Chronic pain is associated with increased health care use among community-dwelling older adults in Brazil: the Pain in the Elderly (PAINEL) Study

Autor: Luciana A. C. Machado, Juliana Lustosa Torres, Fabiane Ribeiro Ferreira, Liliane Mendes, Silvia Lanziotti Azevedo da Silva
Rok vydání: 2018
Předmět:
Male
Gerontology
medicine.medical_specialty
Multivariate analysis
Epidemiology
Health Services for the Aged
Population
Chronic pain
Severity of Illness Index
Developing countries
03 medical and health sciences
Países em desenvolvimento
0302 clinical medicine
Health care
Prevalence
Humans
Medicine
030212 general & internal medicine
Epidemiologia
education
Aged
Aged
80 and over
education.field_of_study
Envelhecimento
business.industry
Serviços de saúde
030503 health policy & services
Odds ratio
Patient Acceptance of Health Care
medicine.disease
Health services
Confidence interval
Hospitalization
Ageing
Cross-Sectional Studies
Logistic Models
Socioeconomic Factors
Quartile
Multivariate Analysis
Female
Independent Living
Chronic Pain
Dor crônica
0305 other medical science
Family Practice
business
Brazil
Zdroj: Repositório Institucional da UFMG
Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
ISSN: 1460-2229
Popis: Background Chronic pain is known to increase health care use in high-income countries, but in Brazil, little is known. Objective To investigate the association between chronic pain and health care use among Brazilian older adults and explore the relationship between pain severity and health care use. Methods This cross-sectional study was derived from the population-based study Frailty in Brazilian Older People-FIBRA. Chronic pain, pain intensity and pain-related disability were assessed through additional telephone interviews. Health care use was measured by the number of doctor visits, hospitalization events and high health care use (highest quartile of the distribution for number of doctor visits) in the last 12 months. Associations were tested in regression analyses adjusted for predisposing, enabling and illness-level components from the Andersen Model. Results The 383 participants were predominantly female (71.0%), mean age was 75.6 (6.1 SD). The prevalence of chronic pain was 30.0%. Chronic pain was associated with number of doctor visits [unstandardized B coefficient 1.48; 95% confidence interval (CI) = 0.35–2.62] and high health care use [odds ratios (OR) = 2.27; 95% CI = 1.39–3.72]. Pain intensity was associated with high health care use in univariate (OR = 1.13; 95% CI = 1.06–1.20) but not multivariate analysis (OR = 1.12; 95% CI = 0.94–1.33). Pain-related disability was not associated with any outcome. Conclusion Chronic pain increased health care use among Brazilian older adults. Improving the quality of primary care management of individuals at greater risk of chronic pain should be a cornerstone of health policies directed towards reducing the personal and societal burden of ageing.
Databáze: OpenAIRE
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