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The relationship between self-reported severe pain and measures of socio-economic disadvantage

Morgan, Christopher Ll., Conway, Pete and Currie, Craig John 2011. The relationship between self-reported severe pain and measures of socio-economic disadvantage. European Journal of Pain 15 (10) , pp. 1107-1111. 10.1016/j.ejpain.2011.04.010

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Aims To determine the association of severe pain with socioeconomic characteristics. Methods Data was extracted from the Health Survey for England (HSE), 2005. The HSE is a series of annual cross-sectional surveys designed to describe the health of people living in private homes in England, from a random sample of 720 postcode sectors. Interviewees were ⩾16 years. Pain severity was characterised by the EQ-5D. Socioeconomic status was classified by ability to work, social security benefits, the National Statistics Socio-economic Classification (NS-SEC) and the Index of Multiple Deprivation (IMD). Results Pain status was recorded for 9419 subjects of whom 431 (4.6%) reported severe pain. 156 of those reporting severe pain were of working age. Of these 68 (43.6%) stated they were unable to work due to sickness or disability and 64 (41.0%) claimed a state benefit. After adjusting for disease and demographic variables, severe pain was associated with the IMD with an odds ratio of 1.65 (95% CI 1.16–2.34, p = 0.005), NS-SEC (OR = 2.94; 95% CI 1.76–4.91) and equivalised household income (lowest versus highest quintile; OR = 2.58 (95% CI 1.46–4.57, p = 0.001). Conclusions This study demonstrated significant associations between pain and socio-economic disadvantage. Apart from the direct impact upon the individual, this clearly has wider societal implications in terms of additional health and social care costs for affected people.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > R Medicine (General)
Uncontrolled Keywords: Chronic pain; Social deprivation
Publisher: Elsevier
ISSN: 1090-3801
Last Modified: 04 Jun 2017 03:40

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