Self-Reported Pain Interference and Analgesic Characteristics in Rural Older Adults

Marcia Y. Shade, Keela Herr, Kevin A Kupzyk

Research output: Contribution to journalArticle

Abstract

Background: Pain impacts the lives of millions of community-dwelling older adults. An important characteristic of pain is “pain interference” which describes the influence of pain on function. A description of pain interference is limited in rural settings where the number of older adults is expected to increase, and health disparities exist. Aims: The purpose of this study was to describe pain interference and analgesic medication use, highlighting those that may be potentially inappropriate in a sample of rural community-dwelling older adults. Design: This secondary analysis was from a cross sectional study. Sample and Settings: Data were analyzed from a sample of 138 rural community-dwelling older adults. Methods: Statistical analyses were performed on demographics, health characteristics, pain interference, and potentially inappropriate analgesic medication data. Results: Pain interference with work activity was reported by 76% of older adults overall, with 23% reporting moderate and 4% extreme interference, and 41% reported sleep difficulty due to pain. Higher pain interference was significantly associated with higher body mass index, more health providers, and the daily use of non-steroidal anti-inflammatory drugs (NSAIDs). Older women experienced more sleep difficulties due to pain. Over-the-counter analgesics were used most frequently by rural older adults to manage pain. Of most risk was the daily use of NSAIDs, in which only 30% used medications to protect the gastrointestinal system. Conclusions: Older adults in rural settings experience pain interference and participate in independent-medicating behaviors that may impact safety.

Original languageEnglish (US)
Pages (from-to)232-238
Number of pages7
JournalPain Management Nursing
Volume20
Issue number3
DOIs
StatePublished - Jun 1 2019

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Analgesics
Pain
Independent Living
Rural Population
Health
Sleep
Anti-Inflammatory Agents
Pharmaceutical Preparations
Body Mass Index
Cross-Sectional Studies
Demography
Safety

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

Cite this

Self-Reported Pain Interference and Analgesic Characteristics in Rural Older Adults. / Shade, Marcia Y.; Herr, Keela; Kupzyk, Kevin A.

In: Pain Management Nursing, Vol. 20, No. 3, 01.06.2019, p. 232-238.

Research output: Contribution to journalArticle

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