Pain is a prevalent issue among cancer patients, yet its link with socioeconomic status has not been thoroughly examined. This study investigated chronic pain (lasting ≥3 months) and high-impact pain (chronic pain limiting activities) among cancer survivors based on household income relative to the federal poverty level (FPL), using data from the National Health Interview Survey (2019–2020). Of the 4585 participants with a history of solid cancers, 1649 (36.3%) reported chronic pain and 554 (12.6%) reported high-impact chronic pain. After adjustment, participants with incomes < 200% FPL had significantly higher odds of chronic pain (adjusted odds ratio [aOR]: 1.60, 95% CI: 1.25–2.05) and high-impact chronic pain (aOR: 1.73, 95% CI: 1.09–2.74) compared to those with incomes ≥ 400% FPL. Opioid use for chronic pain was most prevalent among those with incomes < 200% FPL (28.3%) compared to those with 200–399% (21.3%) and ≥400% (19.0%). Higher-income participants reported greater use of alternative pain management methods such as yoga (50.5%), chiropractic care (44.8%), and physical therapy (44.3%). This study highlights the association between household income and chronic pain outcomes among cancer survivors, emphasizing the necessity for targeted interventions to mitigate healthcare access disparities and improve pain management for all individuals affected by cancer.
疼痛是癌症患者普遍面临的问题，但其与社会经济状况的关联尚未得到充分研究。本研究基于美国家庭收入相对于联邦贫困线（FPL）的水平，利用全美健康访谈调查（2019–2020年）数据，对癌症幸存者的慢性疼痛（持续≥3个月）和高影响性疼痛（限制日常活动的慢性疼痛）进行了分析。在4585名有实体癌病史的参与者中，1649人（36.3%）报告存在慢性疼痛，554人（12.6%）报告存在高影响性慢性疼痛。经调整后，与家庭收入≥400% FPL的群体相比，收入<200% FPL的参与者出现慢性疼痛（调整后比值比[aOR]：1.60，95% CI：1.25–2.05）和高影响性慢性疼痛（aOR：1.73，95% CI：1.09–2.74）的几率显著更高。在慢性疼痛患者中，收入<200% FPL群体使用阿片类药物的比例最高（28.3%），而收入在200–399% FPL和≥400% FPL群体的这一比例分别为21.3%和19.0%。高收入群体更倾向于使用瑜伽（50.5%）、脊椎按摩疗法（44.8%）和物理治疗（44.3%）等替代性疼痛管理方法。本研究揭示了家庭收入与癌症幸存者慢性疼痛结局之间的关联，强调需要采取针对性干预措施，以缓解医疗可及性差异，改善所有癌症患者的疼痛管理。
肿瘤(癌症)患者之家