Osteoarthritis

Neighborhood Disadvantage and Knee Osteoarthritis Pain: Do Sleep and Catastrophizing Play a Role?

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

Neighborhood disadvantage impacts KOA pain outcomes through sleep efficiency but not pain catastrophizing

Study context

Population
Middle-aged to older non-Hispanic White and non-Hispanic Black adults with knee pain consistent with or at risk for knee OA (UPLOAD-2)
Participants
140 participants
Outcome
Pain severity (WOMAC pain severity scale) and its pathways from neighborhood disadvantage (Area Deprivation Index) via sleep efficiency (actigraphy) and pain catastrophizing (CSQ-R catastrophizing subscale)
Methodological detailsserial mediation model, secondary analysis of UPLOAD-2
  • Serial mediation model
  • Secondary analysis of UPLOAD-2

Main finding

As reported in the abstract

Pathways from neighborhood disadvantage to knee OA pain severity
  • Greater neighborhood disadvantage associated with worse sleep efficiency, ultimately contributing to greater pain severity
  • Neither neighborhood disadvantage nor sleep efficiency associated with pain catastrophizing
  • Pain catastrophizing associated with greater knee OA pain

Observational data: associations, not effects.

Original publication

Neighborhood Disadvantage and Knee Osteoarthritis Pain: Do Sleep and Catastrophizing Play a Role? Arthritis Care Res (Hoboken). Published 12 December 2024. doi:10.1002/acr.25458

Composed by AI from the published abstract and checked against it. How Briefs are made →

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