慢性疼痛相关医疗保健利用的预测因素：冰岛的一项全国性横断面研究。
Predictors for chronic pain-related health care utilization: a cross-sectional nationwide study in Iceland.
作者信息
Jonsdottir Thorbjorg, Jonsdottir Helga, Lindal Eirikur, Oskarsson Gudmundur K, Gunnarsdottir Sigridur
机构信息
Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Faculty of Nursing, School of Health Sciences, University of Akureyri, Akureyri, Iceland.
出版信息
Health Expect. 2015 Dec;18(6):2704-19. doi: 10.1111/hex.12245. Epub 2014 Jul 25.
BACKGROUND
Individuals with chronic pain are among the most frequent users of health care. Still, a significant percentage does not utilize health care for pain. A range of factors predict chronic pain-related health care utilization.
DESIGN
A cross-sectional study aimed at identifying predictors of chronic pain-related health care utilization and comparing predictors between men and women.
METHODS
A postal questionnaire measuring sociodemographic variables, pain characteristics, health-related quality of life (HRQoL) and pain-related health care utilization, was sent to a sample of 4500 individuals randomly drawn from the national population of Iceland. The relationships between sociodemographic and pain-related factors and pain-related health care utilization among participants reporting chronic pain (≥3 months) were tested by using bivariate and multivariate statistical analysis.
RESULTS
Among participants reporting chronic pain, 53.2% had consulted a health care provider for pain during the previous 6 months. Predictors for chronic pain-related health care utilization differed between men and women. Interference with life and pain pattern was the strongest predictors among women, as compared with interference with life and the physical components of HRQoL for men. Pain-related health care utilization was not linked to sociodemographic factors.
CONCLUSIONS
Pain-related variables are better predictors of chronic pain-related health care utilization than sociodemographic factors. Even though gender does not predict chronic pain-related health care utilization, there are gender differences in the relationships between pain-related variables and health care utilization. Men tend to postpone health care consultations for chronic pain longer than women.
背景
慢性疼痛患者是医疗保健的最频繁使用者之一。然而，仍有相当比例的人未因疼痛而利用医疗保健服务。一系列因素可预测与慢性疼痛相关的医疗保健利用情况。
设计
一项横断面研究，旨在确定与慢性疼痛相关的医疗保健利用的预测因素，并比较男性和女性之间的预测因素。
方法
向从冰岛全国人口中随机抽取的4500人样本发送了一份邮政问卷，该问卷测量社会人口统计学变量、疼痛特征、健康相关生活质量（HRQoL）和与疼痛相关的医疗保健利用情况。通过双变量和多变量统计分析，测试了报告慢性疼痛（≥3个月）的参与者中社会人口统计学和疼痛相关因素与与疼痛相关的医疗保健利用之间的关系。
结果
在报告慢性疼痛的参与者中，53.2%的人在过去6个月内曾因疼痛咨询过医疗保健提供者。与慢性疼痛相关的医疗保健利用的预测因素在男性和女性之间有所不同。与男性的生活干扰和HRQoL的身体组成部分相比，生活干扰和疼痛模式是女性中最强的预测因素。与疼痛相关的医疗保健利用与社会人口统计学因素无关。
结论
与社会人口统计学因素相比，与疼痛相关的变量是与慢性疼痛相关的医疗保健利用的更好预测因素。尽管性别不能预测与慢性疼痛相关的医疗保健利用，但与疼痛相关的变量和医疗保健利用之间的关系存在性别差异。男性往往比女性更长时间地推迟对慢性疼痛的医疗保健咨询。
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