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Pain Intensity among Community-Dwelling African American Older Adults in an Economically Disadvantaged Area of Los Angeles: Social, Behavioral, and Health Determinants

Author

Listed:
  • Meghan C. Evans

    (Department of Family Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90095, USA)

  • Mohsen Bazargan

    (Department of Family Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90095, USA
    Department of Family Medicine, University of California Los Angeles (UCLA), Los Angeles, CA 90095, USA)

  • Sharon Cobb

    (School of Nursing, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90095, USA)

  • Shervin Assari

    (Department of Family Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90095, USA)

Abstract

Background. Although social, behavioral, and health factors influence prevalence and intensity of pain, very few studies have investigated correlates of pain among economically disadvantaged older African American (AA) adults. Objective. This study explored social, behavioral, and health correlates of pain intensity among community-dwelling AA older adults in an economically disadvantaged area of Los Angeles. Methods. A cross-sectional study on 740 AA older adults (age ≥ 55 years) was conducted in South Los Angeles between 2015 and 2018. Exploratory variables were age, gender, educational attainment, financial difficulties, living alone, marital status, smoking, drinking, pain-related chronic medical conditions (CMCs), and depressive symptoms. Dependent variable was pain intensity. Linear regression was used for data analysis. Results. Age, financial difficulties, living alone, smoking, pain-related chronic medical conditions, and depressive symptoms were associated with pain intensity. Individuals with lower age, higher financial difficulties, those who lived alone, those with a higher number of pain-related chronic medical conditions, more depressive symptoms, and nonsmokers reported more pain intensity. Gender, educational attainment, marital status, and drinking were not associated with pain intensity. Conclusion. The results may help with the health promotion of economically disadvantaged AA older adults in urban areas.

Suggested Citation

  • Meghan C. Evans & Mohsen Bazargan & Sharon Cobb & Shervin Assari, 2019. "Pain Intensity among Community-Dwelling African American Older Adults in an Economically Disadvantaged Area of Los Angeles: Social, Behavioral, and Health Determinants," IJERPH, MDPI, vol. 16(20), pages 1-17, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:20:p:3894-:d:276336
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    References listed on IDEAS

    as
    1. Shervin Assari & James Smith & Ritesh Mistry & Mehdi Farokhnia & Mohsen Bazargan, 2019. "Substance Use among Economically Disadvantaged African American Older Adults; Objective and Subjective Socioeconomic Status," IJERPH, MDPI, vol. 16(10), pages 1-16, May.
    2. Patrick, D.L. & Cheadle, A. & Thompson, D.C. & Diehr, P. & Koepsell, T. & Kinne, S., 1994. "The validity of self-reported smoking: A review and meta-analysis," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1086-1093.
    3. Brekke, Mette & Hjortdahl, Per & Kvien, Tore K., 2002. "Severity of musculoskeletal pain: relations to socioeconomic inequality," Social Science & Medicine, Elsevier, vol. 54(2), pages 221-228, January.
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