Please use this identifier to cite or link to this item: https://doi.org/10.3344/kjp.2017.30.1.34
Title: "I'm healthy, I don't have pain"-health screening participation and its association with chronic pain in a low socioeconomic status Singaporean population
Authors: Wee, Liang En 
Sin, David 
Cher, Wen Qi
Li, Zong Chen
Tsang, Tammy
Shibli, Sabina
Koh, Gerald 
Keywords: Science & Technology
Life Sciences & Biomedicine
Clinical Neurology
Neurosciences & Neurology
Asian
Chronic pain
Health screening
Low-income
Mixed methods
Qualitative
MUSCULOSKELETAL PAIN
OLDER-ADULTS
PREVALENCE
COMMUNITY
CARE
INEQUALITIES
DISORDERS
SEVERITY
POSITION
BEHAVIOR
Issue Date: 1-Jan-2017
Publisher: KOREAN PAIN SOC
Citation: Wee, Liang En, Sin, David, Cher, Wen Qi, Li, Zong Chen, Tsang, Tammy, Shibli, Sabina, Koh, Gerald (2017-01-01). "I'm healthy, I don't have pain"-health screening participation and its association with chronic pain in a low socioeconomic status Singaporean population. KOREAN JOURNAL OF PAIN 30 (1) : 34-43. ScholarBank@NUS Repository. https://doi.org/10.3344/kjp.2017.30.1.34
Abstract: Background: We sought to determine the association between chronic pain and participating in routine health screening in a low socioeconomic-status (SES) rental-flat community in Singapore. In Singapore, ≥ 85% own homes; public rental flats are reserved for those with low-income. Methods: Chronic pain was defined as pain ≥ 3 months. From 2009-2014, residents aged 40-60 years in five public rental-flat enclaves were surveyed for chronic pain; participation in health screening was also measured. We compared them to residents staying in adjacent owner-occupied public housing. We also conducted a qualitative study to better understand the relationship between chronic pain and health screening participation amongst residents in these low-SES enclaves. Results: In the rental-flat population, chronic pain was associated with higher participation in screening for diabetes (aOR = 2.11, CI = 1.36-3.27, P < 0.001), dyslipidemia (aOR = 2.06, CI = 1.25-3.39, P = 0.005), colorectal cancer (aOR = 2.28, CI = 1.18-4.40, P = 0.014), cervical cancer (aOR = 2.65, CI = 1.34-5.23, P = 0.005) and breast cancer (aOR = 3.52, CI = 1.94-6.41, P < 0.001); this association was not present in the owner-occupied population. Three main themes emerged from our qualitative analysis of the link between chronic pain and screening participation: pain as an association of "major illness"; screening as a search for answers to pain; and labelling pain as an end in itself. Conclusions: Chronic pain was associated with higher cardiovascular and cancer screening participation in the low-SES population. In low-SES populations with limited access to pain management services, chronic pain issues may surface during routine health screening.
Source Title: KOREAN JOURNAL OF PAIN
URI: https://scholarbank.nus.edu.sg/handle/10635/228111
ISSN: 2005-9159
2093-0569
DOI: 10.3344/kjp.2017.30.1.34
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