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  1. Health care utilization for low back pain in belgium : influence of sociocultural factors and health beliefs.

    Article - En anglais

    Study Design

    A population-based survey was undertaken.

    Objectives

    To describe health care utilization for low back pain (LBP) in a culturally diverse society with universal access to health care ; to describe how LBP chronicity influences health care utilization ; and to describe how sociocultural and demographic factors and health beliefs influence health care utilization.

    Methods

    A probability sample of approximately 5,000 Belgian adults stratified by gender, age, social class, and habitat was surveyed by trained inrterviewers.

    Information on demographics, health beliefs, frequency of LBP, and health care utilization was elicited.

    Statistical analysis was conducted by means of univariate and multivariate logistic regression.

    Analysis was restricted to 2,660 respondents with history of LBP.

    Results

    Of subjects with LBP, 38% reported daily LBP.

    Sixty-three percent had seen a health professional for the most recent episode ; 11% had been on bed rest.

    Forty-four percent had at sometime undergone radiography ; three and a half percent had ever undergone spinal surgery.

    Eighty-six percent considered themselves in good health.

    Controlling for LBP frequency, all forms of health care utilization examined were associated with health beliefs.

    Conclusions

    LBP frequency, health beliefs, and sociocultural factors influence health care behaviors and utilization among adults with a history of LBP in a society with universal access to health care.

    Mots-clés Pascal : Lombalgie, Chronique, Environnement socioculturel, Utilisation, Service santé, Belgique, Europe, Epidémiologie, Homme, Douleur, Rachis lombaire, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie

    Mots-clés Pascal anglais : Low back pain, Chronic, Sociocultural environment, Use, Health service, Belgium, Europe, Epidemiology, Human, Pain, Lumbar spine, Diseases of the osteoarticular system, Spine disease, Rachialgia

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0340730

    Code Inist : 002B15F. Création : 01/03/1996.