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Rural, Suburban, and Urban Differences in Chronic Pain and Coping Among Adults in North Carolina: 2018 Behavioral Risk Factor Surveillance System

INTRODUCTION: Our study aimed to examine the prevalence of chronic pain, its severity, its causes, and coping mechanisms that are used by North Carolina adults in rural, suburban, and urban areas. METHODS: We analyzed data from the Behavioral Risk Factor Surveillance System’s first chronic pain modu...

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Autores principales: Rafferty, Ann P., Luo, Huabin, Egan, Kathleen L., Bell, Ronny A., Gaskins Little, N. Ruth, Imai, Satomi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7895337/
https://www.ncbi.nlm.nih.gov/pubmed/33600305
http://dx.doi.org/10.5888/pcd18.200352
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author Rafferty, Ann P.
Luo, Huabin
Egan, Kathleen L.
Bell, Ronny A.
Gaskins Little, N. Ruth
Imai, Satomi
author_facet Rafferty, Ann P.
Luo, Huabin
Egan, Kathleen L.
Bell, Ronny A.
Gaskins Little, N. Ruth
Imai, Satomi
author_sort Rafferty, Ann P.
collection PubMed
description INTRODUCTION: Our study aimed to examine the prevalence of chronic pain, its severity, its causes, and coping mechanisms that are used by North Carolina adults in rural, suburban, and urban areas. METHODS: We analyzed data from the Behavioral Risk Factor Surveillance System’s first chronic pain module in 2018, representing 3,598 respondents. Self-reported chronic pain was defined as the affirmative response to the question, “Do you suffer from any type of chronic pain, that is, pain that occurs constantly or flares up often?” We computed prevalence of chronic pain and use of coping mechanisms by rural, suburban, or urban residential status. We used multiple logistic regression to assess the association between chronic pain and residential location, adjusting for demographic characteristics, employment, and health insurance. RESULTS: In 2018, an estimated 27.5% (95% confidence interval [CI], 25.6%–29.3%) of North Carolina adults experienced chronic pain. Prevalence of chronic pain in rural areas (30.9%) and suburban areas (30.8%) was significantly higher, compared with urban areas (19.6%). Compared with urban residents with chronic pain, those with chronic pain in suburban areas (adjusted odds ratio [AOR], 0.44; 95% CI, 0.26–0.76) and in rural areas (AOR, 0.39; 95% CI, 0.24–0.65) were less likely to use nonmedication therapies (eg, acupuncture, physical therapy, yoga) and were less likely to use 3 or more types of chronic pain treatment (suburban AOR, 0.47; 95% CI, 0.25–0.88; rural AOR, 0.53; 95% CI, 0.29–0.95). CONCLUSION: Our results indicate that persons living in rural and suburban areas may be more likely to have chronic pain and less likely to use nonmedication treatments than those in urban areas.
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spelling pubmed-78953372021-03-01 Rural, Suburban, and Urban Differences in Chronic Pain and Coping Among Adults in North Carolina: 2018 Behavioral Risk Factor Surveillance System Rafferty, Ann P. Luo, Huabin Egan, Kathleen L. Bell, Ronny A. Gaskins Little, N. Ruth Imai, Satomi Prev Chronic Dis Original Research INTRODUCTION: Our study aimed to examine the prevalence of chronic pain, its severity, its causes, and coping mechanisms that are used by North Carolina adults in rural, suburban, and urban areas. METHODS: We analyzed data from the Behavioral Risk Factor Surveillance System’s first chronic pain module in 2018, representing 3,598 respondents. Self-reported chronic pain was defined as the affirmative response to the question, “Do you suffer from any type of chronic pain, that is, pain that occurs constantly or flares up often?” We computed prevalence of chronic pain and use of coping mechanisms by rural, suburban, or urban residential status. We used multiple logistic regression to assess the association between chronic pain and residential location, adjusting for demographic characteristics, employment, and health insurance. RESULTS: In 2018, an estimated 27.5% (95% confidence interval [CI], 25.6%–29.3%) of North Carolina adults experienced chronic pain. Prevalence of chronic pain in rural areas (30.9%) and suburban areas (30.8%) was significantly higher, compared with urban areas (19.6%). Compared with urban residents with chronic pain, those with chronic pain in suburban areas (adjusted odds ratio [AOR], 0.44; 95% CI, 0.26–0.76) and in rural areas (AOR, 0.39; 95% CI, 0.24–0.65) were less likely to use nonmedication therapies (eg, acupuncture, physical therapy, yoga) and were less likely to use 3 or more types of chronic pain treatment (suburban AOR, 0.47; 95% CI, 0.25–0.88; rural AOR, 0.53; 95% CI, 0.29–0.95). CONCLUSION: Our results indicate that persons living in rural and suburban areas may be more likely to have chronic pain and less likely to use nonmedication treatments than those in urban areas. Centers for Disease Control and Prevention 2021-02-18 /pmc/articles/PMC7895337/ /pubmed/33600305 http://dx.doi.org/10.5888/pcd18.200352 Text en https://creativecommons.org/licenses/by/4.0/Preventing Chronic Disease is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Original Research
Rafferty, Ann P.
Luo, Huabin
Egan, Kathleen L.
Bell, Ronny A.
Gaskins Little, N. Ruth
Imai, Satomi
Rural, Suburban, and Urban Differences in Chronic Pain and Coping Among Adults in North Carolina: 2018 Behavioral Risk Factor Surveillance System
title Rural, Suburban, and Urban Differences in Chronic Pain and Coping Among Adults in North Carolina: 2018 Behavioral Risk Factor Surveillance System
title_full Rural, Suburban, and Urban Differences in Chronic Pain and Coping Among Adults in North Carolina: 2018 Behavioral Risk Factor Surveillance System
title_fullStr Rural, Suburban, and Urban Differences in Chronic Pain and Coping Among Adults in North Carolina: 2018 Behavioral Risk Factor Surveillance System
title_full_unstemmed Rural, Suburban, and Urban Differences in Chronic Pain and Coping Among Adults in North Carolina: 2018 Behavioral Risk Factor Surveillance System
title_short Rural, Suburban, and Urban Differences in Chronic Pain and Coping Among Adults in North Carolina: 2018 Behavioral Risk Factor Surveillance System
title_sort rural, suburban, and urban differences in chronic pain and coping among adults in north carolina: 2018 behavioral risk factor surveillance system
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7895337/
https://www.ncbi.nlm.nih.gov/pubmed/33600305
http://dx.doi.org/10.5888/pcd18.200352
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