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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(12): 990-998
DOI: 10.1590/0004-282X20160156
ARTICLE

Prevalence of chronic pain in a metropolitan area of a developing country: a population-based study

Prevalência de dor crçnica em área metropolitana de um país em desenvolvimento: um estudo populacional
Karine A. S. Leão Ferreira
1   Universidade de São Paulo, Departamento de Neurologia, Centro de Dor, São Paulo SP, Brasil;
2   Universidade de Guarulhos, Escola de Enfermagem, Guarulhos SP, Brasil;
,
Telma Regina P. D. Bastos
3   Janssen-Cilag Farmacêutica, Departamento de Ciência Médica, São Paulo SP, Brasil;
,
Daniel Ciampi de Andrade
1   Universidade de São Paulo, Departamento de Neurologia, Centro de Dor, São Paulo SP, Brasil;
5   Universidade de São Paulo, Instituto do Câncer Octavio Frias de Oliveira, Centro de Dor, São Paulo SP, Brasil;
,
Aline Medeiros Silva
3   Janssen-Cilag Farmacêutica, Departamento de Ciência Médica, São Paulo SP, Brasil;
,
José Carlos Appolinario
4   Universidade Federal do Rio de Janeiro, Rio de Janeiro RJ, Brasil;
,
Manoel Jacobsen Teixeira
1   Universidade de São Paulo, Departamento de Neurologia, Centro de Dor, São Paulo SP, Brasil;
5   Universidade de São Paulo, Instituto do Câncer Octavio Frias de Oliveira, Centro de Dor, São Paulo SP, Brasil;
6   Hospital Alemão Oswaldo Cruz, São Paulo SP, Brasil;
,
Maria do Rosário Dias de Oliveira Latorre
7   Universidade de São Paulo, Escola de Saúde Pública, Departamento de Epidemiologia, São Paulo SP, Brasil.
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ABSTRACT

Objective

To estimate the prevalence of chronic pain (CP) in the adult population living in the city of São Paulo, Brazil, and to identify factors associated with CP in developing countries.

Methods

A cross-sectional study using a computer-assisted telephone interview in a two-stage stratified sample of adults living in households.

Results

2,446 subjects were interviewed. The mean age was 39.8 years old. The majority was female and 42.7% had less than 10 years of education. The prevalence of CP was 28.1%. The independent factors associated with CP were female gender (OR = 2.0; p < 0.001), age older than 65 years (OR = 1.4; p = 0.019) and less than 15 years of education (OR = 1.3-1.6; p < 0.04).

Conclusions

The prevalence of CP was high and similar to that which has been reported in developed countries. These results raise awareness about CP and may potentially help clinicians and policy makers to design better health care programs for CP treatment in these populations.

RESUMO

Objetivo

Estimar a prevalência de dor crçnica (DC) na população adulta residente na cidade de São Paulo, Brasil, e assim identificar os fatores associados com DC em países em desenvolvimento.

Método

Estudo transversal utilizando entrevista por telefone auxiliada por computador em duas etapas numa amostra estratificada de adultos domiciliados em São Paulo.

Resultados

2446 indivíduos foram entrevistados. A média de idade foi 39,8 anos. A maioria foi do sexo feminino e 42,7% tinham menos de 10 anos de escolaridade. A prevalência de DC foi de 28,1%. Os fatores independentes associados à DC foram gênero feminino (OR = 2,0; p < 0,001), idade superior que 65 anos (OR = 1,4; p = 0,019) e menor que 15 anos de escolaridade (OR = 1,3-1,6; p < 0,04).

Conclusão

A prevalência de DC foi alta e próxima à reportada em países desenvolvidos. Estes resultados irão auxiliar profissionais de saúde e gestores a realizarem programas de avaliação e tratamento de dor crçnica mais ajustados à realidade local.

chronic pain - population - prevalence - developing countries
dor crçnica - população - prevalência - países em desenvolvimento

Support:

Janssen-Cilag Farmacêutica, Brazil, and Centro de Dor, Departamento de Neurologia, Universidade de São Paulo, Brasil.




