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Patterns of multisite pain and associations with risk factors.

Authors
Coggon-D; Ntani-G; Palmer-KT; Felli-VE; Harari-R; Barrero-LH; Felknor-SA; Gimeno-D; Cattrell-A; Vargas-Prada-S; Bonzini-M; Solidaki-E; Merisalu-E; Habib-RR; Sadeghian-F; Masood Kadir-M; Warnakulasuriya-SSP; Matsudaira-K; Nyantumbu-B; Sim-MR; Harcombe-H; Cox-K; Marziale-MH; Sarquis-LM; Harari-F; Freire-R; Harari-N; Monroy-MV; Quintana-LA; Rojas-M; Salazar Vega-EJ; Harris-EC; Serra-C; Martinez-JM; Delclos-G; Benavides-FG; Carugno-M; Ferrario-MM; Pesatori-AC; Chatzi-L; Bitsios-P; Kogevinas-M; Oha-K; Sirk-T; Sadeghian-A; Peiris-John-RJ; Sathiakumar-N; Wickremasinghe-AR; Yoshimura-N; Kelsall-HL; Hoe-VCW; Urquhart-DM; Derrett-S; McBride-D; Herbison-P; Gray-A
Source
Pain 2013 Sep; 154(9):1769-1777
NIOSHTIC No.
20043230
Abstract
To explore definitions for multisite pain, and compare associations with risk factors for different patterns of musculoskeletal pain, we analysed cross-sectional data from the Cultural and Psychosocial Influences on Disability (CUPID) study. The study sample comprised 12,410 adults aged 20-59 years from 47 occupational groups in 18 countries. A standardised questionnaire was used to collect information about pain in the past month at each of 10 anatomical sites, and about potential risk factors. Associations with pain outcomes were assessed by Poisson regression, and characterised by prevalence rate ratios (PRRs). Extensive pain, affecting 6-10 anatomical sites, was reported much more frequently than would be expected if the occurrence of pain at each site were independent (674 participants vs 41.9 expected). In comparison with pain involving only 1-3 sites, it showed much stronger associations (relative to no pain) with risk factors such as female sex (PRR 1.6 vs 1.1), older age (PRR 2.6 vs 1.1), somatising tendency (PRR 4.6 vs 1.3), and exposure to multiple physically stressing occupational activities (PRR 5.0 vs 1.4). After adjustment for number of sites with pain, these risk factors showed no additional association with a distribution of pain that was widespread according to the frequently used American College of Rheumatology criteria. Our analysis supports the classification of pain at multiple anatomical sites simply by the number of sites affected, and suggests that extensive pain differs importantly in its associations with risk factors from pain that is limited to only a small number of anatomical sites.
Keywords
Musculoskeletal-system; Musculoskeletal-system-disorders; Risk-factors; Analytical-processes; Demographic-characteristics; Sociological-factors; Age-groups; Humans; Men; Women; Questionnaires; Pain-tolerance; Statistical-analysis; Author Keywords: Pain; Multisite; Widespread; Definition; Risk factors
Contact
David Coggon, MRC Lifecourse Epidemiology Unit, Southampton General Hospital, Southampton SO16 6YD, UK
CODEN
PAINDB
Publication Date
20130901
Document Type
Journal Article
Email Address
dnc@mrc.soton.ac.uk
Fiscal Year
2013
NTIS Accession No.
NTIS Price
Identifying No.
M102013
Issue of Publication
9
ISSN
0304-3959
NIOSH Division
OD
Source Name
Pain
State
TX; GA; AL
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