"I'm healthy, I don't have pain"- health screening participation and its association with chronic pain in a low socioeconomic status Singaporean population
We sought to determine the association between chronic pain and participating in routine health screening in a low socioeconomic-status (SES) rental-flat community in Singapore. In Singapore, ≥ 85% own homes; public rental flats are reserved for those with low-income. Chronic pain was defined as pai...
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| Published in | The Korean journal of pain Vol. 30; no. 1; pp. 34 - 43 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
The Korean Pain Society
01.01.2017
대한통증학회 |
| Subjects | |
| Online Access | Get full text |
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| Abstract | We sought to determine the association between chronic pain and participating in routine health screening in a low socioeconomic-status (SES) rental-flat community in Singapore. In Singapore, ≥ 85% own homes; public rental flats are reserved for those with low-income.
Chronic pain was defined as pain ≥ 3 months. From 2009-2014, residents aged 40-60 years in five public rental-flat enclaves were surveyed for chronic pain; participation in health screening was also measured. We compared them to residents staying in adjacent owner-occupied public housing. We also conducted a qualitative study to better understand the relationship between chronic pain and health screening participation amongst residents in these low-SES enclaves.
In the rental-flat population, chronic pain was associated with higher participation in screening for diabetes (aOR = 2.11, CI = 1.36-3.27,
< 0.001), dyslipidemia (aOR = 2.06, CI = 1.25-3.39,
= 0.005), colorectal cancer (aOR = 2.28, CI = 1.18-4.40,
= 0.014), cervical cancer (aOR = 2.65, CI = 1.34-5.23,
= 0.005) and breast cancer (aOR = 3.52, CI = 1.94-6.41,
< 0.001); this association was not present in the owner-occupied population. Three main themes emerged from our qualitative analysis of the link between chronic pain and screening participation: pain as an association of "major illness"; screening as a search for answers to pain; and labelling pain as an end in itself.
Chronic pain was associated with higher cardiovascular and cancer screening participation in the low-SES population. In low-SES populations with limited access to pain management services, chronic pain issues may surface during routine health screening. |
|---|---|
| AbstractList | BACKGROUNDWe sought to determine the association between chronic pain and participating in routine health screening in a low socioeconomic-status (SES) rental-flat community in Singapore. In Singapore, ≥ 85% own homes; public rental flats are reserved for those with low-income. METHODSChronic pain was defined as pain ≥ 3 months. From 2009-2014, residents aged 40-60 years in five public rental-flat enclaves were surveyed for chronic pain; participation in health screening was also measured. We compared them to residents staying in adjacent owner-occupied public housing. We also conducted a qualitative study to better understand the relationship between chronic pain and health screening participation amongst residents in these low-SES enclaves. RESULTSIn the rental-flat population, chronic pain was associated with higher participation in screening for diabetes (aOR = 2.11, CI = 1.36-3.27, P < 0.001), dyslipidemia (aOR = 2.06, CI = 1.25-3.39, P = 0.005), colorectal cancer (aOR = 2.28, CI = 1.18-4.40, P = 0.014), cervical cancer (aOR = 2.65, CI = 1.34-5.23, P = 0.005) and breast cancer (aOR = 3.52, CI = 1.94-6.41, P < 0.001); this association was not present in the owner-occupied population. Three main themes emerged from our qualitative analysis of the link between chronic pain and screening participation: pain as an association of "major illness"; screening as a search for answers to pain; and labelling pain as an end in itself. CONCLUSIONSChronic pain was associated with higher cardiovascular and cancer screening participation in the low-SES population. In low-SES populations with limited access to pain management services, chronic pain issues may surface during routine health screening. Background: We sought to determine the association between chronic pain and participating in routine health screening in a low socioeconomic-status (SES) rental-flat community in Singapore. In Singapore, ≥ 85% own homes; public rental flats are reserved for those with low-income.Methods: Chronic pain was defined as pain ≥ 3 months. From 2009−2014, residents aged 40−60 years in five public rental-flat enclaves were surveyed for chronic pain; participation in health screening was also measured. We compared them to residents staying in adjacent owner-occupied public housing. We also conducted a qualitative study to better understand the relationship between chronic pain and health screening participation amongst residents in these low-SES enclaves. Results: In the rental-flat population, chronic pain was associated with higher participation in screening for diabetes (aOR = 2.11, CI = 1.36−3.27, P ＜ 0.001), dyslipidemia (aOR = 2.06, CI = 1.25−3.39, P = 0.005), colorectal cancer (aOR = 2.28, CI = 1.18−4.40, P = 0.014), cervical cancer (aOR = 2.65, CI = 1.34−5.23, P = 0.005) and breast cancer (aOR = 3.52, CI = 1.94−6.41, P ＜ 0.001); this association was not present in the owner-occupied population. Three main themes emerged from our qualitative analysis of the link between chronic