Demographic and socioeconomic risk factors for pain progression and recurrence in middle-aged and older adults: multistate analysis of a prospective English cohort study.
Background While demographic and socioeconomic factors such as female sex and socioeconomic disadvantage are well-established risk factors for pain onset, previous studies examining long-term pain trajectories give mixed results and often overlook how pain fluctuates. This study identified demograph...
| Publicado en: | Age & Ageing Vol. 55; no. 1; pp. 1 - 9 |
|---|---|
| Autores principales: | , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Jan2026
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192513109&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192513109 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jan2026 vid: 55 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192513109 10.1093/ageing/afaf364 ppf: 1 ppct: 8 formats: tig: atl: Demographic and socioeconomic risk factors for pain progression and recurrence in middle-aged and older adults: multistate analysis of a prospective English cohort study. aug: au: Bloomberg, Mikaela Bu, Feifei Fancourt, Daisy Steptoe, Andrew affil: University College London Institute of Epidemiology and Health Care - Department of Epidemiology and Public Health, 1-19 Torrington Place, London, WC1E 7HB, United Kingdom of Great Britain and Northern Ireland University College London Institute of Epidemiology and Health Care - Department of Behavioural Science and Health, 1-19 Torrington Place, London, WC1E 7HB, United Kingdom of Great Britain and Northern Ireland su: Social determinants of health Socioeconomic factors Sex distribution Pain Demography Pain measurement Chronic pain Research funding Socioeconomic disparities in health Longitudinal method Disease relapse Confidence intervals Data analysis software Disease progression sug: subj: Social determinants of health Socioeconomic factors Sex distribution Pain Demography Pain measurement Chronic pain Research funding Socioeconomic disparities in health Longitudinal method Disease relapse Confidence intervals Data analysis software Disease progression keyword: chronic pain copyrightHolder:British Geriatrics Society copyrightYear:2026 demography https://dx.doi.org/10.1093/ageing/afaf364 inLanguage:en older adult older people pain pain severity pain trajectory publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41482956/ social determinants of health socioeconomic factors chronic pain copyrightHolder:British Geriatrics Society copyrightYear:2026 demography https://dx.doi.org/10.1093/ageing/afaf364 inLanguage:en older adult older people pain pain severity pain trajectory publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41482956/ social determinants of health socioeconomic factors ab: Background While demographic and socioeconomic factors such as female sex and socioeconomic disadvantage are well-established risk factors for pain onset, previous studies examining long-term pain trajectories give mixed results and often overlook how pain fluctuates. This study identified demographic and socioeconomic risk factors for pain progression, remission and recurrence using multistate models to capture the dynamic nature of long-term pain. Methods Data were drawn from 9369 adults aged 50–98 from the English Longitudinal Study of Ageing (study years: 2002/03–2021/23). The baseline wave for each participant was their first wave of pain (moderate–severe or mild pain). Pain severity at subsequent waves was categorised into three states: (i) moderate–severe; (ii) mild; or (iii) none. We used multistate models to examine associations of demographic and socioeconomic factors with pain improvement (state 1–2), worsening (state 2–1), remission (state 1–3) and recurrence (state 3–1). Results Findings particularly highlighted sex and socioeconomic disparities: compared with males, females were less likely to experience pain improvement (hazard ratio [HR] = 0.84, 95% confidence interval = 0.74–0.96) or remission (HR = 0.72, 0.64–0.80), and more likely to experience recurrence (HR = 1.45, 1.25–1.68). More education was associated with pain improvement (HR = 1.43, 1.16–1.76) and remission (HR = 1.30, 1.07–1.58), and lower risk of worsening (HR = 0.52, 0.42–0.64) and recurrence (HR = 0.67, 0.52–0.85); similar patterns were observed for wealth, with greater wealth associated with more favourable pain trajectories. Conclusion Pain fluctuates over time, following socially patterned trajectories, with women and socioeconomically disadvantaged individuals more likely to experience persistent or recurring pain. These findings highlight the importance of risk-stratified approaches, including proactive monitoring and management. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|