Publikationsverlauf

Eingereicht: 03. Mai 2016

Angenommen: 01. September 2016

Artikel online veröffentlicht:
06. September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 International Association for the Study of Pain. Classification of chronic pain. Seatle: IASP Press; 1986.
  • 2 Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10(4):287-333. doi:10.1016/j.ejpain.2005.06.009
  • 3 Bowsher D, Rigge M, Sopp LP. Prevalence of chronic pain in the British population: a telephone survey of 1037 households. Pain Clin. 1991;4:223-30.
  • 4 Andersson HI, Ejlertsson G, Leden I, Rosenberg C, Centre BH, Bromölla. Chronic pain in a geographically defined general population: studies of differences in age, gender, social class, and pain localization. Clin J Pain. 1993;9(3):174-82. doi:10.1097/00002508-199309000-00004
  • 5 Silva VRL, Menezes AMB, Noal RB. [Chronic joint symptoms in adults from Pelotas, Rio Grande do Sul State, Brazil: prevalence and determinants]. Cad Saúde Pública. 2009;25(12):2571-582. Portuguese. doi:10.1590/S0102-311X2009001200005
  • 6 Elzahaf RA, Tashani OA, Unsworth BA, Johnson MI. The prevalence of chronic pain with an analysis of countries with a Human Development Index less than 0.9: a systematic review without meta-analysis. Curr Med Res Opin. 2012;28(7):1221-9. doi:10.1185/03007995.2012.703132
  • 7 Tsang A, Von Korff M, Lee S, Alonso J, Karam E, Angermeyer MC et al. Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders. J Pain. 2008;9(10):883-91. doi:10.1016/j.jpain.2008.05.005
  • 8 Gureje O, Von Korff M, Simon GE, Gater R. Persistent pain and well-being: a World Health Organization study in primary care. JAMA. 1998;280(2):147-51. doi:10.1001/jama.280.2.147
  • 9 Català E, Reig E, Artés M, Aliaga L, López JS, Segú JL. Prevalence of pain in the Spanish population: telephone survey in 5000 homes. Eur J Pain. 2002;6(2):133-40. doi:10.1053/eujp.2001.0310
  • 10 Bouhassira D, Lantéri-Minet M, Attal N, Laurent B, Touboul C. Prevalence of chronic pain with neuropathic characteristics in the general population. Pain. 2008;136(3): 380-87. doi:10.1016/j.pain.2007.08.013
  • 11 Sá KN, Baptista AF, Matos MA, Lessa I. Chronic pain and gender in Salvador population, Brazil. Pain. 2008;139(3): 498-506. doi:10.1016/j.pain.2008.06.008
  • 12 Cabral DM, Bracher ES, Depintor JD, Eluf-Neto J. Chronic pain prevalence and associated factors in a segment of the population of São Paulo City. J Pain. 2014;15(11):1081-91. doi:10.1016/j.jpain.2014.07.001
  • 13 Blyth FM, March LM, Brnabic AJ, Jorm LR, Williamson M, Cousins MJ. Chronic pain in Australia: a prevalence study. Pain. 2001;89(2-3):127-34. doi:10.1016/S0304-3959(00)00355-9
  • 14 Smith BH, Elliott AM, Chambers WA, Smith WC, Hannaford PC, Penny K. The impact of chronic pain in the community. Fam Pract. 2001;18(3):292-9. doi:10.1093/fampra/18.3.292
  • 15 Meana M, Cho R, DesMeules M. Chronic pain: the extra burden on Canadian women. BMC Womens Health. 2004;4, Suppl 1:S17. doi:10.1186/1472-6874-4-S1-S17
  • 16 Instituto Brasileiro de Geografia e Estatística – IBGE. Censo demográfico 2000. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2013 [cited 2003 jun]. Available from: http://www.ibge.gov.br/home/estatistica/populacao/censo2000/
