Evidence map›Paper›PMID 28341586›Full record

ArticleArchives of physical medicine and rehabilitation2017

Less Exercise and More Drugs: How a Low-Income Population Manages Chronic Pain.

Barbara J Turner, Natalia Rodriguez, Melissa A Valerio, Yuanyuan Liang, Paula Winkler, Lisa Jackson

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Pain Relief after Surgical Decompression of the Distal Brachial Plexus.Journal of brachial plexus and peripheral nerve injury · 2020
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Barbara J TurnerDepartment of Medicine, UT Health San Antonio, San Antonio, TX; Center for Research to Advance Community Health, UT Health San Antonio, San Antonio, TX. Electronic address: turner@uthscsa.edu.
Natalia RodriguezCenter for Research to Advance Community Health, UT Health San Antonio, San Antonio, TX.
Melissa A ValerioCenter for Research to Advance Community Health, UT Health San Antonio, San Antonio, TX; Department of Health Promotion and Behavioral Science, University of Texas School of Public Health in San Antonio, San Antonio, TX.
Yuanyuan LiangCenter for Research to Advance Community Health, UT Health San Antonio, San Antonio, TX; Department of Epidemiology and Biostatistics, UT Health San Antonio, San Antonio, TX.
Paula WinklerCenter for Research to Advance Community Health, UT Health San Antonio, San Antonio, TX; South Central Area Health Education Center, UT Health San Antonio, San Antonio, TX.
Lisa JacksonGfK Custom Research LLC, Sunnyvale, CA.
The University of Texas Health Science Center at Houston · USGfK (United States) · USThe University of Texas at San Antonio · USThe University of Texas Health Science Center at San Antonio · US

Funding

Patient-Centered Outcomes Research Institute ME-1303-5729
6 · The paper itself

Abstract

objectivesTo evaluate chronic pain management in a multistate, low-income Hispanic population, and to examine predictors of exercising and prescription pain medication (PPM) use.

designOnline survey administered to a representative sample of Hispanic adults in June 2015.

settingFive southwestern states.

participantsAmong all online panel members who were Hispanic (N=1007), aged 35 to 75 years from 5 states, representing 11,016,135 persons, the survey was completed by 516 members (51%). Among these, 102 participants were identified with chronic noncancer pain representing 1,140,170 persons.

interventionsNot applicable.

main outcome measuresExercising or using PPM for chronic pain in past year.

resultsMost participants reported using PPM (58%) and exercise (54%) to manage pain. Compared with annual household incomes >$75,000, adjusted odds ratios [AORs] for exercising were .20 for <$10,000 (P=.12); .40 for $10,000 to $34,999 (P=.22); and .15 for $35,000 to $74,999 (P=.015). Conversely, AORs for PPM were over 4-fold higher for lower-income groups as follows: 14.2, 4.79, and 4.85, respectively (all P<.065). PPM users rated the importance of accessing a gym to manage pain lower (P=.01), while exercisers rated the feasibility of gym access to manage pain higher (P=.001).

conclusionsIn a Hispanic population-based sample with chronic pain, lower-income groups tended to exercise less but use PPM more. Barriers to gym access and use may play a role in these disparities.

Indexed as

ExerciseHispanic or LatinoAdultAgedAnalgesicsChronic PainComplementary TherapiesFemaleHumansMaleMiddle AgedNonprescription DrugsPain ManagementPovertyPrescription DrugsSex FactorsAnalgesicsNonprescription DrugsPrescription DrugsChronic painDrug therapyExerciseHispanic AmericansIncomeRehabilitation

Identifiers

PMID28341586
PMCPMC5990366
OpenAlexW2604039068

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.