Finnish Institute of Occupational Health, Oulu, Finland Institute of Clinical Sciences, Department of Physical Medicine and Rehabilitation, University of Oulu, Oulu, Finland Department of Public Health, University of Helsinki, Finland LIKES Research Center for Sport and Health Sciences, Jyväskylä, Finland Institute of Health Sciences, University of Oulu, Oulu, Finland Clinic of Child Psychiatry, University and University Hospital of Oulu, Oulu, Finland Unit of General Practice, University Hospital of Oulu, Oulu, Finland.
Pain. 2011 Apr;152(4):896-903. doi: 10.1016/j.pain.2011.01.002. Epub 2011 Feb 3.
Musculoskeletal pain is common among adolescents, but little is known about the factors that affect seeking health care for the problem. We examined the care-seeking pattern among adolescents reporting musculoskeletal pain. The study consisted of adolescents aged 16 years from the 1986 Northern Finland Birth Cohort who responded to a mailed questionnaire in 2001 and reported musculoskeletal pain over the preceding 6 months (n=5052). Logistic regression analyses were performed to assess whether enabling resources, need factors, personal health habits, and psychological problems were associated with seeking health care for musculoskeletal pain. Musculoskeletal pain during the preceding 6 months was reported by 68% of boys and 83% of girls in the study population. Only 16% of boys and 20% of girls reporting pain had sought medical care. Among both boys and girls, care-seeking was associated with being a member of a sports club (boys, odds ratio [OR] 2.1; girls, OR 1.5) and having one (boys, OR 2.1; girls, OR 1.8) or at least 2 (boys, OR 2.2; girls, OR 2.1) other health disorders. In addition, it was associated with a high physical activity level (OR 1.5) and low self-rated (OR 1.5) health among girls. Reporting pain in other anatomical areas decreased the likelihood of seeking care for pain among both genders. In conclusion, relatively few adolescents with musculoskeletal pain had consulted a health professional for the problem. Being physically active (trauma), participating in organized sport (accessibility of care), and having other health problems may explain why an adolescent seeks care for musculoskeletal pain.
肌肉骨骼疼痛在青少年中很常见，但对于影响他们寻求医疗保健治疗该问题的因素知之甚少。我们研究了报告肌肉骨骼疼痛的青少年的就医模式。该研究包括 1986 年芬兰北部出生队列中年龄在 16 岁的青少年，他们在 2001 年通过邮寄问卷做出了回应，并报告了过去 6 个月内的肌肉骨骼疼痛（n=5052）。进行逻辑回归分析，以评估是否存在促进资源、需求因素、个人健康习惯和心理问题与寻求肌肉骨骼疼痛的医疗保健有关。研究人群中，有 68%的男孩和 83%的女孩报告在过去 6 个月内有肌肉骨骼疼痛。只有 16%的男孩和 20%的女孩报告疼痛寻求了医疗护理。在男孩和女孩中，就医与参加体育俱乐部（男孩，优势比 [OR] 2.1；女孩，OR 1.5）和患有 1 种（男孩，OR 2.1；女孩，OR 1.8）或至少 2 种（男孩，OR 2.2；女孩，OR 2.1）其他健康障碍有关。此外，这与女孩的高身体活动水平（OR 1.5）和自我评估低健康水平（OR 1.5）有关。报告其他解剖区域疼痛会降低两性对疼痛寻求医疗护理的可能性。总之，相对较少的肌肉骨骼疼痛青少年曾因该问题咨询过医疗保健专业人员。身体活跃（创伤）、参加有组织的运动（获得医疗护理的机会）和有其他健康问题可能解释了为什么青少年会因肌肉骨骼疼痛寻求医疗护理。
