Sociodemographic predictors of pain in old people

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Wien Klin Wochenschr https://doi.org/10.1007/s00508-020-01783-x

Sociodemographic predictors of pain in old people Serbian population-based study Milena Santric Milicevic · Dejan Nikolic Filip Milanovic · Andrej Bavec

· Milena Kostadinovic · Uros Babic · Milica Mitrovic-Jovanovic ·

Received: 25 April 2020 / Accepted: 18 November 2020 © Springer-Verlag GmbH Austria, part of Springer Nature 2020

Summary Background With the growing increase in the older proportion of the world population, there is also an increase in specific age-related chronic diseases and conditions, including pain. We aimed to evaluate the association of sociodemographic factors with the presence and different degrees of pain intensity in people aged 65 years and older. Methods The population-based study, conducted in 2013, included 3540 individuals from Serbia. As pain predictors, we analyzed further sociodemographic characteristics: gender, age, body mass index, level of education, marital status, and wealth index. For pain assessment, we used the pain domain of the SF-36 version 2.0 questionnaire. Results People over the age of 85 years are 27% more likely to have moderate pain than younger respondents; however, pain is less likely reported by men (by 42%), persons with overweight (by 23%) or obesity (by 21%), respondents with secondary (by 50%) or university education (29%), as well as those belonging to the

M. Santric Milicevic Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia D. Nikolic, MD, PhD, FEBPRM () · U. Babic · F. Milanovic Faculty of Medicine, University of Belgrade, Belgrade, Serbia [email protected] D. Nikolic, MD, PhD, FEBPRM Physical Medicine and Rehabilitation Department, University Children’s Hospital, Belgrade, Serbia M. Kostadinovic · U. Babic · M. Mitrovic-Jovanovic Clinical Center of Serbia, Belgrade, Serbia A. Bavec University Rehabilitation Institute “Soca”, Ljubljana, Slovenia

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upper household wealth index (by 22%), than by their counterparts. Conclusion Pain is less likely in people of age below 85 years, male gender, those with higher educational level and higher wealth index, as well as overweight or obese individuals. Also, we have demonstrated that sociodemographic predictors differently correlate with the onset of the pain and its severity degree in persons of 65 years and older. Keywords Social factors · Demographic factors · Wealth index · Correlation · Aged

Introduction With the growing increase in the old proportion of the world population, there is also an increase in specific age-related chronic diseases and conditions, including pain [1, 2]. In the systematic review of Dionne et al. it was noticed that back pain is among the four most commonly reported symptoms in old people [3]. Even though there is a decrease in nondisabling and mild degrees of back pain, there is an increase in disabling type of back pain described as severe in the aged population [3]. For the physical dimension in old people, the chronic pain is independently associated with a decreas