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Abstract: Pain increases with age, disproportionately affects women, and is a major contributor to decreased quality of life. Because pain is dynamic, trajectories are important to consider. Few studies have examined longitudinal trajectories of pain, by gender, in Mexico. We used data from 5 waves (over 2001-2018) of the Mexican Health and Aging Study, a nationally representative sample of Mexicans aged 50 years and older. Pain was categorized as self-reported frequent pain that makes it difficult to do usual activities. Latent class mixture models were used to create pain trajectories (n = 9824). The sample was majority female (56.15%), with a mean age of 61.72 years. We identified 2 pain trajectories: low-stable (81.88%) and moderate-increasing (18.12%). Women had 1.75 times the odds of being in the moderate-increasing group compared with men (95% confidence interval= 1.41, 2.17). In addition, having zero years of education was associated with higher odds of being in the moderate-increasing group, compared with having any years of education. Fair/poor self-rated health, obesity, arthritis, elevated depressive symptoms, and falls were positively associated with pain for both trajectory groups. Being married was positively associated with pain in the low-stable group. Insurance status was negatively associated with pain in the low-stable group, but positively associated with pain in the moderate-increasing group. We identified 2 trajectories of activity-limiting pain, among older Mexican adults (50+) over 17 years of follow-up. Understanding gender differences in pain trajectories in later life and the factors associated with trajectory development is crucial to improve quality of life, especially in vulnerable populations.

Titel:	Gender differences in activity-limiting pain trajectories over a 17-year period in the Mexican Health and Aging Study.
Autor/in / Beteiligte Person:	Milani, SA ; Howrey, B ; Rodriguez, MA ; Samper-Ternent, R ; Wong, R
Zeitschrift:	Pain, Jg. 163 (2022-02-01), Heft 2, S. e285-e292
Veröffentlichung:	2015- : Hagerstown, MD : Lippincott Williams & Wilkins ; <i>Original Publication</i>: Amsterdam, Elsevier/North-Holland., 2022
Medientyp:	academicJournal
ISSN:	1872-6623 (electronic)
DOI:	10.1097/j.pain.0000000000002292
Schlagwort:	Adult Aged Female Humans Longitudinal Studies Male Mexico epidemiology Middle Aged Pain epidemiology Sex Factors Aging Quality of Life
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Language: English [Pain] 2022 Feb 01; Vol. 163 (2), pp. e285-e292. MeSH Terms: Aging* ; Quality of Life* ; Adult ; Aged ; Female ; Humans ; Longitudinal Studies ; Male ; Mexico / epidemiology ; Middle Aged ; Pain / epidemiology ; Sex Factors References: Aguilar-Navarro SG, Fuentes-Cantú A, Avila-Funes JA, García-Mayo EJ. Validity and reliability of the screening questionnaire for geriatric depression used in the Mexican Health and Age Study. Salud publica de Mexico 2007;49:256–62. ; Aili K, Campbell P, Michaleff ZA, Strauss VY, Jordan KP, Bremander A, Croft P, Bergman S. Long-term trajectories of chronic musculoskeletal pain: a 21-year prospective cohort latent class analysis. PAIN 2021;162:1511–20. ; Angel JL, Vega W, Lopez-Ortega M. Aging in Mexico: Population Trends and Emerging Issues. 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Grant Information: R01 AG018016 United States AG NIA NIH HHS; T32 AG000270 United States AG NIA NIH HHS; P30 AG059301 United States AG NIA NIH HHS; K12 HD052023 United States HD NICHD NIH HHS; P30 AG024832 United States AG NIA NIH HHS Entry Date(s): Date Created: 20210417 Date Completed: 20220323 Latest Revision: 20230818 Update Code: 20231215 PubMed Central ID: PMC8494819

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Gender differences in activity-limiting pain trajectories over a 17-year period in the Mexican Health and Aging Study.