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Lookup NU author(s): Professor Rachel CooperORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. Objectives To investigate associations between a range of different indicators of socioeconomic position (SEP: occupational class, education, household overcrowding and tenure, and experience of financial hardship) across life and chronic widespread and regional pain (CWP and CRP) at age 68. Design Prospective birth cohort; the Medical Research Council National Survey of Health and Development. Setting England, Scotland and Wales. Participants Up to 2378 men and women who have been followed-up since birth in 1946 to age 68. Primary outcome measures On the basis of their self-report of pain at age 68, participants were classified as: CWP (American College of Rheumatology criteria), CRP (pain of at least 3 months' duration but that does not meet the definition of CWP), other pain (<3 months in duration) or no pain. Results At age 68, the prevalence of CWP was 13.3% and 7.8% in women and men, respectively, and that of CRP was 32.3% and 28.7% in women and men, respectively. There was no clear evidence that indicators of SEP in childhood or later adulthood were associated with pain. Having experienced (vs not) financial hardship and being a tenant (vs owner-occupier) in earlier adulthood were both associated with an increased risk of CWP; for example, moderate hardship adjusted relative risk ratio (RRR adj) 2.32 (95% CI: 1.19 to 4.52) and most hardship RRR adj 4.44 (95% CI: 2.02 to 9.77). Accumulation of financial hardship across earlier and later adulthood was also associated with an increased risk of CWP. Conclusions Consideration of socioeconomic factors in earlier adulthood may be important when identifying targets for intervention to prevent CWP in later life.
Author(s): Jay MA, Bendayan R, Cooper R, Muthuri SG
Publication type: Article
Publication status: Published
Journal: BMJ Open
Year: 2019
Volume: 9
Issue: 3
Online publication date: 07/03/2019
Acceptance date: 17/12/2018
Date deposited: 17/01/2022
ISSN (electronic): 2044-6055
Publisher: BMJ Publishing Group
URL: http://dx.doi.org/10.1136/bmjopen-2018-024250
DOI: 10.1136/bmjopen-2018-024250
PubMed id: 30850405
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