Perquin C W, Hazebroek-Kampschreur A A, Hunfeld J A, van Suijlekom-Smit L W, Passchier J, van der Wouden J C
Department of General Practice, Erasmus University Rotterdam, The Netherlands.
Clin J Pain. 2000 Sep;16(3):229-35. doi: 10.1097/00002508-200009000-00008.
The goal of this study was to assess physician consultation and use of medication in Dutch children and adolescents (0-18 years old) having chronic pain in relation to sociodemographic factors and pain characteristics.
This was a population-based cross-sectional survey. A questionnaire was either mailed to the participants' parents or distributed at school, and it was filled out by the parents (for children aged 0-7 years) or by the participant (for children and adolescents aged 8-18 years).
The study was conducted in the Rotterdam area.
Participants included a random sample of 1,300 children aged 0 to 3 years taken from the register of population. In addition, 41 schools were selected to obtain a representative sample of 5,336 children and adolescents aged 4 to 18 years.
Reported physician consultation and medication use were assessed.
Of the 6,636 children and adolescents surveyed, 5,424 (82%) responded. A total of 1,358 respondents (25%) reported chronic pain. Of these, 57% had consulted a physician and 39% had used medication for the pain. Respondents with earache, more intense pain, and more frequent pain and those attending lower vocational training programs were more likely to consult a physician for the pain than the average respondent. Respondents with earache, sore throat, headache, more intense pain, and multiple pain; children aged 0 to 3 years; and girls were more likely to use medication for the pain. Logistic regression analyses showed that for physician consultation, the most significant predictive factors were the intensity of pain, age, and earache as well as the level of education for respondents aged 12 to 16 years. The use of medication was predicted by earache, headache, limb pain, intensity of pain, and age.
Chronic pain is a common complaint in children and adolescents, frequently resulting in consultation of a physician and medication use. Regarding physician consultation, children and adolescents with a lower educational level seem to be a group at risk.
本研究的目的是评估荷兰0至18岁患有慢性疼痛的儿童和青少年因社会人口统计学因素和疼痛特征而进行的医生咨询及药物使用情况。
这是一项基于人群的横断面调查。问卷要么邮寄给参与者的父母，要么在学校发放，由父母（针对0至7岁儿童）或参与者（针对8至18岁儿童和青少年）填写。
该研究在鹿特丹地区进行。
参与者包括从人口登记册中随机抽取的1300名0至3岁儿童。此外，选取了41所学校以获取5336名4至18岁儿童和青少年的代表性样本。
评估报告的医生咨询和药物使用情况。
在接受调查的6636名儿童和青少年中，5424名（82%）做出了回应。共有1358名受访者（25%）报告患有慢性疼痛。其中，57%曾咨询过医生，39%曾使用药物治疗疼痛。与普通受访者相比，患有耳痛、疼痛更剧烈、疼痛更频繁以及参加低等职业培训项目的受访者因疼痛咨询医生的可能性更大。患有耳痛、喉咙痛、头痛、疼痛更剧烈以及多种疼痛的受访者；0至3岁的儿童；以及女孩使用药物治疗疼痛的可能性更大。逻辑回归分析表明，对于医生咨询，最显著的预测因素是疼痛强度、年龄、耳痛以及12至16岁受访者的教育水平。药物使用情况可由耳痛、头痛、肢体疼痛、疼痛强度和年龄预测。
慢性疼痛是儿童和青少年的常见主诉，经常导致咨询医生和使用药物。关于医生咨询，教育水平较低的儿童和青少年似乎是一个风险群体。
