Sex and gender differences in healthcare utilisation trajectories: a cohort study among Quebec workers living with chronic pain.
EPIDEMIOLOGY
Organisation of health services
PAIN MANAGEMENT
Quality in health care
STATISTICS & RESEARCH METHODS
Sexual and gender disorders
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
30 07 2023
30 07 2023
Historique:
medline:
1
8
2023
pubmed:
31
7
2023
entrez:
30
7
2023
Statut:
epublish
Résumé
Chronic pain (CP) is a poorly recognised and frequently inadequately treated condition affecting one in five adults. Reflecting on sociodemographic disparities as barriers to CP care in Canada was recently established as a federal priority. The objective of this study was to assess sex and gender differences in healthcare utilisation trajectories among workers living with CP. Retrospective cohort study. This study was conducted using the TorSaDE Cohort which links the 2007-2016 Canadian Community Health Surveys and Quebec administrative databases (longitudinal claims). Among 2955 workers living with CP, the annual number of healthcare contacts was computed during the 3 years after survey completion. Group-based trajectory modelling was used to identify subgroups of individuals with similar patterns of healthcare utilisation over time (healthcare utilisation trajectories). Across the study population, three distinct 3-year healthcare utilisation trajectories were found: (1) low healthcare users (59.9%), (2) moderate healthcare users (33.6%) and (3) heavy healthcare users (6.4%). Sex and gender differences were found in the number of distinct trajectories and the stability of the number of healthcare contacts over time. Multivariable analysis revealed that independent of other sociodemographic characteristics and severity of health condition, sex-but not gender-was associated with the heavy healthcare utilisation longitudinal trajectory (with females showing a greater likelihood; OR 2.6, 95% CI 1.6 to 4.1). Our results underline the importance of assessing sex-based disparities in help-seeking behaviours, access to healthcare and resource utilisation among persons living with CP.
Identifiants
pubmed: 37518085
pii: bmjopen-2022-070509
doi: 10.1136/bmjopen-2022-070509
pmc: PMC10387645
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e070509Investigateurs
Alain Vanasse
(A)
Alexandre Lebel
(A)
Amélie Quesnel-Vallée
(A)
Anaïs Lacasse
(A)
André Néron
(A)
Anne-Marie Cloutier
(AM)
Annie Giguère
(A)
Benoit Lamarche
(B)
Bilkis Vissandjee
(B)
Catherine Hudon
(C)
Danielle St-Laurent
(D)
David Buckeridge
(D)
Denis Roy
(D)
Geneviève Landry
(G)
Gillian Bartlett
(G)
Guillaume Blanchet
(G)
Hermine LoreNguena Nguefack
(HL)
Isabelle Leroux
(I)
Jaime Borja
(J)
Jean-François Ethier
(JF)
Josiane Courteau
(J)
Lucie Blais
(L)
Manon Choinière
(M)
Marc Dorais
(M)
Marc-André Blanchette
(MA)
Marc-Antoine Côté-Marcil
(MA)
Marie-Josée Fleury
(MJ)
Marie-Pascale Pomey
(MP)
Mike Benigeri
(M)
Mireille Courteau
(M)
Nadia Sourial
(N)
Pasquale Roberge
(P)
Pier Tremblay
(P)
Pierre Cambon
(P)
Roxanne Dault
(R)
Sonia Jean
(S)
Sonia Quirion
(S)
Stéphanie Plante
(S)
Thomas Poder
(T)
Valérie Émond
(V)
Informations de copyright
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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