Socioeconomic status and the risk for being diagnosed with spondyloarthritis and chronic pain: a nested case-control study.
Jöud, Anna LU
; Petersson, Ingemar
LU
; Jordan, Kelvin P
; Löfvendahl, Sofia
LU
; Grahn, Birgitta
LU
and Englund, Martin
LU
(2014)
In Rheumatology International
34(9).
p.1291-1298
- Abstract
- Socioeconomic status could potentially impact on which type of rheumatic diagnosis a patient receives. We determined whether different socioeconomic status is a risk factor for being diagnosed with spondyloarthritis (SpA) or chronic pain. In a nested case-control study, we identified two sets of adult cases diagnosed with (i) SpA (n = 1,194) and (ii) chronic pain (n = 3,730) during 2010-2012 in Skåne region, Sweden. We randomly sampled controls matched for age and sex. Level of education, marital status, and income were identified in national registers 4 years before inclusion. We also studied health-care utilization, prescribed pharmaceuticals, and work status. We used conditional logistic regressions and included socioeconomic variables... (More)
- Socioeconomic status could potentially impact on which type of rheumatic diagnosis a patient receives. We determined whether different socioeconomic status is a risk factor for being diagnosed with spondyloarthritis (SpA) or chronic pain. In a nested case-control study, we identified two sets of adult cases diagnosed with (i) SpA (n = 1,194) and (ii) chronic pain (n = 3,730) during 2010-2012 in Skåne region, Sweden. We randomly sampled controls matched for age and sex. Level of education, marital status, and income were identified in national registers 4 years before inclusion. We also studied health-care utilization, prescribed pharmaceuticals, and work status. We used conditional logistic regressions and included socioeconomic variables and geographic area in the models. Low (odds ratio [OR] 1.69 95 % CI 1.50-1.91) or moderate education (OR 1.43 95 % CI 1.30-1.57), and low (OR 1.40 95 % CI 1.25-1.57) or moderate income (OR 1.24 95 % CI 1.10-1.38) were associated with a chronic pain diagnosis. For a SpA diagnosis, moderate income (OR 1.25 95 % CI 1.04-1.50) was the only significant factor identified. Both case groups had a larger proportion that did not work (P < 0.001), used more health care (P < 0.001), and were more frequently prescribed NSAIDs (P < 0.001) 4 years before diagnosis than controls. We confirmed that lower levels of education and income are associated with a chronic pain diagnosis. This association may reflect a true higher incidence of chronic pain and/or increased consultation propensity for such pain in people with socioeconomic status. We found no such association for SpA. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4455287
- author
- Jöud, Anna
LU
; Petersson, Ingemar
LU
; Jordan, Kelvin P
; Löfvendahl, Sofia
LU
; Grahn, Birgitta
LU
and Englund, Martin
LU
- organization
- publishing date
- 2014
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Rheumatology International
- volume
- 34
- issue
- 9
- pages
- 1291 - 1298
- publisher
- Springer
- external identifiers
-
- pmid:24825253
- wos:000341371900017
- scopus:84906939143
- ISSN
- 1437-160X
- DOI
- 10.1007/s00296-014-3039-6
- language
- English
- LU publication?
- yes
- id
- 03281055-f869-4b74-9fc4-f31be93db484 (old id 4455287)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/24825253?dopt=Abstract
- date added to LUP
- 2016-04-01 10:02:39
- date last changed
- 2022-04-04 01:44:32
@article{03281055-f869-4b74-9fc4-f31be93db484,
abstract = {{Socioeconomic status could potentially impact on which type of rheumatic diagnosis a patient receives. We determined whether different socioeconomic status is a risk factor for being diagnosed with spondyloarthritis (SpA) or chronic pain. In a nested case-control study, we identified two sets of adult cases diagnosed with (i) SpA (n = 1,194) and (ii) chronic pain (n = 3,730) during 2010-2012 in Skåne region, Sweden. We randomly sampled controls matched for age and sex. Level of education, marital status, and income were identified in national registers 4 years before inclusion. We also studied health-care utilization, prescribed pharmaceuticals, and work status. We used conditional logistic regressions and included socioeconomic variables and geographic area in the models. Low (odds ratio [OR] 1.69 95 % CI 1.50-1.91) or moderate education (OR 1.43 95 % CI 1.30-1.57), and low (OR 1.40 95 % CI 1.25-1.57) or moderate income (OR 1.24 95 % CI 1.10-1.38) were associated with a chronic pain diagnosis. For a SpA diagnosis, moderate income (OR 1.25 95 % CI 1.04-1.50) was the only significant factor identified. Both case groups had a larger proportion that did not work (P < 0.001), used more health care (P < 0.001), and were more frequently prescribed NSAIDs (P < 0.001) 4 years before diagnosis than controls. We confirmed that lower levels of education and income are associated with a chronic pain diagnosis. This association may reflect a true higher incidence of chronic pain and/or increased consultation propensity for such pain in people with socioeconomic status. We found no such association for SpA.}},
author = {{Jöud, Anna and Petersson, Ingemar and Jordan, Kelvin P and Löfvendahl, Sofia and Grahn, Birgitta and Englund, Martin}},
issn = {{1437-160X}},
language = {{eng}},
number = {{9}},
pages = {{1291--1298}},
publisher = {{Springer}},
series = {{Rheumatology International}},
title = {{Socioeconomic status and the risk for being diagnosed with spondyloarthritis and chronic pain: a nested case-control study.}},
url = {{http://dx.doi.org/10.1007/s00296-014-3039-6}},
doi = {{10.1007/s00296-014-3039-6}},
volume = {{34}},
year = {{2014}},
}