Pain management and social functioning limitations among adults with chronic pain by diabetes status: National Health Interview Survey, United States, 2019-2020

Author: Ibrahim Zaganjor1, Ryan Saelee2, Yoshihisa Miyamoto2, Fang Xu2, Meda E Pavkov2
Affiliation: <sup>1</sup> Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, United States. Electronic address: wwa3@cdc.gov. <sup>2</sup> Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Conference/Journal: Prim Care Diabetes
Date published: 2024 Dec 21
Other: Pages: S1751-9918(24)00244-4 , Special Notes: doi: 10.1016/j.pcd.2024.12.008. , Word Count: 194


Aims:
This study aims to describe pain management technique usage and social functioning limitations among adults with chronic pain by diabetes status.

Methods:
The 2019 and 2020 National Health Interview Survey data were pooled to complete this analysis. Use of the following techniques in the past 3 months were measured: 1) prescription opioids; 2) physical, rehabilitative, or occupational therapy; 3) talk therapies; 4) chiropractic care; 5) yoga, Tai Chi, or Qi Gong; 6) massage; and 7) relaxation techniques. The social functioning limitations assessed were: 1) doing errands alone; 2) participating in social activities; and 3) work limitations. Weighted prevalence and 95 % confidence intervals (CIs) were estimated for each outcome by diabetes status. Logistic regression was used to estimate age- and sex-adjusted odds ratios (aORs) to assess differences by diabetes status.

Results:
Adults with diabetes and chronic pain were more likely to use prescription opioids (aOR: 1.4; 95 % CI: 1.2, 1.6) but less likely to use various nonpharmacological techniques than those without diabetes. Additionally, adults with diabetes and chronic pain were more likely to report each social functioning limitation than those without diabetes.

Conclusions:
Results suggest adults with diabetes and chronic pain may be missing beneficial opportunities to manage pain.

Keywords: Chronic pain; Diabetes; Pain management; Social functioning limitations.

PMID: 39710548 DOI: 10.1016/j.pcd.2024.12.008