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To investigate the prevalence and associated factors of chronic pain among community-dwelling older adults in Shanghai, China.
A multi-stage stratified cluster sampling method was employed to recruit residents aged ≥60 years from August to November 2023. A structured questionnaire was used to collect data on demographic characteristics, pain status, and indicators of pain severity. Multivariate logistic regression was applied to identify factors associated with moderate to severe chronic pain.
A total of 3 606 valid responses were obtained. The overall prevalence of chronic pain was 73.9%, with mild pain being the most common (60.4%). The mean age of participants was 73.2±9.4 years. The most frequently reported pain sites were the lumbosacral region, shoulders, and neck. Major pain relief approaches included traditional therapies (55.7%), topical medications (41.5%), and oral analgesics (40.1%). Pain intensity was significantly correlated with psychological distress (r=0.793) and impaired daily functioning (r=0.795). Female sex (OR=1.291), higher educational attainment (OR=1.620-1.679), poor spousal health (OR=1.777-3.112), and impaired ability of daily living (OR=0.481) were independently associated with increased risk of moderate to severe pain.
Chronic pain is highly prevalent among older adults in Shanghai communities, predominantly manifesting as mild pain. Female gender, higher education level, poor spousal health, and limited self-care ability are significant risk factors for moderate to severe pain. Early identification of high-risk individuals and multidimensional interventions are essential to improve pain management and reduce the burden of chronic pain in this population.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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