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

Página do item simplificado
dc.creatorJuliana Lustosa Torres
dc.creatorSílvia Lanziotti Azevedo da Silva
dc.creatorFabiane Ribeiro Ferreira
dc.creatorLiliane Patricia de Souza Mendes
dc.creatorLuciana Andrade Carneiro Machado
dc.date.accessioned2022-12-16T17:59:15Z
dc.date.accessioned2025-09-09T01:28:33Z
dc.date.available2022-12-16T17:59:15Z
dc.date.issued2018-12
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1093/fampra/cmy123
dc.identifier.issn1460-2229
dc.identifier.urihttps://hdl.handle.net/1843/48156
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofFamily Practice
dc.rightsAcesso Aberto
dc.subjectEnvelhecimento
dc.subjectDor crônica
dc.subjectPaíses em desenvolvimento
dc.subjectEpidemiologia
dc.subjectServiços de saúde
dc.subject.otherAgeing
dc.subject.otherChronic pain
dc.subject.otherDeveloping countries
dc.subject.otherEpidemiology
dc.subject.otherHealth services
dc.titleChronic pain is associated with increased health care use among community-dwelling older adults in Brazil: the Pain in the Elderly (PAINEL) study
dc.typeArtigo de periódico
local.citation.epage599
local.citation.issue5
local.citation.spage594
local.citation.volume36
local.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.
local.identifier.orcidhttps://orcid.org/0000-0002-3687-897X
local.identifier.orcidhttps://orcid.org/0000-0002-2323-2029
local.identifier.orcidhttps://orcid.org/0000-0003-3758-7493
local.identifier.orcidhttp://orcid.org/0000-0002-2602-3433
local.identifier.orcidhttps://orcid.org/0000-0001-6303-2753
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
local.publisher.initialsUFMG
local.url.externahttps://academic.oup.com/fampra/article/36/5/594/5231187?login=true

Arquivos

Pacote original

Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
Chronic pain is associated with increased health care use.pdf
Tamanho:
171.73 KB
Formato:
Adobe Portable Document Format
Baixar

Licença do pacote

Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
License.txt
Tamanho:
1.99 KB
Formato:
Plain Text
Descrição:
Baixar

Coleções

Artigo de Periódico

Logo UFMG