Tara W. Strine ^1*, Jennifer M. Hootman ¹, Daniel P. Chapman ¹, Catherine A. Okoro ¹, Lina Balluz ¹

¹ Centers for Disease Control and Prevention

^* To whom correspondence should be addressed. E-mail: tws2{at}cdc.gov.

	Abstract

Objectives: To examine the association between pain-related activity difficulty (PRAD) in the past 30 days and health-related quality of life, health behaviors, disability indices, and major health impairments in the general U.S. population. Methods: Data were obtained from 18 states in the 2002 Behavioral Risk Factor Surveillance System (BRFSS), an ongoing, cross-sectional, state-based, random-digit-dialed telephone survey of non-institutionalized adults aged 18 years or older. Results: Nearly one-quarter of people in the 18 states and the District of Columbia reported at least 1 day of PRAD in the past 30 days. PRAD was associated with obesity, smoking, physical inactivity, impaired general health, infrequent vitality, and frequent occurrences of physical distress, mental distress, depressive symptoms, sleep insufficiency, and anxiety symptoms. A strong dose-response relationship was noted between impaired HRQOL, disability indices, health risk behaviors, and PRAD. Conclusion: Pain negatively influences various domains of health, not only among clinical populations, but also in the general community, suggesting a critical need for the dissemination of targeted interventions to enhance recognition and treatment of the importance of pain and its implications.

Key Words: Disability, Epidemiology, Mental Health, Surveillance

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