患有鞭打相关疾病的成年人健康的社会决定因素。

IF 1.5 Q4 CLINICAL NEUROLOGY
Scandinavian Journal of Pain Pub Date : 2024-04-29 eCollection Date: 2024-01-01 DOI:10.1515/sjpain-2023-0118
Lisa Jasper, Ashley D Smith
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引用次数: 0

摘要

研究目的众所周知,慢性疾病需要在复杂的生物-心理-社会框架内进行管理,但人们对鞭相关障碍(WAD)成人患者的社会人口特征的作用及其与健康结果的关系知之甚少。本研究旨在通过个体关系和聚类分析,调查 WAD 患者的各种社会人口特征(年龄、性别、种族、教育程度、工作、婚姻、照顾受抚养人以及酗酒和吸毒)与健康结果(疼痛、残疾以及身体/心理健康相关的生活质量)之间的关系:方法:采用独立 t 检验和 Kruskal-Wallis 检验(适当时采用 Mann-Whitney 检验)来比较每种健康结果的数据。然后将与健康结果有显著关系的变量输入两步聚类分析:参与研究的人数 = 281 人(女性 184 人,平均(±SD)年龄为 40.9(±10.7)岁)。受教育程度(p = 0.044)、服用非处方管制药物或非法药物(p = 0.015)和饮酒(p = 0.008)对残疾程度有单独影响。年龄(p = 0.014)、婚姻状况(p = 0.008)和照顾受抚养人(p = 0.036)对心理健康生活质量有影响。总体而言,出现了两个主要群组,其中一个群组由婚姻状况、照顾受抚养人、工作状况和年龄大于 40 岁定义,与心理健康结果的改善相关(F 1,265 = 10.1,p = 0.002):本研究表明,与健康的生物-心理-社会框架相一致的是,各种社会人口特征与 WAD 的个人和集体健康结果相关。认识到与不良健康后果相关的因素可能会促进积极的健康后果,并使资源利用得到适当的调整。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Social determinants of health in adults with whiplash associated disorders.

Objectives: Although it is well-known that chronic diseases need to be managed within the complex biopsychosocial framework, little is known about the role of sociodemographic features in adults with whiplash-associated disorders (WAD) and their association with health outcomes. The aim of this study was to investigate the association between various sociodemographic features (age, sex, ethnicity, education, working, marriage, caring for dependents, and use of alcohol and drugs) and health outcomes (pain, disability, and physical/mental health-related quality of life) in WAD, both through their individual relationships and also via cluster analysis.

Methods: Independent t-tests and Kruskal-Wallis tests (with Mann-Whitney tests where appropriate) were used to compare data for each health outcome. Variables demonstrating a significant relationship with health outcomes were then entered into two-step cluster analysis.

Results: N = 281 participated in study (184 females, mean (±SD) age 40.9 (±10.7) years). Individually, level of education (p = 0.044), consumption of non-prescribed controlled or illegal drugs (p = 0.015), and use of alcohol (p = 0.008) influenced level of disability. Age (p = 0.014), marriage status (p = 0.008), and caring for dependents (p = 0.036) influenced mental health quality of life. Collectively, two primary clusters emerged, with one cluster defined by marriage, care of dependents, working status, and age >40 years associated with improved mental health outcomes (F 1,265 = 10.1, p = 0.002).

Discussion: Consistent with the biopsychosocial framework of health, this study demonstrated that various sociodemographic features are associated with health outcomes in WAD, both individually and collectively. Recognizing factors that are associated with poor health outcomes may facilitate positive outcomes and allow resource utilization to be tailored appropriately.

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来源期刊
Scandinavian Journal of Pain
Scandinavian Journal of Pain CLINICAL NEUROLOGY-
CiteScore
3.30
自引率
6.20%
发文量
73
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