Renske Annevelink, Sanneke Don, Jo Nijs, David Beckwée, Kelly Ickmans, Wilfried Cools, Lennard Voogt
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Unemployment was associated with higher pain intensity (ß = .279, p .028) and lower physical HRQoL (ß = -1.709, p .004). Overall, higher education levels were associated with better outcomes, with on average lower pain intensity found for university (ß = -.731, p < .001) and higher professional education levels (ß = -.358, p .003) compared to no education.</p><p><strong>Conclusions: </strong>Migration background, unemployment and lower education levels were on average associated with poorer pain intensity, disability and HRQoL in people with NSMSP visiting Dutch primary care physiotherapy. Due to the cross-sectional nature of this study, findings should be interpreted with caution. CONTRIBUTION OF THE PAPER.</p>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":" ","pages":"101804"},"PeriodicalIF":3.0000,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Socio-cultural associates of pain, disability and health-related quality of life in 1350 primary care physiotherapy patients with non-specific musculoskeletal pain.\",\"authors\":\"Renske Annevelink, Sanneke Don, Jo Nijs, David Beckwée, Kelly Ickmans, Wilfried Cools, Lennard Voogt\",\"doi\":\"10.1016/j.physio.2025.101804\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To 1) describe the socio-cultural characteristics of people with non-specific musculoskeletal pain (NSMSP) visiting Dutch primary care physiotherapy, and 2) to determine associations between socio-cultural factors and pain intensity, disability, and health-related quality of life (HRQoL) in people with NSMSP visiting Dutch primary care physiotherapy.</p><p><strong>Design: </strong>Exploratory cross-sectional study.</p><p><strong>Setting: </strong>35 Dutch primary care physiotherapy facilities.</p><p><strong>Participants: </strong>1350 patients with NSMSP.</p><p><strong>Main outcome measures: </strong>Participants completed self-reported questionnaires on socio-cultural (e.g., migration background, living situation, education level), demographic (e.g., sex, age), health-related (e.g., smoking, Body Mass Index (BMI)), and pain-related (e.g., analgesics) factors, along with standardized measures for outcomes pain intensity, disability, and HRQoL.</p><p><strong>Results: </strong>After controlling for covariates (sex, age, smoking, BMI, The Mental Health Inventory (MHI-5), co-morbidity, analgesics, and chronic widespread pain), socio-cultural variable migration background was associated with on average higher pain intensity (ß = .447, p < .001), higher disability (ß = 3.997, p < .001), and poorer mental HRQoL (ß = -1.475, p < .001). Unemployment was associated with higher pain intensity (ß = .279, p .028) and lower physical HRQoL (ß = -1.709, p .004). Overall, higher education levels were associated with better outcomes, with on average lower pain intensity found for university (ß = -.731, p < .001) and higher professional education levels (ß = -.358, p .003) compared to no education.</p><p><strong>Conclusions: </strong>Migration background, unemployment and lower education levels were on average associated with poorer pain intensity, disability and HRQoL in people with NSMSP visiting Dutch primary care physiotherapy. Due to the cross-sectional nature of this study, findings should be interpreted with caution. 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引用次数: 0
摘要
目的：1)描述接受荷兰初级保健物理治疗的非特异性肌肉骨骼疼痛（NSMSP）患者的社会文化特征；2)确定社会文化因素与接受荷兰初级保健物理治疗的非特异性肌肉骨骼疼痛患者的疼痛强度、残疾和健康相关生活质量（HRQoL）之间的关系。设计：探索性横断面研究。环境：35个荷兰初级保健理疗机构。参与者：1350例NSMSP患者。主要结果测量：参与者完成关于社会文化（如移民背景、生活状况、教育水平）、人口统计（如性别、年龄）、健康相关（如吸烟、体重指数（BMI））和疼痛相关（如止痛药）因素的自我报告问卷，以及结果、疼痛强度、残疾和HRQoL的标准化测量。结果：在控制了协变量（性别、年龄、吸烟、BMI、心理健康量表（MHI-5）、共发病、镇痛药和慢性广泛疼痛）后，社会文化变量移民背景与平均较高的疼痛强度（ß = 0.447, p < 0.001）、较高的残疾（ß = 3.997, p < 0.001）和较差的精神HRQoL （ß = -1.475, p < 0.001）相关。失业与较高的疼痛强度相关(ß = 0.279, p。028)和较低的HRQoL （β = -1.709, p .004）。总体而言，高等教育水平与更好的结果相关，大学平均疼痛强度较低（ß = - 0.731, p < 0.001），高等专业教育水平（ß = - 0.358, p .001）。003)与没有受过教育相比。结论：移民背景、失业和低教育水平与接受荷兰初级保健物理治疗的NSMSP患者较差的疼痛强度、残疾和HRQoL相关。由于本研究的横断面性质，研究结果应谨慎解释。论文贡献。
Socio-cultural associates of pain, disability and health-related quality of life in 1350 primary care physiotherapy patients with non-specific musculoskeletal pain.
Objectives: To 1) describe the socio-cultural characteristics of people with non-specific musculoskeletal pain (NSMSP) visiting Dutch primary care physiotherapy, and 2) to determine associations between socio-cultural factors and pain intensity, disability, and health-related quality of life (HRQoL) in people with NSMSP visiting Dutch primary care physiotherapy.
Design: Exploratory cross-sectional study.
Setting: 35 Dutch primary care physiotherapy facilities.
Participants: 1350 patients with NSMSP.
Main outcome measures: Participants completed self-reported questionnaires on socio-cultural (e.g., migration background, living situation, education level), demographic (e.g., sex, age), health-related (e.g., smoking, Body Mass Index (BMI)), and pain-related (e.g., analgesics) factors, along with standardized measures for outcomes pain intensity, disability, and HRQoL.
Results: After controlling for covariates (sex, age, smoking, BMI, The Mental Health Inventory (MHI-5), co-morbidity, analgesics, and chronic widespread pain), socio-cultural variable migration background was associated with on average higher pain intensity (ß = .447, p < .001), higher disability (ß = 3.997, p < .001), and poorer mental HRQoL (ß = -1.475, p < .001). Unemployment was associated with higher pain intensity (ß = .279, p .028) and lower physical HRQoL (ß = -1.709, p .004). Overall, higher education levels were associated with better outcomes, with on average lower pain intensity found for university (ß = -.731, p < .001) and higher professional education levels (ß = -.358, p .003) compared to no education.
Conclusions: Migration background, unemployment and lower education levels were on average associated with poorer pain intensity, disability and HRQoL in people with NSMSP visiting Dutch primary care physiotherapy. Due to the cross-sectional nature of this study, findings should be interpreted with caution. CONTRIBUTION OF THE PAPER.
期刊介绍：
Physiotherapy aims to publish original research and facilitate continuing professional development for physiotherapists and other health professions worldwide. Dedicated to the advancement of physiotherapy through publication of research and scholarly work concerned with, but not limited to, its scientific basis and clinical application, education of practitioners, management of services and policy.
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