Effect of Demographics and Lifestyle Determinants on Chronic Pain
Sailaja Sanikommu1, Kevin Ma2, Gauthami Sajjanagandla3, Rajan Chamlagain4
1V.N.M Hopsital, 2Dermatology, Massachusetts General Hospital, 3China Medical University, 4Lousiana state university
Objective:
Effect of Demographics & lifestyle Determinants on chronic pain an US-based survey.
Background:
Demographics and lifestyle choices has been reported to be determinants on chronic pain.
This US based Survey aimed to investigate the relationship between Demographics & lifestyle choices on Chronic Pain.
Design/Methods:
We enrolled 935 individuals with chronic painĀ  and 7,727 individuals without chronic pain based on US Based Survey .
We employed Univariate and Multivariate logistic regression analysis of risk variable for association with chronic pain .
Subgroup analysis were performed stratifying the population by age ,gender ,race ,education marital status, income ratio and lifestyle factors stratifying in to smoking ,Alcohol drinking ,physical activity and BMI .
Results:
Our Findings revealed that individuals with chronic pain is higher in the Demogaphics of age group 40-59(46.0 p<0.001) ,Female gender (57.4 p<0.011) , widowed/Divorced/ Separated (22.5 p<0.001) , income ratio 0-1.30 (26.0 p<0.020)
Individuals with chronic pain is higher in lifestyle factors smoking (66.4 ,p<0.001), obese (35.4 p< 0.024)
This increase persisted even on Univariate and multivariate logistic regression analysis of risk variables for association with chronic pain
Chronic pain higher in age group 60+ (Univariate OR-1.561 95% CI (1.204-2.022) ,Multivariate OR-0.448 95% CI ( 0.267-0.751)
Male gender (Univariate OR-0.776 95%CIĀ  (0.640-0.940)) ,Mexican Americans (Univariate OR-0.562 95% CI (0.415-0.759) ,Multivariate OR -0.603 95% CI (0.413-0.880) , education under 12th grade (Univariate OR-1.268 95% CI (1.006-1.599) , Widowed/Divorced /Separated (Univariate OR- 1.303 95% CI (1.027-1.655), Income ratio of 0-1.30 (Univariate OR -1.476 95% CI ( 1.089-2.001)
Lifestyle factors Smoking (Univariate OR-1.616 95% CI (1.347-1.938), Multivariate OR-1.518 95% CI (1.228-1.878) & Obesity (Univariate OR -1.495 95% CI (1.188-1.882 ) ) are associated with increased chronic pain .
Conclusions:
Our Study demonstrates that individuals with higher age group above 60 ,male gender of ethnicity Mexican American with education under 12th grade of marital status Widowed /Divorced/Separated of low income ratio with lifestyle choices of smoking and obesity showing higher association with pain.
10.1212/WNL.0000000000208323