Volume 14, Issue 11 pp. 1343-1350

Original Article

Association of nonpharmacologic chronic pain management with function in a low-income population: Evidence from a survey of a sample of Latinos from five states

Allie Schmiesing MAOT, OTD,

Allie Schmiesing MAOT, OTD

orcid.org/0000-0002-5109-5543

Department of Rehabilitation, Stanford Healthcare, Stanford, California, USA

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Yuanyuan Liang PhD,

Yuanyuan Liang PhD

Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, USA

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Barbara J. Turner MD, MSEd,

Corresponding Author

Barbara J. Turner MD, MSEd

[email protected]

Department of Medicine, Keck Medical Center of University of Southern California, Los Angeles, California, USA

Correspondence

Barbara J. Turner, Gehr Center for Health Systems Science and Innovation, Keck School of Medicine of USC, 2020 Zonal Avenue, IRD 322, Los Angeles, CA 90033, USA.

Email: [email protected]

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Allie Schmiesing MAOT, OTD,

Allie Schmiesing MAOT, OTD

orcid.org/0000-0002-5109-5543

Department of Rehabilitation, Stanford Healthcare, Stanford, California, USA

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Yuanyuan Liang PhD,

Yuanyuan Liang PhD

Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, USA

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Barbara J. Turner MD, MSEd,

Corresponding Author

Barbara J. Turner MD, MSEd

[email protected]

Department of Medicine, Keck Medical Center of University of Southern California, Los Angeles, California, USA

Correspondence

Barbara J. Turner, Gehr Center for Health Systems Science and Innovation, Keck School of Medicine of USC, 2020 Zonal Avenue, IRD 322, Los Angeles, CA 90033, USA.

Email: [email protected]

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First published: 31 August 2021

https://doi.org/10.1002/pmrj.12701

Funding information: Patient-Centered Outcomes Research Institute

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Abstract

Background

Low-income minority populations often confront barriers to professional nonpharmacologic management of chronic pain and, without this care, may have poorer daily function.

Objective

To examine the association of professional nonpharmacologic chronic pain management in the past year categorized as physical interventions or mind-body interventions with current functional status.

Design

Online, population-based survey.

Setting

Community-dwelling Latinos from five southwestern states (California, Texas, Arizona, Nevada, and New Mexico).

Participants

The survey was offered to all Latino online panel members aged 35 to 75 years in 5 states (N = 1007). With weights, this sample represented 11,016,135 persons. Of 516 respondents (51%), 486 (94%) had valid surveys and, of these, 102 members (21%) had chronic noncancer pain. With weights, they represented 1,140,170 persons with chronic pain.

Interventions

Not applicable.

Main outcome measures

Daily impairment in mobility and in activities of daily living (ADLs).

Results

Of the weighted sample, 37.2% reported daily impairment in mobility and 29.4% in ADLs. Professional physical interventions for chronic pain were received by 41.2% and mind-body interventions received by 33.4% but usually with physical interventions. Adjusted odds ratios (AOR) of daily mobility impairment for respondents who used physical interventions with mind-body interventions or alone were both less than 0.10 (p < .01) versus none. Only professional physical intervention was associated with decreased odds for daily impairment in ADLs (AOR = 0.07; 95% confidence interval = 0.01 to 0.94; p = .045).

Conclusions

In a weighted sample of Latinos with chronic pain, professional physical interventions reduced the likelihood of daily impairment in mobility and ADLs.

Open Research

DATA AVAILABILITY STATEMENT

The datasets analyzed during the current study are available from the authors upon reasonable request.

Supporting Information

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Volume14, Issue11

November 2022

Pages 1343-1350

Association of nonpharmacologic chronic pain management with function in a low-income population: Evidence from a survey of a sample of Latinos from five states

Abstract

Background

Objective

Design

Setting

Participants

Interventions

Main outcome measures

Results

Conclusions

Open Research

DATA AVAILABILITY STATEMENT

Supporting Information

REFERENCES

References

Information

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Association of nonpharmacologic chronic pain management with function in a low-income population: Evidence from a survey of a sample of Latinos from five states

Abstract

Background

Objective

Design

Setting

Participants

Interventions

Main outcome measures

Results

Conclusions

Open Research

DATA AVAILABILITY STATEMENT

Supporting Information

REFERENCES

References

Related

Information