Healthcare service use in adolescents with non-specific musculoskeletal pain
Healthcare service use in adolescents with non-specific musculoskeletal pain
复制标题
DOI：
10.1111/j.1651-2227.2010.01770.x
复制
发表时间：
2010-08-01
期刊：
影响因子：
3.8
通讯作者：
Ferraro, Claudio
中科院分区：
文献类型：
--
作者：
Masiero, Stefano;Carraro, Elena;Ferraro, Claudio
目的：评估非特异性肌肉骨骼疼痛在意大利青少年人群中的发生情况，并调查他们对医疗服务的使用情况(就医、转诊诊断测试和治疗使用)。方法：采用结构化问卷对7542名12-16岁的高中青少年进行调查，内容包括个人资料、疼痛情况、咨询健康提供者、转诊诊断测试和对处方治疗的依从性。结果：在3399名(45.1%)报告肌肉骨骼疼痛(最受影响的部位是脊柱和膝盖)中，2525名(74.2%)曾寻求医疗关注。在2525名寻求医疗保健的受试者中，1061名(42.0%)咨询过超过一名健康服务提供者，2410名(95.4%)被转介进行诊断测试，2445名(96.8%)被推荐接受某种形式的治疗，但只有1694名(69.2%)遵循了处方治疗。与求医行为相关的最重要的因素是疼痛强度、疼痛持续3个月以上、受伤、身体活动中断或缺乏以及脊柱和膝关节的部位。结论：非特异性肌肉骨骼疼痛在意大利青少年中是常见的事件，其中大量的受试者咨询医疗服务。
Aim:To estimate occurrence of non-specific musculoskeletal pain in a wide population sample of Italian adolescents, and to investigate their use of healthcare services (seeking of medical attention, referral for diagnostic tests and treatment use).Methods:We investigated 7542 high-school adolescents (aged between 12 and 16 years) by a structured questionnaire and consisting of personal data, presence of pain, health provider consulted, referral for diagnostic tests and compliance with the prescribed treatments.Results:In 3399 (45.1%) reported musculoskeletal pain (the most affected sites being the spine and knees), 2525 (74.2%) of whom had sought medical attention. Of the 2525 subjects who had sought healthcare, 1061 (42.0%) had consulted more than one health provider, 2410 (95.4%) had been referred for diagnostic tests, and some form of treatment had been recommended for 2445 (96.8%), but only 1694 (69.2%) had complied with prescribed therapies. The most important factors linked to health seeking behaviour were pain intensity, pain lasting longer than 3 months, injury, interruption to or absence of physical activity and localization in the spine and knee.Conclusion:Non-specific musculoskeletal pain is a frequent event in Italian adolescents and that a large number of these subjects consult a healthcare service.