  • 17 Instituto Brasileiro de Geografia e Estatística – IBGE. Pesquisa mensal de emprego. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2015 [cited nov 2015]. Available: http://www.ibge.gov.br/home/estatistica/indicadores/trabalhoerendimento/pme_nova/pme_201507tm_01.shtm
  • 18 Instituto de Pesquisa Econçmica Aplicada – IPEA.IPEA data. [cited 2015 dec]. Available from: http://www.ipeadata.gov.br
  • 19 Neville A, Peleg R, Singer Y, Sherf M, Shvartzman P. Chronic pain: a population- based study. Isr Med Assoc J. 2008;10(10):676-80.
  • 20 Moreira Junior ED, Souza MC. Epidemiologia da dor crçnica: desenvolvimento de questionário para inquéritos populacionais. Rev Bras Med. 2003; 60(8):610-5.
  • 21 Ferreira KA, Teixeira MJ, Mendonza TR, Cleeland CS. Validation of brief pain inventory to Brazilian patients with pain. Support Care Cancer. 2011;19(4):505-11. doi:10.1007/s00520-010-0844-7
  • 22 Eriksen J, Jensen MK, Sjøgren P, Ekholm O, Rasmussen NK. Epidemiology of chronic non-malignant pain in Denmark. Pain. 2003;106(3):221-8. doi:10.1016/S0304-3959(03)00225-2
  • 23 Vieira EBM, Garcia JB, Silva AA, Araújo RLM, Jansen RC. Prevalence, characteristics, and factors associated with chronic pain with and without neuropathic characteristics in São Luız, Brazil. J Pain Symptom Manage. 2012;44(2):239-51. doi:10.1016/j.jpainsymman.2011.08.014
  • 24 Asamoah-Odei E, Garcia Calleja JM, Boerma JT. HIV prevalence and trends in sub-Saharan: no decline and large subregional differences. Lancet. 2004;364(9428):35-40. doi:10.1016/S0140-6736(04)16587-2
  • 25 Mäntyselkä PT, Turunen JH, Ahonen RS, Kumpusalo EA. Chronic pain and poor self-rated health. JAMA. 2003;290(18):2435-42. doi:10.1001/jama.290.18.2435
  • 26 Toblin RL, Mack KA, Perveen G, Paulozzi LJ. A population-based survey of chronic pain and its treatment with prescription drugs. Pain. 2011;152(6):1249-55. doi:10.1016/j.pain.2010.12.036
  • 27 Monteiro CA, Moura EC, Jaime PC, Lucca A, Florindo AA, Figueiredo IC et al. Surveillance of risk factors for chronic diseases through telephone interviews. Rev Saude Publica. 2005;39(1):47-57. doi:10.1590/S0034-89102005000100007
  • 28 Schmidt CO, Raspe H, Pfingsten M, Hasenbring M, Basler HD, Eich W et al. Back pain in the German adult population: prevalence, severity, and sociodemographic correlates in a multiregional survey. Spine. 2007;32(18):2005-11. doi:10.1097/BRS.0b013e318133fad8
  • 29 Farfel JM, Nitrini R, Suemoto CK, Grinberg LT, Ferretti RE, Leite RE et al. Very low levels of education and cognitive reserve: a clinicopathologic study. Neurology. 2013;81(7):650-7. doi:10.1212/WNL.0b013e3182a08f1b
  • 30 Attal N, Masselin-Dubois A, Martinez V, Jayr C, Albi A, Fermanian J et al. Does cognitive functioning predict chronic pain? Results from a prospective surgical cohort. Brain. 2014;137(3):904-17. doi:10.1093/brain/awt354
  • 31 United Nations Development Programme. Work for human development: briefing note for countries on the 2015 Human Development Report: Brazil. 2015 [cited nov 2015]. (Human Development Report 2015). Available from: http://hdr.undp.org/sites/all/themes/hdr_theme/country-notes/BRA.pdf