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AJPH First Look, published online ahead of print Sep 29, 2005
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AJPH.2005.066225v1
95/11/2042    most recent
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November 2005, Vol 95, No. 11 | American Journal of Public Health 2042-2048
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2005.066225

RESEARCH AND PRACTICE

Health-Related Quality of Life, Health Risk Behaviors, and Disability Among Adults With Pain-Related Activity Difficulty

Tara W. Strine, MPH, Jennifer M. Hootman, PhD, Daniel P. Chapman, PhD, MSc, Catherine A. Okoro, MS and Lina Balluz, ScD

The authors are with the Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Adult and Community Health.

Correspondence: Request for reprints should be sent to Tara W. Strine, MPH, Division of Adult and Community Health, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Mail Stop K-66, Atlanta, GA 30341 (email: tws2{at}cdc.gov).

Objectives. We examined the association between pain-related activity difficulty (PRAD) in the past 30 days and health-related quality of life, health behaviors, disability indices, and major health impairments in the general US population.

Methods. We obtained data from 18 states in the 2002 Behavioral Risk Factor Surveillance System, an ongoing, cross-sectional, state-based, random-digit-dialed telephone survey of noninstitutionalized adults aged 18 years or older.

Results. Nearly one quarter of people in the 18 states and the District of Columbia reported at least 1 day of PRAD in the past 30 days. PRAD was associated with obesity, smoking, physical inactivity, impaired general health, infrequent vitality, and frequent occurrences of physical distress, mental distress, depressive symptoms, sleep insufficiency, and anxiety symptoms. Moreover, a general dose–response relationship was noted between increased days of PRAD and increased prevalence of impaired health-related quality of life, disability indices, and health risk behaviors.

Conclusion. Pain negatively influences various domains of health, not only among clinical populations, but also in the general community, suggesting a critical need for the dissemination of targeted interventions to enhance recognition and treatment of pain among adult community-dwellers.






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Copyright © 2005 by the American Public Health Association