pain and screening participation: pain as an association of “major illness”; screening as a search for answers to pain; and labelling pain as an end in itself.Conclusions: Chronic pain was associated with higher cardiovascular and cancer screening participation in the low-SES population. In low-SES populations with limited access to pain management services, chronic pain issues may surface during routine health screening. (Korean J Pain 2017; 30: 34-43) KCI Citation Count: 4 We sought to determine the association between chronic pain and participating in routine health screening in a low socioeconomic-status (SES) rental-flat community in Singapore. In Singapore, ≥ 85% own homes; public rental flats are reserved for those with low-income. Chronic pain was defined as pain ≥ 3 months. From 2009-2014, residents aged 40-60 years in five public rental-flat enclaves were surveyed for chronic pain; participation in health screening was also measured. We compared them to residents staying in adjacent owner-occupied public housing. We also conducted a qualitative study to better understand the relationship between chronic pain and health screening participation amongst residents in these low-SES enclaves. In the rental-flat population, chronic pain was associated with higher participation in screening for diabetes (aOR = 2.11, CI = 1.36-3.27, < 0.001), dyslipidemia (aOR = 2.06, CI = 1.25-3.39, = 0.005), colorectal cancer (aOR = 2.28, CI = 1.18-4.40, = 0.014), cervical cancer (aOR = 2.65, CI = 1.34-5.23, = 0.005) and breast cancer (aOR = 3.52, CI = 1.94-6.41, < 0.001); this association was not present in the owner-occupied population. Three main themes emerged from our qualitative analysis of the link between chronic pain and screening participation: pain as an association of "major illness"; screening as a search for answers to pain; and labelling pain as an end in itself. Chronic pain was associated with higher cardiovascular and cancer screening participation in the low-SES population. In low-SES populations with limited access to pain management services, chronic pain issues may surface during routine health screening. |
| Author | Koh, Gerald Cher, Wen Qi Sin, David Wee, Liang En Tsang, Tammy Li, Zong Chen Shibli, Sabina |
| AuthorAffiliation | Singhealth Internal Medicine, Singapore General Hospital, Singapore Department of Anaesthesia, Ng Teng Fong General Hospital, JurongHealth, Singapore Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore National Psychiatry Residency Program, National Healthcare Group, Singapore Saw Swee Hock School of Public Health, National University of Singapore, National University Health System, Singapore |
| AuthorAffiliation_xml | – name: Department of Anaesthesia, Ng Teng Fong General Hospital, JurongHealth, Singapore – name: National Psychiatry Residency Program, National Healthcare Group, Singapore – name: Saw Swee Hock School of Public Health, National University of Singapore, National University Health System, Singapore – name: Singhealth Internal Medicine, Singapore General Hospital, Singapore – name: Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore |
| Author_xml | – sequence: 1 givenname: Liang En surname: Wee fullname: Wee, Liang En organization: Singhealth Internal Medicine, Singapore General Hospital, Singapore – sequence: 2 givenname: David surname: Sin fullname: Sin, David organization: Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore – sequence: 3 givenname: Wen Qi surname: Cher fullname: Cher, Wen Qi organization: Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore – sequence: 4 givenname: Zong Chen surname: Li fullname: Li, Zong Chen organization: Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore – sequence: 5 givenname: Tammy surname: Tsang fullname: Tsang, Tammy organization: National Psychiatry Residency Program, National Healthcare Group, Singapore – sequence: 6 givenname: Sabina surname: Shibli fullname: Shibli, Sabina organization: Department of Anaesthesia, Ng Teng Fong General Hospital, JurongHealth, Singapore – sequence: 7 givenname: Gerald surname: Koh fullname: Koh, Gerald organization: Saw Swee Hock School of Public Health, National University of Singapore, National University Health System, Singapore |
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| CitedBy_id | crossref_primary_10_47102_annals_acadmedsg_2021437 crossref_primary_10_3344_kjp_2018_31_1_16 crossref_primary_10_1080_24740527_2024_2335500 crossref_primary_10_1186_s12889_018_5583_6 crossref_primary_10_3390_ijerph18094586 crossref_primary_10_1186_s12939_018_0751_y crossref_primary_10_1186_s12913_019_4047_8 |
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| Keywords | Health screening Qualitative Low-income Mixed methods Asian Chronic pain |
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| SubjectTerms | Original 마취과학 |
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| Title | "I'm healthy, I don't have pain"- health screening participation and its association with chronic pain in a low socioeconomic status Singaporean population |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/28119769 https://search.proquest.com/docview/1861852080 https://pubmed.ncbi.nlm.nih.gov/PMC5256257 https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002177377 |
| Volume | 30 |
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| ispartofPNX | The Korean Journal of Pain, 2017, 30(1), , pp.34-43 |
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