Occurrence and characteristics of chronic pain in a community-based cohort of indigent adults living with HIV infection

Christine Miaskowski, Joanne M. Penko, David Guzman, Jennifer E. Mattson, David Bangsberg, Margot B. Kushel

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

Pain is common among people living with HIV/AIDS (PLWHA), but little is known about chronic pain in socioeconomically disadvantaged HIV-infected populations with high rates of substance abuse in the postantiretroviral era. This cross-sectional study describes the occurrence and characteristics of pain in a community-based cohort of 296 indigent PLWHA. Participants completed questionnaires about sociodemographics, substance use, depression, and pain. Cut-point analysis was used to generate categories of pain severity. Of the 270 participants who reported pain or the use of a pain medication in the past week, 8.2% had mild pain, 38.1% had moderate pain, and 53.7% had severe pain. Female sex and less education were associated with more severe pain. Depression was more common among participants with severe pain than among those with mild pain. Increasing pain severity was associated with daily pain and with chronic pain. Over half of the participants reported having a prescription for an opioid analgesic. Findings from this study suggest that chronic pain is a significant problem in this high risk, socioeconomically disadvantaged group of patients with HIV disease and high rates of previous or concurrent use of illicit drugs. Perspective: This article presents epidemiological data showing that unrelieved chronic pain is a significant problem for indigent people living with HIV. Participants reported pain severity similar to those with metastatic cancer. Despite high rates of substance use disorders, approximately half received prescriptions for opioid analgesics, although few for long-acting agents.

Original languageEnglish (US)
Pages (from-to)1004-1016
Number of pages13
JournalJournal of Pain
Volume12
Issue number9
DOIs
StatePublished - Sep 2011
Externally publishedYes

Fingerprint

Poverty
Chronic Pain
HIV Infections
Pain
HIV
Vulnerable Populations
Opioid Analgesics
Substance-Related Disorders
Prescriptions
Acquired Immunodeficiency Syndrome
Depression
Sex Education
Street Drugs

Keywords

  • chronic pain
  • HIV
  • opioid analgesics
  • pain qualities
  • substance use disorders

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Neurology
  • Clinical Neurology

Cite this

Occurrence and characteristics of chronic pain in a community-based cohort of indigent adults living with HIV infection. / Miaskowski, Christine; Penko, Joanne M.; Guzman, David; Mattson, Jennifer E.; Bangsberg, David; Kushel, Margot B.

In: Journal of Pain, Vol. 12, No. 9, 09.2011, p. 1004-1016.

Research output: Contribution to journalArticle

Miaskowski, Christine ; Penko, Joanne M. ; Guzman, David ; Mattson, Jennifer E. ; Bangsberg, David ; Kushel, Margot B. / Occurrence and characteristics of chronic pain in a community-based cohort of indigent adults living with HIV infection. In: Journal of Pain. 2011 ; Vol. 12, No. 9. pp. 1004-1016.
@article{00013e47ff804949a910bfabd07f3abe,
title = "Occurrence and characteristics of chronic pain in a community-based cohort of indigent adults living with HIV infection",
abstract = "Pain is common among people living with HIV/AIDS (PLWHA), but little is known about chronic pain in socioeconomically disadvantaged HIV-infected populations with high rates of substance abuse in the postantiretroviral era. This cross-sectional study describes the occurrence and characteristics of pain in a community-based cohort of 296 indigent PLWHA. Participants completed questionnaires about sociodemographics, substance use, depression, and pain. Cut-point analysis was used to generate categories of pain severity. Of the 270 participants who reported pain or the use of a pain medication in the past week, 8.2{\%} had mild pain, 38.1{\%} had moderate pain, and 53.7{\%} had severe pain. Female sex and less education were associated with more severe pain. Depression was more common among participants with severe pain than among those with mild pain. Increasing pain severity was associated with daily pain and with chronic pain. Over half of the participants reported having a prescription for an opioid analgesic. Findings from this study suggest that chronic pain is a significant problem in this high risk, socioeconomically disadvantaged group of patients with HIV disease and high rates of previous or concurrent use of illicit drugs. Perspective: This article presents epidemiological data showing that unrelieved chronic pain is a significant problem for indigent people living with HIV. Participants reported pain severity similar to those with metastatic cancer. Despite high rates of substance use disorders, approximately half received prescriptions for opioid analgesics, although few for long-acting agents.",
keywords = "chronic pain, HIV, opioid analgesics, pain qualities, substance use disorders",
author = "Christine Miaskowski and Penko, {Joanne M.} and David Guzman and Mattson, {Jennifer E.} and David Bangsberg and Kushel, {Margot B.}",
year = "2011",
month = "9",
doi = "10.1016/j.jpain.2011.04.002",
language = "English (US)",
volume = "12",
pages = "1004--1016",
journal = "Journal of Pain",
issn = "1526-5900",
publisher = "Churchill Livingstone",
number = "9",

