Calibrated prevalence of disabling chronic pain according to different approaches: a face-to-face cross-sectional population-based study in Southern Spain. Issue 1 (30th January 2017)

• Record Type: Journal Article
• Authors: Cabrera-León, Andrés; Rueda, María; Cantero-Braojos, Miguel
• Is Part Of: BMJ open. Volume 7:Issue 1(2017)
• Publication Date: 2017-01-30
• Subjects: Chronic pain -- disability -- cross-sectional studies -- indirect estimation techniques; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2016-014033
• Languages: English
• ISSNs: 2044-6055

Abstract

Abstract : Objectives: To calculate the prevalence of disabling chronic pain (DCP) and to offer a more representative and accurate estimation by applying different calibration techniques. Settings: 2011 Andalusian Health Survey, a cross-sectional population survey based on face-to-face home interviews. Participants: 6507 people aged 16 years or older and living in Andalusia, Spain. Outcomes: Design weights, linear calibration based on marginals and on crossings, and model-assisted calibration were used to estimate the prevalence and variance of DCP, for the whole sample and for the domains of sex and age groups (16–44; 45–64; +65). Results: Calibration variables were sex, age groups and educational level. In the whole sample, DCP prevalence calibration reduced by more than 5.2% and 8.2% the estimated prevalences and variances, respectively, obtained with the design weights. Regarding the domains, prevalence reductions are from 33% to 1%, and variance reductions are from 0.2% to 1%. Model-assisted calibration is the best technique to estimate DCP prevalence for the whole population and crossing calibration for their domains, although with almost no differences compared to marginal calibration. Conclusions: The validity and accuracy of estimations of DCP prevalence are improved by calibration adjustments. Model-assisted calibrated prevalence of DCP is 10.78% for the whole population, being at least 2-fold higher in women in all age groups. The results and methodology developed could be useful in clinical and population-based studies on chronic pain and disability.