Can health care utilization explain the association between socioeconomic status and back pain?

Spine
U LatzaHeiner Raspe

Abstract

Cross-sectional population-based study. To assess whether the association between socioeconomic status and severe back pain can be explained by the preceding health care utilization for back pain. The ways in which socioeconomic status affects the occurrence of back pain are unclear. Age- and gender-adjusted odds ratios with 95% confidence intervals for the association between indicators of socioeconomic status and severe current back pain (high intensity and/or high disability: no/yes) were investigated in an interview among 770 study participants out of 1113 study participants with a recent history of back pain in a survey among 2731 adults. The point prevalence of severe current back pain (39.8%) was related to educational level and health insurance status. Prior health care utilization for back pain was about 2-fold more prevalent in adults with severe current back pain. Members of private health insurance (odds ratio 0.60, 95% confidence interval 0.37-0.99) were less likely to report prior consultation of a general practitioner for back pain. Members of sick funds for white-collar workers (odds ratio 2.81, 95% confidence interval 1.43-5.51) and private insurance (odds ratio 2.81, 95% confidence interval 1.02-6.24) and indi...Continue Reading

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Citations

Jul 3, 2013·Journal of Occupational Rehabilitation·Annette LeclercAlexis Descatha
Feb 16, 2005·Current Opinion in Rheumatology·Nisha J Manek, A J MacGregor
Dec 15, 2010·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Carolina ValenciaSteven Z George
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May 26, 2007·Transplantation Proceedings·M-T HollisaazY Rezaie
Aug 28, 2012·Social Science & Medicine·Anna ZajacovaVicki Johnson-Lawrence
May 19, 2017·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Benjamin KuntzThomas Lampert
Dec 2, 2006·Chronic Illness·Jane L Carr, Jennifer A Klaber Moffett
Jun 27, 2013·Journal of Primary Care & Community Health·Abdulbari BenerJosia Schlogl
May 17, 2019·BMC Musculoskeletal Disorders·Steinthora JonsdottirBen Carter
Oct 22, 2011·Journal of Aging and Physical Activity·Katherine BeissnerM Cary Reid
Jun 18, 2020·Journal of Pain Research·Lena DanielssonSvein Bergvik

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