-020-05461-6 |
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