Evidence map›Paper›PMID 37228121›Full record

ArticlePloS one2023

Socioeconomic and sex inequalities in chronic pain: A population-based cross-sectional study.

Ana Maria Braga de Oliveira, Doralice Severo da Cruz Teixeira, Fabrício Dos Santos Menezes, Amélia Pasqual Marques, Yeda Aparecida de Oliveira Duarte, Raquel Aparecida Casarotto

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Elevated C-Reactive Protein in Older Men With Chronic Pain: Association With Plasma Amyloid Levels and Hippocampal Volume.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  13. What Predicts a Longer Period of Pain in Patients Referred to an Interdisciplinary Center for Pain Care?International journal of environmental research and public health · 2024
    Article
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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.

Ana Maria Braga de OliveiraDepartment of Physiotherapy, Federal University of Sergipe, Lagarto, Brazil.ORCID 0000-0002-7718-9759
Doralice Severo da Cruz Teixeira"Health, Well-being and Aging" (SABE) Study, School of Public Health, University of São Paulo, São Paulo, Brazil.ORCID 0000-0002-2894-3049
Fabrício Dos Santos MenezesDepartment of Health Education, Federal University of Sergipe, Lagarto, Brazil.
Amélia Pasqual MarquesRehabilitation Sciences Program, School of Medicine, University of São Paulo, São Paulo, Brazil.
Yeda Aparecida de Oliveira Duarte"Health, Well-being and Aging" (SABE) Study, School of Public Health, University of São Paulo, São Paulo, Brazil.
Raquel Aparecida CasarottoRehabilitation Sciences Program, School of Medicine, University of São Paulo, São Paulo, Brazil.ORCID 0000-0003-2852-2401

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe investigated the impact of socioeconomic inequalities on chronic pain of older adults according to sex. MATERIALS AND

methodsThis population-based cross-sectional study used survey data from the 2015 cohort of the SABE Study (Saúde, Bem-estar e Envelhecimento), Brazil. Socioeconomic status was examined at individual level (educational attainment, financial independence, and race/skin color) and contextual level (Human Development Index). We analyzed the association between variables using the chi-square test and the Rao & Scott correction. Logistic regression models were adjusted for risk factors.

resultsThe study comprised 1,207 older adults representing 1,365,514 residents 60≥ years of age in the city of São Paulo. Chronic pain was more frequent in females (27.2%) than in males (14.5%) (p<0.001). Females evidenced the worst self-perception of pain, especially those of the most vulnerable socioeconomic strata. Social inequalities impacted chronic pain in different ways between sexes. Among females, unfavorable living conditions (OR = 1.59; 95%CI 1.07; 2,37) and Blacks/Browns females were most likely to have chronic pain (OR = 1.32; 95%CI 1.01; 1.74). Among males, only the individual aspects were significant for the occurrence of chronic pain, such as low educational attainment (OR = 1.88; 95%CI 1.16; 3.04) and insufficient income (OR = 1.63; 95%CI 1.01; 2.62). DISCUSSION: The potential for inequality was greater for females than for males reflecting structural factors inherent in a highly unequal society. Conclusions: Equity-oriented health policies are critical to preventing pain in human aging.

Indexed as

Chronic PainAgedBrazilCross-Sectional StudiesFemaleHumansMaleSocial ClassSocioeconomic Factors

Identifiers

PMID37228121
PMCPMC10212187

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Registered trials

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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.