Socioeconomic and sex inequalities in chronic pain: A population-based cross-sectional study

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art_OLIVEIRA_Socioeconomic_and_sex_inequalities_in_chronic_pain_A_2023.PDF (825.29 KB)
Citações na Scopus
0
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
PUBLIC LIBRARY SCIENCE
Autores
TEIXEIRA, Doralice Severo da Cruz
MENEZES, Fabricio dos Santos
DUARTE, Yeda Aparecida de Oliveira
Citação
PLOS ONE, v.18, n.5, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
ObjectiveWe investigated the impact of socioeconomic inequalities on chronic pain of older adults according to sex. Materials and methodsThis population-based cross-sectional study used survey data from the 2015 cohort of the SABE Study (Saude, Bem-estar e Envelhecimento), Brazil. Socioeconomic status was examined at individual level (educational attainment, financial independence, and race/skin color) and contextual level (Human Development Index). We analyzed the association between variables using the chi-square test and the Rao & Scott correction. Logistic regression models were adjusted for risk factors. ResultsThe study comprised 1,207 older adults representing 1,365,514 residents 60 >= years of age in the city of Sao Paulo. Chronic pain was more frequent in females (27.2%) than in males (14.5%) (p<0.001). Females evidenced the worst self-perception of pain, especially those of the most vulnerable socioeconomic strata. Social inequalities impacted chronic pain in different ways between sexes. Among females, unfavorable living conditions (OR = 1.59; 95%CI 1.07; 2,37) and Blacks/Browns females were most likely to have chronic pain (OR = 1.32; 95%CI 1.01; 1.74). Among males, only the individual aspects were significant for the occurrence of chronic pain, such as low educational attainment (OR = 1.88; 95%CI 1.16; 3.04) and insufficient income (OR = 1.63; 95%CI 1.01; 2.62). DiscussionThe potential for inequality was greater for females than for males reflecting structural factors inherent in a highly unequal society. Conclusions: Equity-oriented health policies are critical to preventing pain in human aging.
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https://observatorio.fm.usp.br/handle/OPI/54662
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MFT
Artigos e Materiais de Revistas Científicas - LIM/54
Artigos e Materiais de Revistas Científicas - ODS/10