The prevalence and intensity of pain in older people living in retirement villages in Auckland, New Zealand.
Community Health
Housing for the Elderly
Older People's Health
pain
Journal
Health & social care in the community
ISSN: 1365-2524
Titre abrégé: Health Soc Care Community
Pays: England
ID NLM: 9306359
Informations de publication
Date de publication:
11 2022
11 2022
Historique:
revised:
26
11
2021
received:
20
06
2021
accepted:
15
03
2022
pubmed:
12
5
2022
medline:
20
12
2022
entrez:
11
5
2022
Statut:
ppublish
Résumé
Chronic pain is common in older people. However, little is known about how pain is experienced in residents of retirement villages ('villages'), and how pain intensity and associations are experienced in relation to characteristics of residents and village living. We thus aimed to examine pain levels, prevalence and associated factors in village residents. The current paper is a cross-sectional analysis of baseline data from the 'Older People in Retirement Villages' study in Auckland, New Zealand. Between July 2016 and August 2018, 578 village residents were interviewed face-to-face by gerontology nurse specialists, using interRAI Community Health Assessment (CHA) and customised survey. We used a validated pain scale and multivariable logistic regression analyses adjusted for pre-specified confounders. Residents' median age was 82 years; 420 (73%) were female; 270 (47%) exhibited/reported daily pain, and in 11% this was severe. After controlling for confounders, daily pain was positively associated with self-reported arthritis (OR = 3.88, 95% CI = 2.57-5.87), poor/fair self-reported health (OR = 3.19, 95% CI = 1.29-7.93), having no health clinic on-site (OR = 1.76, 95% CI = 1.10-2.83), and minimal fatigue (diminished energy but completes normal day-to-day activities) (OR = 1.77, 95% CI = 1.11-2.81). Similar associations were observed for levels of pain. We conclude that levels of pain and prevalence of daily pain are high in village residents. Self-reported arthritis, self-reported poor/fair health, no health clinic on-site and minimal fatigue are all independently associated with a higher risk of daily pain and with levels of pain. This study suggests potential opportunities for villages to better provide on-site support to decrease prevalence and severity of pain for their residents, and thus potentially increase wellbeing and quality-of-life, though as we cannot prove causality, more research is needed.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e4280-e4292Informations de copyright
© 2022 John Wiley & Sons Ltd.
Références
Ahn, H., Garvan, C., & Lyon, D. (2015). Pain and aggression in nursing home residents with dementia: minimum data set 3.0 analysis. Nursing Research, 64, 256-263.
Bentley, J. M. (2003). Barriers to accessing health care: The perspective of elderly people within a village community. International Journal of Nursing Studies, 40, 9-21.
Bevin, K. (2017). Shaping the housing grey zone: an Australian retirement villages case study. Urban Policy and Research, 36, 215-229.
Blyth, F. M., Cumming, R., Mitchell, P., & Wang, J. J. (2007). Pain and falls in older people. European Journal of Pain, 11, 564-571.
Blyth, F. M., March, L. M., Brnabic, A. J., Jorm, L. R., Williamson, M., & Cousins, M. J. (2001). Chronic pain in Australia: a prevalence study. Pain, 89, 127-134.
Blyth, F. M., March, L. M., Brnabic, A. J. M., & Cousins, M. J. (2004). Chronic pain and frequent use of health care. Pain, 111, 51-58.
Blyth, F. M., March, L. M., Nicholas, M. K., & Cousins, M. J. (2005). Self-management of chronic pain: a population-based study. Pain, 113, 285-292.
Boyd, M., Broad, J. B., Kerse, N., Foster, S., von Randow, M., Lay-Yee, R., Chelimo, C., Whitehead, N., & Connolly, M. J. (2011). Twenty-year trends in dependency in residential aged care in Auckland, New Zealand: a descriptive study. Journal of the American Medical Directors Association, 12, 535-540.
Boyd, M., Calvert, C., Tatton, A., Wu, Z., Bloomfield, K., Broad, J. B., Hikaka, J., Higgins, A.-M., & Connolly, M. J. (2020). Lonely in a Crowd: Loneliness in New Zealand Retirement Village Residents. International Psychogeriatrics, 33, 481-493. https://doi.org/10.1017/S1041610220000393
British Geriatrics Society. (2013). Guidance on the management of pain in older people. Age and Ageing, 42(1), i1-i57.
Broad, J. B., Boyd, M., Kerse, N., Whitehead, N., Chelimo, C., Lay-Yee, R., et al. (2011). Residential aged care in Auckland, New Zealand 1988-2008: do real trends over time match predictions? Age and Ageing, 40, 487-494.
Broad, J. B., Wu, Z., Bloomfield, K., Hikaka, J., Bramley, D., Boyd, M., Tatton, A., Calvert, C., Peri, D., Higgins, A.-M., & Connolly, M. J. (2020). Health profile of residents of retirement villages in Auckland, New Zealand: findings from a cross-sectional survey with health assessment. BMJ Open, 10, e035876. https://doi.org/10.1136/bmjopen-2019-035876
Buys, L. R. (2000). Care and support assistance provided in retirement villages: expectations vs reality. Australasian Journal on Ageing, 19, 149-151.
