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Title: Prevalence and sites of pain in remote-living older Aboriginal Australians, and associations with depressive symptoms and disability.
Austin Authors: Wong, Aaron B ;Hyde, Zoë;Smith, Kate;Flicker, Leon;Atkinson, David;Skeaf, Linda;Malay, Roslyn;Giudice, Dina Lo
Affiliation: Centre for Aboriginal Medical and Dental Health, University of Western Australia, Perth, Australia
Western Australian Centre for Health and Ageing, University of Western Australia, Perth, Australia
School of Medicine, University of Western Australia, Perth, Australia
Department of Geriatric Medicine, Austin Health, Heidelberg, Victoria, Australia
Aged Care, Melbourne Health and University of Melbourne, Melbourne, Australia
Rural Clinical School of WA, University of Western Australia, Perth, Australia
Broome Regional Aboriginal Medical Service, Broome, Australia
Issue Date: 2-May-2020 2020
Publication information: Internal Medicine Journal 2020; online first: 2 May
Abstract: Pain is a growing public health problem associated with significant health and functional implications. Limited data exist for Aboriginal Australians. To describe the prevalence, severity and sites of pain, analgesic use, and associated factors including depression and disability, in remote-living Aboriginal Australians. Cross-sectional study of 263 Aboriginal Australians aged ≥45 years from six remote Indigenous communities and the town of Derby in the Kimberley region of Western Australia between 2011-2013. Pain was assessed using a culturally adapted pain scale. Factors associated with pain were investigated with binary logistic regression. One hundred and seventy participants (64.6%) reported having pain and 53 (20.2%) reported persistent pain. Of those reporting pain, 61 (35.9%) rated it as moderate and 70 (41.2%) as severe. The most common sites of pain were back and knee, and 38 participants (22.4%) with pain indicated ≥3 sites of pain. Only 70 participants with pain (41.2%) were on some type of analgesic medication. After adjustment, poor vision (OR = 2.21; 95% CI 1.22-4.00), hypertension (OR = 1.89; 95% CI 1.03-3.45) and heart problems (OR = 2.05; 95% CI 1.01-4.14) were associated with pain. Higher depression scores were associated with more persistent pain, but pain was not significantly associated with clinically relevant depressive symptoms, or requiring assistance with ≥2 personal and/or instrumental activities of daily living. High levels of pain were reported, although the prevalence of persistent pain was comparable to the general population. Identifying risk factors, improving pain recognition and assessment, and evaluating culturally tailored management approaches should be a priority. This article is protected by copyright. All rights reserved.
DOI: 10.1111/imj.14870
ORCID: 0000-0002-5985-1729
PubMed URL: 32359117
Type: Journal Article
Subjects: Aboriginal
Appears in Collections:Journal articles

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