Persistent Pain Associated with Socioeconomic and Personal Factors in a Sami and Non-Sami Population in Norway: an Analysis of SAMINOR 2 Survey Data

Overview

Journal Int J Circumpolar Health

Date 2020 Aug 12

PMID 32780007

Citations 1

Authors

Elin Damsgard

Gyrd Thrane

Nils Fleten

Johan Bagge

Tore Sorlie

Audny Anke

Ann-Ragnhild Broderstad

Affiliations

Soon will be listed here.

Abstract

In international studies, higher prevalence of persistent pain has been reported in indigenous populations compared to majority populations. The present study aimed to determine the prevalence of persistent pain within a Sami and a non-Sami population in northern Norway, with adjustment for the confounding factors of age, sex, marital status, education, income, mental health, smoking status and ethnic background. Using SAMINOR 2 survey data including Sami and non-Sami populations, we analysed 5,546 responses, from individuals aged 40-79 years, to questions concerning persistent pain (≥ 3 months). In total, 2,426 (43.7%) participants reported persistent pain with differences between Sami women and non-Sami women (44.1% versus 51.1%, respectively), but none between Sami men and non-Sami men (38.7% versus 38.2%, respectively). Elderly Sami women were less likely to report persistent pain than were elderly non-Sami women. In men, no ethnic differences in pain were observed according to age-group. Marital status, education levels, household income, psychological distress, and smoking status did not influence the association between ethnicity and pain. Pain severity and location did not differ between Sami and non-Sami participants. In this study, we found only minor ethnic differences in persistent pain. Similar living conditions and cultural features may explain these findings.

Citing Articles

Opioid prescriptions among Sami and non-Sami with chronic pain: The SAMINOR 2 Questionnaire Survey and the Norwegian Prescription Database.

Eriksen A, Melhus M, Schei B, Skurtveit S, Broderstad A Int J Circumpolar Health. 2023; 82(1):2241202.

PMID: 37506380 PMC: 10392314. DOI: 10.1080/22423982.2023.2241202.

References

Lund E, Melhus M, Hansen K, Nystad T, Broderstad A, Selmer R . Population based study of health and living conditions in areas with both Sámi and Norwegian populations--the SAMINOR study. Int J Circumpolar Health. 2007; 66(2):113-28. DOI: 10.3402/ijch.v66i2.18241. View

Gatchel R, Peng Y, Peters M, Fuchs P, Turk D . The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychol Bull. 2007; 133(4):581-624. DOI: 10.1037/0033-2909.133.4.581. View

Brage S, Ihlebaek C, Natvig B, Bruusgaard D . [Musculoskeletal disorders as causes of sick leave and disability benefits]. Tidsskr Nor Laegeforen. 2010; 130(23):2369-70. DOI: 10.4045/tidsskr.10.0236. View

Dionne C, von Korff M, Koepsell T, Deyo R, Barlow W, Checkoway H . Formal education and back pain: a review. J Epidemiol Community Health. 2001; 55(7):455-68. PMC: 1731944. DOI: 10.1136/jech.55.7.455. View

Eriksen A, Schei B, Hansen K, Sorlie T, Fleten N, Javo C . Childhood violence and adult chronic pain among indigenous Sami and non-Sami populations in Norway: a SAMINOR 2 questionnaire study. Int J Circumpolar Health. 2016; 75:32798. PMC: 5090132. DOI: 10.3402/ijch.v75.32798. View

Julien N, Lacasse A, Labra O, Asselin H . Review of chronic non-cancer pain research among Aboriginal people in Canada. Int J Qual Health Care. 2018; 30(3):178-185. DOI: 10.1093/intqhc/mzx195. View

Broderstad A, Hansen S, Melhus M . The second clinical survey of the population-based study on health and living conditions in regions with Sami and Norwegian populations - the SAMINOR 2 Clinical Survey: Performing indigenous health research in a multiethnic landscape. Scand J Public Health. 2019; 48(6):583-593. DOI: 10.1177/1403494819845574. View

Benjamin S, Morris S, McBeth J, Macfarlane G, Silman A . The association between chronic widespread pain and mental disorder: a population-based study. Arthritis Rheum. 2000; 43(3):561-7. DOI: 10.1002/1529-0131(200003)43:3<561::AID-ANR12>3.0.CO;2-O. View

Hansen K, Sorlie T . Ethnic discrimination and psychological distress: a study of Sami and non-Sami populations in Norway. Transcult Psychiatry. 2012; 49(1):26-50. DOI: 10.1177/1363461511433944. View

10.

Naugle K, Ohlman T, Naugle K, Riley Z, Keith N . Physical activity behavior predicts endogenous pain modulation in older adults. Pain. 2017; 158(3):383-390. DOI: 10.1097/j.pain.0000000000000769. View

11.

Hjermstad M, Fayers P, Haugen D, Caraceni A, Hanks G, Loge J . Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptom Manage. 2011; 41(6):1073-93. DOI: 10.1016/j.jpainsymman.2010.08.016. View

12.

Bates M . The effects of the cultural context of health care on treatment of and response to chronic pain and illness. Soc Sci Med. 1997; 45(9):1433-47. DOI: 10.1016/s0277-9536(97)00068-3. View

13.

Palos G, Mendoza T, Mobley G, Cantor S, Cleeland C . Asking the community about cutpoints used to describe mild, moderate, and severe pain. J Pain. 2006; 7(1):49-56. DOI: 10.1016/j.jpain.2005.07.012. View

14.

Jensen M, Tome-Pires C, Vega R, Galan S, Sole E, Miro J . What Determines Whether a Pain is Rated as Mild, Moderate, or Severe? The Importance of Pain Beliefs and Pain Interference. Clin J Pain. 2016; 33(5):414-421. PMC: 5332521. DOI: 10.1097/AJP.0000000000000429. View

15.

Pincus T, Burton A, Vogel S, Field A . A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine (Phila Pa 1976). 2002; 27(5):E109-20. DOI: 10.1097/00007632-200203010-00017. View

16.

Wranker L, Rennemark M, Berglund J . Pain among older adults from a gender perspective: findings from the Swedish National Study on Aging and Care (SNAC-Blekinge). Scand J Public Health. 2015; 44(3):258-63. DOI: 10.1177/1403494815618842. View

17.

Boonstra A, Schiphorst Preuper H, Balk G, Stewart R . Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. Pain. 2014; 155(12):2545-2550. DOI: 10.1016/j.pain.2014.09.014. View

18.

Edwards R . The association of perceived discrimination with low back pain. J Behav Med. 2008; 31(5):379-89. DOI: 10.1007/s10865-008-9160-9. View

19.

Hansen K, Melhus M, Lund E . Ethnicity, self-reported health, discrimination and socio-economic status: a study of Sami and non-Sami Norwegian populations. Int J Circumpolar Health. 2010; 69(2):111-28. DOI: 10.3402/ijch.v69i2.17438. View

20.

Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D . Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2005; 10(4):287-333. DOI: 10.1016/j.ejpain.2005.06.009. View