Document Detail


Hypertension awareness and pain reports: data from the NHANES III.
MedLine Citation:
PMID:  12867349     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: For this study we investigated the relationship between hypertension, pain reports, and hypertension awareness in a large and diverse sample of men and women. METHOD: Data collected during the Third National Health and Nutrition Examination Survey (NHANES III) were examined for reports of pain at four body sites (chest, back, legs, and gallbladder) in 9,427 adults. Respondents were classified into four groups based on their self-reports of a previous diagnosis of hypertension (yes, no) and their current blood pressure levels (hypertensive, normotensive). RESULTS: Logistic regression analyses indicated that hypertensives who were unaware of their condition were significantly less likely to report chest pain than normotensives without a previous hypertension diagnosis; however, these groups did not differ in pain reports at other body sites. In contrast, both hypertensives and normotensives with a previous hypertension diagnosis were significantly more likely to report pain at several body sites as compared to normotensives without a previous hypertension diagnosis. It was also found that when hypertension awareness was held constant, resting systolic blood pressure was negatively associated with the likelihood of reporting chest and gallbladder pain. CONCLUSIONS: These findings suggest that existing laboratory evidence of hypertension-related hypoalgesia may not translate to decreased daily pain symptoms, although there is intriguing evidence of dampened cardiac pain in hypertensives who are unaware of their condition.
Authors:
Jesse C Stewart; Christopher R France; David Sheffield
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Annals of behavioral medicine : a publication of the Society of Behavioral Medicine     Volume:  26     ISSN:  0883-6612     ISO Abbreviation:  Ann Behav Med     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-07-17     Completed Date:  2003-12-18     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8510246     Medline TA:  Ann Behav Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  8-14     Citation Subset:  IM    
Affiliation:
Ohio University, Athens, 45701, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Pressure / physiology
Comorbidity
Female
Health Knowledge, Attitudes, Practice*
Humans
Hypertension / epidemiology*,  physiopathology*,  psychology
Logistic Models
Male
Nutrition Surveys
Odds Ratio
Pain / epidemiology*,  physiopathology*,  psychology
Pain Measurement / psychology
Questionnaires
Self Assessment (Psychology)
United States / epidemiology
Grant Support
ID/Acronym/Agency:
R01 HL64580/HL/NHLBI NIH HHS; R01 HL64794/HL/NHLBI NIH HHS

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