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Reza Hosseini1 
, Seyedeh Mahdieh Hosseinnejad Roshan2 , Reza Ghadimi1 , Alireza Sefidchian3 , Alijan Ahmadi Ahangar4 , Ali Bijani1 , Ali Zabihi * 5
, Seyedeh Mahdieh Hosseinnejad Roshan2 , Reza Ghadimi1 , Alireza Sefidchian3 , Alijan Ahmadi Ahangar4 , Ali Bijani1 , Ali Zabihi * 5
1- Department of Community Medicine, School of Medicine, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
2- Student Research Committee, Babol University of Medical Sciences, Babol, Iran.
3- Department of Psychiatry, Faculty of Medicine, Shahid Yaheinejad Hospital, Babol University of Medical Sciences, Babol, Iran.
4- Movement Disorders Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
5- Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. ,zabihi_alii@yahoo.com
2- Student Research Committee, Babol University of Medical Sciences, Babol, Iran.
3- Department of Psychiatry, Faculty of Medicine, Shahid Yaheinejad Hospital, Babol University of Medical Sciences, Babol, Iran.
4- Movement Disorders Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
5- Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. ,
Abstract: (187 Views)
Objectives Chronic pain is common among older adults. However, there is limited information regarding the factors that predict the onset and persistence of chronic pain in this age group. Studying these factors can increase our understanding and management of the problem at both individual and population levels. This study aims to investigate the factors associated with chronic pain in a population-based cohort of older participants.
Methods & Materials This descriptive analytical cross-sectional study is part of the second phase of the Amirkola Health and Ageing Project (AHAP), which was conducted with the participation of all older people aged 60 years in northern Iran. The older people were divided into two groups based on the presence or absence of chronic pain, and the associated factors were investigated in both groups. Data were collected using the Pittsburgh Sleep Quality Questionnaire, Chronic Musculoskeletal Pain Questionnaire, Geriatric Depression Scale, Physical Activity Scale for the Elderly, Mini-Mental State Examination, and the standard F RAIL scale. The data were analyzed using SPSS software version 24. P- value less than 0.05 was considered significant.
Results In this study, 54.6% of the older people were male, 83.3% were married, and 57.9% were illiterate, with the mean age of 69.74 ± 7.3 years. Of total, 67.6% experienced chronic pain. Chronic pain was more prevalent among older women, those who were unmarried, individuals with lower education levels, users of sleep medications, those exhibiting symptoms of depression, individuals with cognitive impairment, those reporting poor sleep quality, and those with chronic diseases, especially among frail individuals (P < 0.001). Loneliness also showed a significant correlation with higher rates of chronic pain (P = 0.004). The multiple logistic regression model indicated that the number of chronic diseases (OR = 1.32, 95% CI: 1.41, 1.24, P < 0.001), the presence of depressive symptoms (OR = 1.56, 95% CI: 1.19, 2.02, P < 0.001), and poor sleep quality (OR = 1.32, 95% CI: 1.02, 1.72, P = 0.04) were significantly associated with chronic pain.
Conclusion This study showed that chronic pain was common among older adults and was associated with depression, poor sleep quality, and chronic diseases. Therefore, it is essential to formulate preventive strategies and effective management approaches to educate and promote the health of the older people, particularly in improving sleep, physical and mental health, and fostering healthy aging.
Methods & Materials This descriptive analytical cross-sectional study is part of the second phase of the Amirkola Health and Ageing Project (AHAP), which was conducted with the participation of all older people aged 60 years in northern Iran. The older people were divided into two groups based on the presence or absence of chronic pain, and the associated factors were investigated in both groups. Data were collected using the Pittsburgh Sleep Quality Questionnaire, Chronic Musculoskeletal Pain Questionnaire, Geriatric Depression Scale, Physical Activity Scale for the Elderly, Mini-Mental State Examination, and the standard F RAIL scale. The data were analyzed using SPSS software version 24. P- value less than 0.05 was considered significant.
Results In this study, 54.6% of the older people were male, 83.3% were married, and 57.9% were illiterate, with the mean age of 69.74 ± 7.3 years. Of total, 67.6% experienced chronic pain. Chronic pain was more prevalent among older women, those who were unmarried, individuals with lower education levels, users of sleep medications, those exhibiting symptoms of depression, individuals with cognitive impairment, those reporting poor sleep quality, and those with chronic diseases, especially among frail individuals (P < 0.001). Loneliness also showed a significant correlation with higher rates of chronic pain (P = 0.004). The multiple logistic regression model indicated that the number of chronic diseases (OR = 1.32, 95% CI: 1.41, 1.24, P < 0.001), the presence of depressive symptoms (OR = 1.56, 95% CI: 1.19, 2.02, P < 0.001), and poor sleep quality (OR = 1.32, 95% CI: 1.02, 1.72, P = 0.04) were significantly associated with chronic pain.
Conclusion This study showed that chronic pain was common among older adults and was associated with depression, poor sleep quality, and chronic diseases. Therefore, it is essential to formulate preventive strategies and effective management approaches to educate and promote the health of the older people, particularly in improving sleep, physical and mental health, and fostering healthy aging.
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