Article

OBJECTIVES: To evaluate chronic pain management in a multistate, low-income
Hispanic population, and to examine predictors of exercising and prescription
pain medication (PPM) use. DESIGN: Online survey administered to a representative
sample of Hispanic adults in June 2015. SETTING: Five southwestern states.
PARTICIPANTS: Among all online panel members who were Hispanic (N=1007), aged 35
to 75 years from 5 states, representing 11,016,135 persons, the survey was
completed by 516 members (51%). Among these, 102 participants were identified
with chronic noncancer pain representing 1,140,170 persons. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: Exercising or using PPM for chronic pain in
past year. RESULTS: Most participants reported using PPM (58%) and exercise (54%)
to manage pain. Compared with annual household incomes >$75,000, adjusted odds
ratios [AORs] for exercising were .20 for <$10,000 (P=.12); .40 for $10,000 to
$34,999 (P=.22); and .15 for $35,000 to $74,999 (P=.015). Conversely, AORs for
PPM were over 4-fold higher for lower-income groups as follows: 14.2, 4.79, and
4.85, respectively (all P<.065). PPM users rated the importance of accessing a
gym to manage pain lower (P=.01), while exercisers rated the feasibility of gym
access to manage pain higher (P=.001). CONCLUSIONS: In a Hispanic
population-based sample with chronic pain, lower-income groups tended to exercise
less but use PPM more. Barriers to gym access and use may play a role in these
disparities.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
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Langue : ANGLAIS