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Impact of chronic pain on health care seeking, self care, and medication [Elektronisk resurs] results from a population-based Swedish study

Andersson, H. Ingemar 1950- (författare)
Alternativt namn: Andersson, Ingemar, 1950-
Ejlertsson, Göran 1948- (författare)
Leden, Ido (författare)
Scherstén, Bengt (författare)
Högskolan Kristianstad Institutionen för hälsovetenskaper (utgivare)
Alternativt namn: Kristianstad University. Department of Health Sciences
Högskolan Kristianstad Sektionen för hälsa och samhälle (utgivare)
Högskolan Kristianstad Forskningsmiljön Människa - Hälsa - Samhälle (MHS) (utgivare)
1999
Engelska.
Ingår i: Journal of Epidemiology and Community Health. - 0143-005X. ; 53:8, 503-509
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  • 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. 

Ämnesord

Medical and Health Sciences  (hsv)
Clinical Medicine  (hsv)
Family Medicine  (hsv)
Medicin och hälsovetenskap  (hsv)
Klinisk medicin  (hsv)
Allmän medicin  (hsv)
Medical and Health Sciences  (hsv)
Medicin och hälsovetenskap  (hsv)
MEDICINE  (svep)
Social medicine  (svep)
Public health medicine research areas  (svep)
Family medicine  (svep)
MEDICIN  (svep)
Socialmedicin  (svep)
Folkhälsomedicinska forskningsområden  (svep)
Allmänmedicin  (svep)
MEDICINE  (svep)
MEDICIN  (svep)

Indexterm och SAB-rubrik

chronic pain
health care
alternative care
medication
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