Connolly, M. J., Hikaka, H., Bloomfield, K., Broad, J., Wu, Z., Boyd, M., Peri, K., Calvert, C., Tatton, A., Higgins, A.-M., & Bramley, D. (2021). Research in the retirement village community - the problems of recruiting a representative sample of residents in Auckland. Australasian Journal on Ageing. https://doi.org/10.1111/ajag.12898
Croucher, K. (2006). Making the Case for Retirement Villages. Joseph Rowntree Foundation.
Crowe, M., Jordan, J., Gillon, D., McCall, C., Frampton, C., & Jamieson, H. (2017). The prevalence of pain and its relationship to falls, fatigue, and depression in a cohort of older people living in the community. Journal of Advanced Nursing, 73, 2642-2651.
Dodds, A. T. (2018). Old age, retirement villages and New Zealand society: a critical narrative analysis of the experiences of retirement village residents: Thesis: Doctorate of Clinical Psychology. Massey University.
Eggermont, L. H. P., Bean, J. F., Guralnik, J. M., & Leveille, S. G. (2009). Comparing pain severity versus pain location in the MOBILIZE Boston study: chronic pain and lower extremity function. Journal of Gerontology A, Biological Sciences and Medical Sciences, 64, 763-770.
Eggermont, L. H. P., Leveille, S. G., Shi, L., Kiely, D. K., Shmerling, R. H., Jones, R. N., Guralnik, J. M., & Bean, J. F. (2014). Pain characteristics associated with the onset of disability in older adults: the maintenance of balance, independent living, intellect, and zest in the Elderly Boston Study. Journal of the American Geriatrics Society, 62, 1007-1016.
Fries, B. E., Simon, S. E., Morris, J. N., Flodstrom, C., & Bookstein, F. L. (2001). Pain in U.S. nursing homes: validating a pain scale for the minimum data set. Gerontologist, 41, 173-179. https://doi.org/10.1093/geront/41.2.173
Gibson, S. J., & Lussier, D. (2012). Prevalence and relevance of pain in older persons. Pain Medicine, 13(Supplement 2), S23-S26.
Holland, C., Boukouvalas, A., Wallis, S., et al. (2017). Transition from community dwelling to retirement village in older adults: cognitive functioning and psychological health outcomes. Ageing & Society, 37, 1499-1526. https://doi.org/10.1017/S0144686x16000477
InterRAI. (2014). https://www.interrai.org/assets/files/Scales/pain-scale-2014.pdf
InterRAI New Zealand. (2020). interRAI Annual Report 2019/20. https://www.interrai.co.nz/news-and-media/2019-20-annual-report/
Janevic, M. R., McLaughlin, S. J., Heapy, A. A., Thacker, C., & Piette, J. D. (2017). Racial and socioeconomic disparities in disabling chronic pain: Findings from the health and retirement study. Journal of Pain, 8, 1459-1467. https://doi.org/10.1016/j.jpain.2017.07.005
Jones, K. R., Fink, R. M., Clark, L., Hutt, E., Vojir, C. P., & Mellis, B. K. (2006). Nursing home resident barriers to effective pain management: Why nursing home residents may not seek pain medication. Journal of the American Medical Directors Association, 7, S21-S28.
Jones Lang LaSallle. (2020). NZ retirement villages and aged care. Whitepaper. Zealand Retirement Village Database (NZRVD) and Aged Care Database (NZACD) Year ending 2019. Jones Lang La Salle IP Inc.
Jordan, J., Crowe, M., Gillon, D., McCall, C., Frampton, C., & Jamieson, H. (2018). Reduced pain reports with increasing cognitive impairment in older persons in New Zealand. American Journal of Alzheimer's Disease and Other Dementias, 1(33), 463-470.
Kindler, L. L., Jones, K. D., Perrin, N., & Bennett, R. M. (2010). Risk factors predicting the development of widespread pain from chronic back or neck pain. The Journal of Pain, 11(12), 1320-1328. https://doi.org/10.1016/j.jpain.2010.03.007
Landi, F., Onder, G., Cesari, M., Gambassi, G., Steel, K., Russo, A., et al. (2001). Pain management in frail, community-living elderly patients. Archives of Internal Medicine, 161, 2721-2724.
Landi, F., Russo, A., Liperoti, R., Danese, P., Maiorana, E., Pahor, M., Bernabei, R., & onder, G. (2009). Daily pain and functional decline among old-old adults living in the community: results from the ilSIRENTE Study. Journal of Pain and Symptom Management, 38, 350-357.
