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- Andersson, H. Ingemar, 1950-, et al.
(author)
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Impact of chronic pain on health care seeking, self care, and medication : results from a population-based Swedish study
- 1999
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In: Journal of Epidemiology and Community Health. - 0143-005X .- 1470-2738. ; 53:8, s. 503-509
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Journal article (peer-reviewed)abstract
- STUDY OBJECTIVE: To explore individual and social factors that could predict health care utilisation and medication among people with chronic pain in an unselected population. DESIGN: A mailed survey with questions about pain and mental symptoms, disability, self care action, visits to health care providers, and medication. SETTING: General populations in two Swedish primary health care (PHC) districts. Medical care was given in a state health system. PARTICIPANTS: A random sample (from the population register) of 15% of the population aged 25-74 (n = 1806). MAIN RESULTS: Among people reporting chronic pain 45.7% (compared with 29.8 of non-chronic pain persons, p < 0.05) consulted a physician and 7.2% (compared with 1.2%, p < 0.05) a physiotherapist during three months. Primary health care was the most frequent care provider. High pain intensity, aging, depression, ethnicity, and socioeconomic level had the greatest impact on physician consultations. Alternative care, used by 5.9%, was associated with high pain intensity and self care. Use of self care was influenced by high pain intensity, regular physical activity, and ethnicity. Alternative care and self care did not imply lower use of conventional health care. Women reporting chronic pain consumed more analgesics and sedatives than corresponding men. Besides female gender, high pain intensity, insomnia, physician consultation, social network, and self care action helped to explain medication with analgesics. Use of herbal remedies and ointments correlated to self care action, visit to an alternative therapist, high pain intensity, and socioeconomic level. CONCLUSIONS: The presence of chronic pain has an impressive impact on primary health care and medication. Various therapeutic actions are common and are partly overlapping. The use of health care among people with chronic pain depends above all on pain perception and intensity of pain but is also affected by ethnicity, age, socioeconomic level, and depressive symptoms. Among people with chronic pain use of analgesics is common in contrast with other types of pain relief (acupuncture, physiotherapy) suitable for treating chronic pain symptoms.
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| 2. |
- Andersson, H. Ingemar, 1950-, et al.
(author)
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Musculoskeletal chronic pain in general practice : studies of health care utilisation in comparison with pain prevalence
- 1999
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In: Scandinavian Journal of Primary Health Care. - 0281-3432 .- 1502-7724. ; 17:2, s. 87-92
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Journal article (peer-reviewed)abstract
- OBJECTIVE: To study the relations between population prevalence of chronic pain and pain-related diagnoses (musculoskeletal and headaches) in primary health care (PHC) and to examine longitudinal variations in these diagnoses. DESIGN: A population-based mailed survey to catch prevalence data and continuous computerised diagnosis registration in PHC. SETTING: General population in a well-defined Swedish PHC district. SUBJECTS: A random sample of 15% of the population aged 25-74, n = 1101. Annual visitors to district physicians at the health centre. MAIN OUTCOME MEASURES: Rates of pain-related diagnoses in PHC in relation to population prevalence of chronic pain. Comparisons of the number of individuals (annual visiting rates) with pain-related diagnoses 1987-1996. RESULTS: Population pain prevalence and pain-related diagnoses in PHC corresponded as regards the magnitude and distribution of chronic pain by age and partly by pain location. Compared to low-back and widespread pain, neck-shoulder pain and headaches were less frequent in PHC in relation to reported prevalence. From 1987 to 1996 we found an increasing number of individuals seeking primary care with pain-related diagnoses. The increase was mainly assigned to the groups of fibrositis/myalgia and headache. CONCLUSION: Pain-related diagnoses in PHC reflect partly the occurrence of self-reported chronic pain symptoms in the population. The observed increase in visits with pain-related diagnoses in the last 10 years is due to an increased number of individuals with soft-tissue rheumatism and headaches. Future studies will have to elucidate whether these findings are due to an increase in morbidity or changes in care-seeking and social conditions.
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| 4. |
- Jonasson, Grethe, 1945, et al.
(author)
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Cervical thickness of the mandibular alveolar process and skeletal bone mineral density.
- 1999
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In: Acta odontologica Scandinavica. - 0001-6357. ; 57:3, s. 155-61
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Journal article (peer-reviewed)abstract
- Much effort has been devoted to finding methods for detecting individuals with low bone mass and risk of osteoporotic fractures. The aim of the present study was to investigate whether there is a relationship between the thickness of the alveolar process and the bone mineral density (BMD) of the distal forearm. In 24 women (38-65 years), the BMD of the distal forearm, obtained by dual X-ray absorptiometry, was correlated to the difference between two measures of the thickness of the mandibular alveolar process in the region of the first premolar. A highly significant correlation (r = 0.95, P< 0.001) was found. The method was cross-validated by using the equation obtained from the linear regression analysis above to predict BMD in two other groups. In both groups, the correlation between the measured BMD of the forearm and the predicted BMD was highly significant (r = 0.91, P< 0.001). The interdental thickness between the canine and the second incisor was also correlated to BMD, but with lower predictive value (r = 0.67, P<0.001). Measurements of the mandibular alveolar process can be used as one of several parameters to predict skeletal bone density.
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| 5. |
- Martin-Boglind, Lene, et al.
(author)
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The effect of topical antiglaucoma drugs on the results of high-pass resolution perimetry
- 1991
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In: American Journal of Ophthalmology. - 0002-9394 .- 1879-1891. ; 11:6, s. 711-714
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Journal article (peer-reviewed)abstract
- We conducted a randomly assigned, double-masked, crossover study of the effects of betaxolol, epinephrine, pilocarpine, and timolol on the high-passresolution perimetry results in normal subjects. The influence of topical administration of these intraocular pressure reducing drugs was negligible, which confirmed the reliability of high-pass resolution perimetry results. The method seems appropriate for the diagnosis of glaucoma and the follow-up ofpatients with glaucoma.
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| 6. |
- Nilsson, Berit M., 1940-, et al.
(author)
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The salutogenic model as a joint venture : assessment of indigestion by social workers, physicians and patients
- 1997
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In: Scandinavian Journal of Social Welfare. - : Munksgaard Forlag. - 0907-2055. ; 6:4, s. 286-291
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Journal article (peer-reviewed)abstract
- The medical perspective often is the dominant interpretation in diagnosing people who are ill. The authors have compared the assessments of health and disease made by patients, physicians and social workers of patients with non-ulcer indigestion, based on the salutogenic model. Complete agreement on the classification of disease occurred in half the cases. With the introduction of the health concept, disparity seemed to increase. All three participants tended to overlook the problems and opportunities seen by others. The aspirations of care providers and patients seemed to account for the differences. Recovering from disease as well as improving health can be considered as a joint venture of care providers and patients. A medical approach to identify deficiencies can lead to a blind and partial assessment of problems. The introduction of a salutogenic perspective opened for treatment alternatives and enhanced goal-setting negotiations if the health perspective was shared.
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| 7. |
- Danielsson-Tham, Marie-Louise, 1947-
(author)
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Lura rötmånaden!
- 1995
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In: SLU just nu! – Personaltidning för Sveriges lantbruksuniversitet. - Uppsala : SLU. - 1102-0954. ; :5, s. 20-20
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Journal article (pop. science, debate, etc.)abstract
- Tiden mellan den 22 juli och 23 augusti benämns i folkmun rötmånaden. Denna månad är känd för allehanda ruskigheter. Då föds kalvar med två huvuden, såren vill inte läka och mjölken surnar.
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