Marty Lynch m.e.lynch@keele.ac.uk
Where does it hurt? Small area estimates and inequality in the prevalence of chronic pain
Lynch, Marty; Peat, George; Jordan, Kelvin; Yu, Dahai; Wilkie, Ross
Authors
George Peat
Kelvin Jordan k.p.jordan@keele.ac.uk
Dr. Dahai Yu d.yu@keele.ac.uk
Ross Wilkie r.wilkie@keele.ac.uk
Abstract
Background
Chronic pain affects up to half of UK adults, impacting quality of life and demand on local health services. Whilst local health planning is currently based on subnational prevalence estimates, associations between pain and sociodemographic characteristics suggest that inequalities in the prevalence of chronic and high-impact chronic pain between neighbourhoods within local authorities are likely. We aimed to derive lower super output area (LSOA) estimates of the prevalence of chronic and high-impact chronic pain.
Methods
Presence of self-reported chronic and high-impact chronic pain were measured in adults aged 35+ in North Staffordshire and modelled using multilevel regression as a function of demographic and geographic predictors. Multilevel model predictions were post-stratified using the North Staffordshire age-sex population structure and LSOA demographic characteristics to estimate the prevalence of chronic and high-impact chronic pain in 298 LSOAs, corrected for ethnic diversity underrepresented in the data. Confidence intervals were generated for high-impact chronic pain using bootstrapping.
Results
Data were analysed from 4162 survey respondents (2358 women, 1804 men). The estimated prevalence of chronic and high-impact chronic pain in North Staffordshire LSOAs ranged from 18.6% to 50.1% and 6.18 [1.71, 16.0]% to 33.09 [13.3, 44.7]%, respectively.
Conclusions
Prevalence of chronic and high-impact chronic pain in adults aged 35+ varies substantially between neighbourhoods within local authorities. Further insight into small-area level variation will help target resources to improve the management and prevention of chronic and high-impact chronic pain to reduce the impact on individuals, communities, workplaces, services and the economy.
Citation
Lynch, M., Peat, G., Jordan, K., Yu, D., & Wilkie, R. (2023). Where does it hurt? Small area estimates and inequality in the prevalence of chronic pain. European Journal of Pain, https://doi.org/10.1002/ejp.2148
Journal Article Type | Article |
---|---|
Acceptance Date | Jun 7, 2023 |
Online Publication Date | Jun 21, 2023 |
Publication Date | Jun 21, 2023 |
Deposit Date | Jun 29, 2023 |
Journal | European Journal of Pain |
Print ISSN | 1090-3801 |
Electronic ISSN | 1532-2149 |
Publisher | Wiley |
Peer Reviewed | Peer Reviewed |
DOI | https://doi.org/10.1002/ejp.2148 |
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