Abstract:
STUDY OBJECTIVE:To explore individual and social factors that could predict health care utilisation and medication among people with chronic pain in an unselected population. DESIGN:A mailed survey with questions about pain and mental symptoms, disability, self care action, visits to health care providers, and medication. SETTING:General populations in two Swedish primary health care (PHC) districts. Medical care was given in a state health system. PARTICIPANTS:A random sample (from the population register) of 15% of the population aged 25-74 (n = 1806). MAIN RESULTS:Among people reporting chronic pain 45.7% (compared with 29.8 of non-chronic pain persons, p < 0.05) consulted a physician and 7.2% (compared with 1.2%, p < 0.05) a physiotherapist during three months. Primary health care was the most frequent care provider. High pain intensity, aging, depression, ethnicity, and socioeconomic level had the greatest impact on physician consultations. Alternative care, used by 5.9%, was associated with high pain intensity and self care. Use of self care was influenced by high pain intensity, regular physical activity, and ethnicity. Alternative care and self care did not imply lower use of conventional health care. Women reporting chronic pain consumed more analgesics and sedatives than corresponding men. Besides female gender, high pain intensity, insomnia, physician consultation, social network, and self care action helped to explain medication with analgesics. Use of herbal remedies and ointments correlated to self care action, visit to an alternative therapist, high pain intensity, and socioeconomic level. CONCLUSIONS:The presence of chronic pain has an impressive impact on primary health care and medication. Various therapeutic actions are common and are partly overlapping. The use of health care among people with chronic pain depends above all on pain perception and intensity of pain but is also affected by ethnicity, age, socioeconomic level, and depressive symptoms. Among people with chronic pain use of analgesics is common in contrast with other types of pain relief (acupuncture, physiotherapy) suitable for treating chronic pain symptoms.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Andersson HI,Ejlertsson G,Leden I,Scherstén Bdoi
10.1136/jech.53.8.503keywords:
subject
Has Abstractpub_date
1999-08-01 00:00:00pages
503-9issue
8eissn
0143-005Xissn
1470-2738journal_volume
53pub_type
杂志文章abstract:STUDY OBJECTIVE:This study examined the change in ethnic differences in mortality in Estonia 1989-2000. DESIGN:Two unlinked cross sectional census based analyses were compared. Total and cause specific mortality was analysed for ethnic Estonians and Russians. The absolute differences in mortality were evaluated throug...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.013755
更新日期:2004-07-01 00:00:00
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journal_title:Journal of epidemiology and community health
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doi:10.1136/jech-2011-200850
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journal_title:Journal of epidemiology and community health
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更新日期:2004-12-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:2015-06-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,随机对照试验
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更新日期:2007-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/jech-2018-211556
更新日期:2019-08-01 00:00:00
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更新日期:2015-03-01 00:00:00
abstract::Between 1975 and 1 April 1986, public transport by bus in the metropolitan county of South Yorkshire, England, was increasingly subsidised. Trends in road traffic accident casualties between 1974 and 1983 in all the six provincial English metropolitan counties have been compared in order to examine the possible effect...
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.41.1.50
更新日期:1987-03-01 00:00:00
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更新日期:1995-12-01 00:00:00
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journal_title:Journal of epidemiology and community health
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更新日期:2016-04-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.52.12.794
更新日期:1998-12-01 00:00:00
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journal_title:Journal of epidemiology and community health
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更新日期:2000-08-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech.52.9.586
更新日期:1998-09-01 00:00:00
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doi:10.1136/jech.2005.043851
更新日期:2006-08-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.43.2.191
更新日期:1989-06-01 00:00:00
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更新日期:1982-06-01 00:00:00
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更新日期:2006-01-01 00:00:00
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journal_title:Journal of epidemiology and community health
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更新日期:2001-02-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2009-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2009-04-01 00:00:00