Chronic musculoskeletal pain in European older adults: Crossnational and gender differences

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dc.contributor.author Cimas, M.
dc.contributor.author Ayala García, Alba
dc.contributor.author Sanz, B
dc.contributor.author Agulló Tomás, María Silveria
dc.contributor.author Escobar, A.
dc.contributor.author Forjaz, M.J.
dc.contributor.editor Wiley
dc.date.accessioned 2020-06-30T13:59:13Z
dc.date.available 2020-06-30T13:59:13Z
dc.date.issued 2018-02
dc.identifier.bibliographicCitation Cimas, M., Ayala, A., Sanz, B., Agulló-Tomás, M.S., Escobar, A., Forjaz, M.J. (2018). Chronic musculoskeletal pain in European older adults: Cross‐national and gender differences. European Journal of Pain 22(2), pp. 333-345.
dc.identifier.issn 1090-3801
dc.identifier.uri http://hdl.handle.net/10016/30653
dc.description.abstract Background: In an ageing Europe, chronic pain is a major public health problem, but robust epidemiological data are scarce. This study aimed to analyse the prevalence of and factors associated with chronic musculoskeletal pain by gender in older adults of 14 European countries. Methods: A cross-sectional study was performed from wave 5 of the Survey of Health, Ageing and Retirement in Europe (SHARE). The study included people ≥50 years residing in Austria, Belgium, Czech Republic, Denmark, Estonia, France, Germany, Italy, Luxembourg, the Netherlands, Slovenia, Spain, Sweden and Switzerland. Chronic pain was defined as being bothered by joint and/or back pain for the previous 6 months. Multivariable Poisson regression models with robust variance were performed to analyse prevalence ratio by covariates, stratified by sex. Results: A total of 61,157 participants were included. Overall prevalence of chronic musculoskeletal pain was 35.7% (28.8–31.7), ranging from 18.6% (17.1–20.1) for Switzerland to 45.6% (43.3–47.8) for France. Prevalence was higher in women than in men: 41.3% (40.2– 42.4) versus 29.1% (28.0–30.3). Chronic musculoskeletal pain was lower in men aged >75 years (PR = 0.82; 0.72–0.92) than the younger (50–59) group. Separated/divorced status presented opposite effects among men (PR = 0.85; 0.76–0.96) and women (PR = 1.12; 1.03–1.21) compared with married, and unemployment was a significant factor in men (PR = 1.21; 95% CI 1.02–1.43) compared with employed. Conclusions: Musculoskeletal pain in older European adults is very frequent, especially in women, with large differences depending on the country of residence. Health policy makers should prioritize strategies aimed at improving the prevention and management of chronic musculoskeletal pain in Europe. Significance: This study provides epidemiological data of chronic musculoskeletal pain in older adults. Reported differences contribute to highlight the relevance of considering a gender perspective in chronic musculoskeletal pain research. Cross-national comparison also offers a map of differences that improves the knowledge of this chronic condition in Europe.
dc.description.sponsorship This work was partially supported by (1) ENCAGE-CM (ref: S2015/HUM-3367), funded by the I+D Activity Program of Madrid Community research groups on social sciences and humanities and co-funded by the European Social Fund; (2) ENVACES (MINECO/FEDER/UE, ref. CSO2015-64115-R), funded by the Spanish Ministry of Economy, Industry and Competitiveness. This work also arises from the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS), which has received funding from the European Union, in the framework of the Health Programme (2008-2013).
dc.format.extent 13
dc.language.iso eng
dc.rights © European Pain Federation - EFIC ®
dc.subject.other Chronic Pain
dc.subject.other Chronic Musculoskeletal Pain
dc.subject.other Gender
dc.title Chronic musculoskeletal pain in European older adults: Crossnational and gender differences
dc.type article
dc.identifier.doi https://doi.org/10.1002/ejp.1123
dc.rights.accessRights openAccess
dc.relation.projectID Gobierno de España. CSO2015-64115-R
dc.relation.projectID Comunidad de Madrid. S2015/HUM-3367/ENCAGE
dc.type.version acceptedVersion
dc.identifier.publicationfirstpage 333
dc.identifier.publicationissue 2
dc.identifier.publicationlastpage 345
dc.identifier.publicationtitle European Journal of Pain
dc.identifier.publicationvolume 22
dc.identifier.uxxi AR/0000020780
dc.contributor.funder Comunidad de Madrid
dc.contributor.funder Ministerio de Economía, Industria y Competitividad (España)
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