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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/48156
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dc.creatorJuliana Lustosa Torrespt_BR
dc.creatorSílvia Lanziotti Azevedo da Silvapt_BR
dc.creatorFabiane Ribeiro Ferreirapt_BR
dc.creatorLiliane Patricia de Souza Mendespt_BR
dc.creatorLuciana Andrade Carneiro Machadopt_BR
dc.date.accessioned2022-12-16T17:59:15Z-
dc.date.available2022-12-16T17:59:15Z-
dc.date.issued2018-12-
dc.citation.volume36pt_BR
dc.citation.issue5pt_BR
dc.citation.spage594pt_BR
dc.citation.epage599pt_BR
dc.identifier.doihttps://doi.org/10.1093/fampra/cmy123pt_BR
dc.identifier.issn1460-2229pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/48156-
dc.description.resumoBackground: 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.pt_BR
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológicopt_BR
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Geraispt_BR
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superiorpt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIApt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIALpt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofFamily Practicept_BR
dc.rightsAcesso Abertopt_BR
dc.subjectAgeingpt_BR
dc.subjectChronic painpt_BR
dc.subjectDeveloping countriespt_BR
dc.subjectEpidemiologypt_BR
dc.subjectHealth servicespt_BR
dc.subject.otherEnvelhecimentopt_BR
dc.subject.otherDor crônicapt_BR
dc.subject.otherPaíses em desenvolvimentopt_BR
dc.subject.otherEpidemiologiapt_BR
dc.subject.otherServiços de saúdept_BR
dc.titleChronic pain is associated with increased health care use among community-dwelling older adults in Brazil: the Pain in the Elderly (PAINEL) studypt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://academic.oup.com/fampra/article/36/5/594/5231187?login=truept_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-3687-897Xpt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-2323-2029pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-3758-7493pt_BR
dc.identifier.orcidhttp://orcid.org/0000-0002-2602-3433pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001-6303-2753pt_BR
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