}

TY - JOUR

T1 - Occurrence and characteristics of chronic pain in a community-based cohort of indigent adults living with HIV infection

AU - Miaskowski, Christine

AU - Penko, Joanne M.

AU - Guzman, David

AU - Mattson, Jennifer E.

AU - Bangsberg, David

AU - Kushel, Margot B.

PY - 2011/9

Y1 - 2011/9

N2 - Pain is common among people living with HIV/AIDS (PLWHA), but little is known about chronic pain in socioeconomically disadvantaged HIV-infected populations with high rates of substance abuse in the postantiretroviral era. This cross-sectional study describes the occurrence and characteristics of pain in a community-based cohort of 296 indigent PLWHA. Participants completed questionnaires about sociodemographics, substance use, depression, and pain. Cut-point analysis was used to generate categories of pain severity. Of the 270 participants who reported pain or the use of a pain medication in the past week, 8.2% had mild pain, 38.1% had moderate pain, and 53.7% had severe pain. Female sex and less education were associated with more severe pain. Depression was more common among participants with severe pain than among those with mild pain. Increasing pain severity was associated with daily pain and with chronic pain. Over half of the participants reported having a prescription for an opioid analgesic. Findings from this study suggest that chronic pain is a significant problem in this high risk, socioeconomically disadvantaged group of patients with HIV disease and high rates of previous or concurrent use of illicit drugs. Perspective: This article presents epidemiological data showing that unrelieved chronic pain is a significant problem for indigent people living with HIV. Participants reported pain severity similar to those with metastatic cancer. Despite high rates of substance use disorders, approximately half received prescriptions for opioid analgesics, although few for long-acting agents.

AB - Pain is common among people living with HIV/AIDS (PLWHA), but little is known about chronic pain in socioeconomically disadvantaged HIV-infected populations with high rates of substance abuse in the postantiretroviral era. This cross-sectional study describes the occurrence and characteristics of pain in a community-based cohort of 296 indigent PLWHA. Participants completed questionnaires about sociodemographics, substance use, depression, and pain. Cut-point analysis was used to generate categories of pain severity. Of the 270 participants who reported pain or the use of a pain medication in the past week, 8.2% had mild pain, 38.1% had moderate pain, and 53.7% had severe pain. Female sex and less education were associated with more severe pain. Depression was more common among participants with severe pain than among those with mild pain. Increasing pain severity was associated with daily pain and with chronic pain. Over half of the participants reported having a prescription for an opioid analgesic. Findings from this study suggest that chronic pain is a significant problem in this high risk, socioeconomically disadvantaged group of patients with HIV disease and high rates of previous or concurrent use of illicit drugs. Perspective: This article presents epidemiological data showing that unrelieved chronic pain is a significant problem for indigent people living with HIV. Participants reported pain severity similar to those with metastatic cancer. Despite high rates of substance use disorders, approximately half received prescriptions for opioid analgesics, although few for long-acting agents.

KW - chronic pain

KW - HIV

KW - opioid analgesics

KW - pain qualities

KW - substance use disorders

UR - http://www.scopus.com/inward/record.url?scp=80052268848&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80052268848&partnerID=8YFLogxK

U2 - 10.1016/j.jpain.2011.04.002

DO - 10.1016/j.jpain.2011.04.002

M3 - Article

VL - 12

SP - 1004

EP - 1016

JO - Journal of Pain

JF - Journal of Pain

SN - 1526-5900

IS - 9

ER -