title: Perceptions of analgesic use and side effects: what the public values in pain management.
abstract: In this population-based telephone survey, we evaluated the attitudes of 302 adults toward analgesic use and related side effects. Over half (68%) reported prior experience with 2 or more side effects. Vomiting (34%), confusion (32%), and nausea (17%) were ranked as the worst side effects. Exploratory cluster analysis grouped responses to 6 questions about willingness to use analgesics into two categories. Participants in Cluster I (n=106), "Conservatives," were less willing to take analgesics for pain as compared to those in Cluster II (n=153), "Liberals." Univariate analysis found Hispanics, women, those less affluent or educated, and those with prior side-effect experience were more likely to be Conservative. Experience with side effects (OR=1.3) and being female (OR=2.1) were the strongest predictors of conservative cluster membership. To achieve better pain outcomes, clinicians and patients must identify factors that contribute to conservative decision-making about analgesic use and side effect management.
authors.affiliation: Department of Symptom Research, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030-4009, USA.
authors.forename: Guadalupe R
authors.initials: GR
authors.lastname: Palos
authors.forename: Tito R
authors.initials: TR
authors.lastname: Mendoza
authors.forename: Scott B
authors.initials: SB
authors.lastname: Cantor
authors.forename: Lu Ann
authors.initials: LA
authors.lastname: Aday
authors.forename: Charles S
authors.initials: CS
authors.lastname: Cleeland
mesh_terms: D000328:Adult; D000700:Analgesics / Q000008:administration & dosage* / Q000009:adverse effects*; D001294:Attitude to Health; D005260:Female; D006801:Humans; D008297:Male; D010146:Pain / Q000188:drug therapy* / Q000523:psychology; D011639:Public Opinion; D012945:Social Values
chemical_list: D000700:Analgesics