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Widespread musculoskeletal chronic pain associated with smoking: an epidemiological study in a general rural population
Department of Community Medicine, Lund University, Sweden.ORCID-id: 0000-0001-9283-5096
Kristianstad College of Health Professions.
Department of Medicine, Rheumatology Section, Central Hospital, Kristianstad, Sweden.
1998 (Engelska)Ingår i: Scandinavian Journal of Rehabilitation Medicine, ISSN 0036-5505, E-ISSN 1940-2228, Vol. 30, nr 3, s. 185-191Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Data on smoking and pain symptoms from a random sample (n = 1806) of a general population were used to evaluate the association between chronic pain at various locations and smoking. In both genders current smoking was associated with reports of increased pain in low back, neck and with multiple locations. In a multiple logistic regression analysis current smoking was associated with an increase in widespread chronic musculoskeletal pain (OR 1.60, CI 1.04-2.46, in relation to non-smokers) and chronic low back pain (OR 1.58, CI 1.13-2.20, in relation to non-smokers). A dose-response relationship was found between the daily cigarette consumption and the prevalence of chronic low back pain. Smoking is associated not only with low back pain but also with chronic widespread musculoskeletal pain. No conclusive decrease in pain prevalence was found after quitting smoking. Further studies are necessary to elucidate an aetiologic relationship between smoking and chronic pain.

Ort, förlag, år, upplaga, sidor
1998. Vol. 30, nr 3, s. 185-191
Nyckelord [en]
chronic pain, smoking, epidemiology
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:hkr:diva-959DOI: 10.1080/003655098444129ISI: 000075720700008PubMedID: 9782546OAI: oai:DiVA.org:hkr-959DiVA, id: diva2:224822
Tillgänglig från: 2009-06-22 Skapad: 2009-06-22 Senast uppdaterad: 2017-12-13Bibliografiskt granskad
Ingår i avhandling
1. Chronic pain: epidemiological studies in a general population
Öppna denna publikation i ny flik eller fönster >>Chronic pain: epidemiological studies in a general population
1998 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

The aim was to study the epidemiology of chronic pain (> 3 months duration) and factors associated to pain prevalence, prognosis, health care and medication in a general population. A cross-sectional mailed survey to a random population sample (n = 1806) was followed by a clinical examination and a prospective study of three selected groups. Pain related diagnoses from primary health care was monitored and compared with pain prevalence. The most important findings were: - a high total prevalence of chronic pain, 55.2%, without gender difference but varying by age and socioeconomic level. About one fourth (12.8%) reported high pain intensity and functional impairments. Women experienced pain at more locations and with higher intensity. - in a multivariate analysis increasing age, female gender, low education, high work strain, depression and insomnia were associated with chronic pain. - widespread pain showed a worse 2- year prognosis compared with neck shoulder pain. - musculoskeletal location of pain dominated, myalgia and myofascial pain being the most common symptom descriptions. - co-morbidity with chronic pain was common. More hypertensives and an increased level of serum uric acid associated to widepread pain indicated possible metabolic connections to pain. - smoking (current and previous) was associated with low-back and widespread pain. - chronic pain had a substantial influence of primary health care-seeking and medication; high pain intensity being the most important predictor of care and medication. - pain related diagnoses in primary health care increased between 1987 and 1996. Chronic pain, mainly with musculoskeletal location, is a community health problem. A multi-factorial approach in prevention and treatment on the basis of present knowledge is necessary.

Ort, förlag, år, upplaga, sidor
Lund: Univ., 1998. s. 142
Nyckelord
chronic pain, epidemiology, health care
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:hkr:diva-968 (URN)91-628-2935-1 (ISBN)
Disputation
1998-04-29, Segerfalksalen, Wallenberg Neuro Centre, Lunds Universitet, Lund, 09:00 (Svenska)
Opponent
Handledare
Anmärkning

ISRN LUMEDW/MECH-1025-SE

Tillgänglig från: 2009-06-24 Skapad: 2009-06-23 Senast uppdaterad: 2014-01-15Bibliografiskt granskad

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Andersson, H. IngemarEjlertsson, Göran

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Scandinavian Journal of Rehabilitation Medicine
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologiMedicin och hälsovetenskap

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