Factors associated with current and severe pain among people living with HIV: results from a statewide sample

BMC Public Health

Nichole Ennis¹  Zachary Mannes²  Robert Cook³  Verlin Joseph³  Shantrel Canidate³  Gladys Ibanez⁴  Abenaa Jones⁵  Charurut Somboonwit⁶  Huiyin Lu⁷ 

[1] Department of Behavioral Sciences and Social Medicine, Center for Translational Behavioral Sciences, College of Medicine, Florida State University, 2010 Levy Ave, Bldg. B, suite 266, 32310, Tallahassee, FL, USA;Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, P.O. Box 100231, 2004 Mowry Road, 32610, Gainesville, FL, USA;Department of Epidemiology, College of Public Health and Health Professions & College of Medicine, University of Florida, P.O. Box 100231, 2004 Mowry Road, 32610, Gainesville, FL, USA;Department of Epidemiology, Florida International University, 11200 S.W. 8th Street, Building AHC-5, Room 478, 33199, Miami, Florida, USA;Department of Health, Behavior, and Society, Bloomberg School of Public Health, Johns Hopkins University, 615 N Wolfe St, 21205, Baltimore, MD, USA;Division of Infectious Disease and International Medicine, Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, 33612, Tampa, FL, USA;Fred Hutchinson Cancer Research Center, University of Washington, 1100 Fairview Ave N, 98109, Seattle, WA, USA;

关键词: Marijuana;    Pain;    PLHIV;    Mental health;    Substance use;   

DOI  :  10.1186/s12889-020-09474-y

来源: Springer

【 摘 要 】

BackgroundPeople living with HIV (PLHIV) are more likely to suffer from pain compared to the general public. Pain often clusters with mental health symptoms and substance use. This study sought to evaluate mental health and substance use factors associated with any pain and severe pain intensities among PLHIV.MethodsData were derived from HIV+ adults (N = 733) recruited from community health centers across Florida who completed questionnaires regarding demographics, chronic pain, HIV clinical outcomes, mental health symptoms, and substance use information. Pain was assessed using the Brief Pain Inventory (BPI) short form. Multivariate logistic regression analysis was utilized to assess the relationship between selected covariates and pain.ResultsApproximately half (45.0%) of participants reported having any current pain while 16.1% reported severe pain. The odds of having any current pain were 2.49 (CI 95% 1.48, 4.18, p <  0.01) times greater among PLHIV reporting anxiety and 1.69 (CI 95% 1.11, 2.57, p = 0.01) times greater among PLHIV reporting PTSD compared to those without those factors. The odds of having severe pain were 2.03 (CI 95% 1.03, 4.01, p = 0.04) times greater among PLHIV reporting anxiety and 2.02 (CI 95% 1.26, 3.24, p <  0.01) times greater among female participants compared to PLHIV without those factors respectively. Factors including depression, alcohol consumption, and marijuana use were not statistically associated with any current pain nor with severe pain.ConclusionThe relationship between pain and mental health is complex. Thus, future research is needed to determine if pain treatments may reduce mental health symptoms or if treatments can be targeted to address both issues simultaneously.

【 授权许可】

CC BY