McBeth, I., Macfarlane, G. J., Hunt, I. M., & Silman, A. J. (2001). Risk factors for persistent chronic widespread pain: a community-based study. Rheumatology, 40(1), 95-101. https://doi.org/10.1093/rheumatology/40.1.95
Mills, S., Nicolson, K. P., & Smith, B. H. (2019). Chronic pain: a review of its epidemiology and associated factors in population-based studies. British Journal of Anaesthesia, 123(2), e273-e283. https://doi.org/10.1016/j.bja.2019.03.023
Mioshi, E., Dawson, K., Mitchell, J., Arnold, R., & Hodges, J. R. (2006). The Addenbrooke's Cognitive Examination Revised (ACE-R): a brief cognitive test battery for dementia screening. International Journal of Geriatric Psychiatry, 21, 1078-1085.
Molton, I. R., & Terrill, A. L. (2014). Overview of persistent pain in older adults. American Psychologist, 69, 197-207.
Olsen, R. B., Bruehl, S., Nielsen, C. S., Rosseland, L. A., Eggen, A. E., & Stubhaug, A. (2013). Hypertension prevalence and diminished blood-pressure hypoalgesia in individuals reporting chronic pain in a general population: the Tromso study. Pain, 154, 257-262.
Parkinson, L., Gibson, R., Robinson, I., & Byles, J. (2010). Older women and arthritis: Tracking impact over time. Australasian Journal on Ageing, 29, 155-160.
Peri, K., Broad, J. B., Hikaka, J., Boyd, M., Bloomfield, K., Wu, Z., Calvert, C., Tatton, A., Higgins, A.-M., Bramley, D., & Connolly, M. J. (2020). Study Protocol: Older People in Retirement Villages. A survey and randomised trial of a multi-disciplinary invention designed to avoid adverse outcomes. BMC Geriatrics, 20, 247. https://doi.org/10.1186/s12877-020-01640-6
Poleshuck, E. L., & Green, C. R. (2008). Socioeconomic disadvantage and pain. Pain, 136, 235-238.
Sale, J. E. M., Gignac, M., & Hawker, G. (2006). How “bad” does the pain have to be? A qualitative study examining adherence to pain medication in older adults with osteoarthritis. Arthritis and Rheumatism, 55, 272-278.
Sawyer, P., Bodner, E. V., Ritchie, C. S., & Allman, R. M. (2006). Pain and pain medication use in community-dwelling older adults. American Journal of Geriatric Pharmacotherapy, 4, 316-324.
Stephen, B., Chung, O. Y., James, J., & Biridepalli, S. (2005). Prevalence of clinical hypertension in patients with chronic pain compared to nonpain general medical patients. The Clinical Journal of Pain, 21, 147-153.
STROBE (2007). STROBE Statement. Strengthening the reporting of observational studies in epidemiology. https://www.strobe-statement.org/index.php?id=available-checklists
Tian, X., Wang, C., Qiao, X., et al. (2017). The association between pain and frailty among Chinese community-dwelling older adults: depression as a mediator and its interaction with pain. Pain, 159, 303-313.
Tse M.M.Y., Kwan R.Y.C., Ho S.S.M., Davidson P.M., Cheng P.P.P., Yeung S.S.Y. (2019). Frailty is associated with pain and cognitive function in older people in post-acute care settings. Geriatric Nursing, 41, 530-535. https://doi.org/10/1016/j.gerinurse.2019.04.001
Verhaak, P. F., Kerssens, J. J., Dekker, J., Sorbi, M. J., & Bensing, J. M. (1998). Prevalence of chronic benign pain disorder among adults; a review of the literature. Pain, 7, 231-239.
Vitiello, M. V., McCurry, S. M., Shortreed, S. M., Baker, L. D., Rybarczyk, B. D., Keefe, F. J., & von Korff, M. (2014). Short-term improvement in insomnia symptoms predicts long-term improvements in sleep, pain, and fatigue in older adults with comorbid osteoarthritis and insomnia. Pain, 155, 1547-1554.
Welsh, V. K., Clarson, L. E., Mallen, C. D., & McBeth, J. (2019). Multisite pain and self-reported falls in older people: systematic review and meta-analysis. Arthritis Research and Therapeutics, 21, 67. https://doi.org/10.1186/s13075-019-1847-5
Williamson, G. M. (2000). Extending the activity restriction model of depressed affect: Evidence from a sample of breast cancer patients. Health Psychology, 19, 339-347.
Wong CK, Mak RY, Kwok TS, Tsang JS, Leung MY, Funabashi M, Macedo LG, Dennett L, Wong AY. Prevalence, Incidence, and Factors Associated With Non-Specific Chronic Low Back Pain in Community-Dwelling Older Adults Aged 60 Years and Older: A Systematic Review and Meta-Analysis. The Journal of Pain. 2021 24:S1526-5900(21)00316-3. https://doi.org/10.1016/j.jpain.2021.07.012
Yeager, K. A., Miaskowski, C., Dibble, S., & Wallhagan, M. (1997). Differences in pain knowledge in cancer patients with and without pain. Cancer Practice, 5, 39-45.
Zis, P., Daskalaki, A., Bountouni, I., Sykioti, P., Varrassi, G., & Paladini, A. (2017). Depression and chronic pain in the elderly: links and management challenges. Clinical Interventions in Aging, 12, 709-720. https://doi.org/10.2147/CIA.S113576