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Musculoskeletal pain and loneliness, social support and social engagement among older adults : analysis of the Oxford Pain, Activity and Lifestyle Cohort
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Nicolson, P. J. A., Williamson, E., Morris, A., Sanchez-Santos, M. T., Bruce, Julie, Silman, A. and Lamb, Sallie E. (2021) Musculoskeletal pain and loneliness, social support and social engagement among older adults : analysis of the Oxford Pain, Activity and Lifestyle Cohort. Musculoskeletal Care, 19 (3). pp. 269-277. doi:10.1002/msc.1526 ISSN 1478-2189.
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Official URL: https://doi.org/10.1002/msc.1526
Abstract
Background:
Musculoskeletal (MSK) pain is common in older adults. Physical and psychological consequences of MSK pain have been established, but it is also important to consider the social impact. We aimed to estimate the association between MSK pain and loneliness, social support and social engagement.
Methods:
We used baseline data from the Oxford Pain, Activity and Lifestyle study. Participants were community‐dwelling adults aged 65 years or older from across England. Participants reported demographic information, MSK pain by body site, loneliness, social support and social engagement. We categorised pain by body regions affected (upper limb, lower limb and spinal). Widespread pain was defined as pain in all three regions. We used logistic regression models to estimate associations between distribution of pain and social factors, controlling for covariates.
Results:
Of the 4977 participants analysed, 4193 (84.2%) reported any MSK pain, and one‐quarter (n = 1298) reported widespread pain. Individuals reporting any pain were more likely to report loneliness (OR [odds ratio]: 1.62; 95% CI [confidence interval]: 1.32–1.97) or insufficient social support (OR: 1.54; 95% CI: 1.08–2.19) compared to those reporting no pain. Widespread pain had the strongest association with loneliness (OR: 1.94; 95% CI: 1.53–2.46) and insufficient social support (OR: 1.71; 95% CI: 1.14–2.54). Pain was not associated with social engagement.
Conclusions:
Older adults commonly report MSK pain, which is associated with loneliness and perceived insufficiency of social support. This finding highlights to clinicians and researchers the need to consider social implications of MSK pain in addition to physical and psychological consequences.
Item Type: | Journal Article | |||||||||
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Subjects: | B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HN Social history and conditions. Social problems. Social reform H Social Sciences > HQ The family. Marriage. Woman H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RC Internal medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Musculoskeletal diseases in old age, Older people -- Great Britain -- Social conditions, Quality of life , Older people -- Care, Older people -- Services for, Older people -- Psychology | |||||||||
Journal or Publication Title: | Musculoskeletal Care | |||||||||
Publisher: | John Wiley & Sons Ltd. | |||||||||
ISSN: | 1478-2189 | |||||||||
Official Date: | September 2021 | |||||||||
Dates: |
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Volume: | 19 | |||||||||
Number: | 3 | |||||||||
Page Range: | pp. 269-277 | |||||||||
DOI: | 10.1002/msc.1526 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||
Date of first compliant deposit: | 9 November 2020 | |||||||||
Date of first compliant Open Access: | 16 December 2020 | |||||||||
RIOXX Funder/Project Grant: |
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