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Chronic pelvic pain in women of reproductive and post-reproductive age : a population-based study
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Ayorinde, Abimbola, Bhattacharya, S., Druce, K. L., Jones, G. T. and Macfarlane, G. J. (2017) Chronic pelvic pain in women of reproductive and post-reproductive age : a population-based study. European Journal of Pain, 21 (3). pp. 445-455. doi:10.1002/ejp.938
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Official URL: http://dx.doi.org/10.1002/ejp.938
Abstract
Background
Epidemiological studies on chronic pelvic pain (CPP) have focused on women of reproductive age. We aimed to determine the prevalence of chronic pelvic pain (CPP) in adult women and the differences in associated factors among women of reproductive age and older women. In addition, to determine whether distinct subgroups existed among CPP cases.
Methods
A cross-sectional postal survey was conducted among 5300 randomly selected women aged ≥25 years resident in the Grampian region, UK. Multivariable logistic regression was used to determine pregnancy-related and psychosocial factors associated with CPP. To identify subgroups of CPP cases, we performed cluster analysis using variables of pain severity, psychosocial factors and pain coping strategies.
Results
Of 2088 participants, 309 (14.8%) reported CPP. CPP was significantly associated with being of reproductive age (odds ratios (OR) 2.43, 95% CI 1.69–3.48), multiple non-pain somatic symptoms (OR 3.58 95% CI 2.23–5.75), having fatigue (OR mild 1.74 95% CI 1.24–2.44, moderate/severe 1.82, 95% CI 1.25–2.63) and having depression (OR 1.61, 95% CI 1.09–2.38). CPP was less associated with multiple non-pain somatic symptoms in women of reproductive age compared to older women (interaction OR 0.51, 95% CI 0.28–0.92). We identified two clusters of CPP cases; those having little/no psychosocial distress and those having high psychosocial distress.
Conclusion
CPP is common in both age groups, though women of reproductive age are more likely to report it. Heightened somatic awareness may be more strongly associated with CPP in older women. There are distinct groups of CPP cases characterized by the absence/presence of psychosocial distress.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RG Gynecology and obstetrics | ||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Pelvic pain., Generative organs, Female -- Diseases. | ||||||||
| Journal or Publication Title: | European Journal of Pain | ||||||||
| Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||
| ISSN: | 1090-3801 | ||||||||
| Official Date: | March 2017 | ||||||||
| Dates: |
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| Volume: | 21 | ||||||||
| Number: | 3 | ||||||||
| Page Range: | pp. 445-455 | ||||||||
| DOI: | 10.1002/ejp.938 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access |
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