Food insecurity is associated with chronic pain and high-impact chronic pain in the USA

Autor: Javier A Tamargo, Larissa J Strath, Shama D Karanth, Antoinette L Spector, Kimberly T Sibille, Stephen Anton, Yenisel Cruz-Almeida
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Public Health Nutrition, Vol 27 (2024)
Druh dokumentu: article
ISSN: 13689800
1368-9800
1475-2727
DOI: 10.1017/S1368980023002732
Popis: Abstract Objective: This study evaluated whether food insecurity (US Adult Food Security Survey) was associated with chronic pain (≥ 3 months) and high-impact chronic pain (i.e. pain that limits work and life) among US adults. Design: Cross-sectional analysis. Setting: Nationally representative sample of non-institutionalised adults in the USA. Participants: 79 686 adults from the National Health Interview Survey (2019–2021). Results: Marginal, low and very low food security were associated with increased prevalence odds of chronic pain (OR: 1·58 (95 % CI 1·44, 1·72), 2·28 (95 % CI 2·06, 2·52) and 3·37 (95 % CI 3·01, 3·78), respectively) and high-impact chronic pain (OR: 1·28 (95 % CI 1·14, 1·42), 1·55 (95 % CI 1·37, 1·75) and 1·90 (95 % CI 1·65, 2·18), respectively) in a dose–response fashion (P-trend < 0·0001 for both), adjusted for sociodemographic, socio-economic and clinically relevant factors. Participation in Supplemental Nutrition Assistance Program (SNAP) and age modified the association between food insecurity and chronic pain. Conclusions: These findings illustrate the impact of socio-economic factors on chronic pain and suggest that food insecurity may be a social determinant of chronic pain. Further research is needed to better understand the complex relationship between food insecurity and chronic pain and to identify targets for interventions. Moreover, the consideration of food insecurity in the clinical assessment of pain and pain-related conditions among socio-economically disadvantaged adults may be warranted.
Databáze: Directory of Open Access Journals
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