dc.contributor.author | Müller, Britta | de |
dc.contributor.author | Dresler, Thomas | de |
dc.contributor.author | Gaul, Charly | de |
dc.contributor.author | Jürgens, Tim | de |
dc.contributor.author | Kropp, Peter | de |
dc.contributor.author | Rehfeld, Anna | de |
dc.contributor.author | Reis, Olaf | de |
dc.contributor.author | Ruscheweyh, Ruth | de |
dc.contributor.author | Straube, Andreas | de |
dc.contributor.author | Förderreuther, Stefanie | de |
dc.date.accessioned | 2021-08-11T08:25:11Z | |
dc.date.available | 2021-08-11T08:25:11Z | |
dc.date.issued | 2020 | de |
dc.identifier.issn | 1129-2377 | de |
dc.identifier.uri | https://www.ssoar.info/ssoar/handle/document/74314 | |
dc.description.abstract | Background: Headache sufferers in need of professional health care often do not utilize the care available, and factors influencing headache-specific physician consultation are not yet understood. Objectives of this study are (1) to assess self-reported headache-specific physician consultations and (2) to identify headache-related and sociodemographic predictors. Methods: Data of a random sample of the general population in Germany aged ≥14 years were analyzed (N = 2461). A multivariate binary logistic regression was conducted to identify a parsimonious model to predict physician consultation. Results: 50.7% of the participants with headache reported at least one headache-specific physician consultation during lifetime. Of these, 53.6% had seen one, 26.1% two, and 20.3% more than two physicians because of their headaches. The odds of physician consultation increased with the number of headache days per month (HDM) (reference HDM 1) HDM 1–3 (OR = 2.29), HDM 4–14 (OR = 2.41), and HDM ≥15 (OR = 4.83) and increasing Headache Impact Test score (HIT-6) (reference “no or little impact”) moderate impact (OR = 1.74), substantial impact (OR = 3.01), and severe impact (OR = 5.08). Middle-aged participants were more likely to have consulted than younger and older ones (reference 14–34 years) 35–54 years (OR = 1.90), 55–74 years (OR = 1.96), ≥75 years (OR = 1.02). The odds of physician consultation among self-employed subjects were lower than among employed manual workers (OR = 0.48). The living environment (rural versus urban) did not have an influence on the consultation frequency. Conclusion: The results indicate that apart from burden-related factors (headache frequency; headache impact), health care utilization patterns are also influenced by patients’ occupational status and age. Further research is needed to analyze whether the lower consultation rate means that the self-employed have a higher risk of chronification or that they have more effective self-management strategies regarding headache. | de |
dc.language | en | de |
dc.subject.ddc | Sociology & anthropology | en |
dc.subject.ddc | Sozialwissenschaften, Soziologie | de |
dc.subject.ddc | Social sciences, sociology, anthropology | en |
dc.subject.ddc | Soziologie, Anthropologie | de |
dc.subject.other | headache; population-based study; headache-specific physician consultation; patients' occupational status | de |
dc.title | Use of outpatient medical care by headache patients in Germany: a population-based cross-sectional study | de |
dc.description.review | begutachtet (peer reviewed) | de |
dc.description.review | peer reviewed | en |
dc.source.journal | The Journal of Headache and Pain | |
dc.source.volume | 21 | de |
dc.publisher.country | MISC | de |
dc.subject.classoz | Health Policy | en |
dc.subject.classoz | Medizinsoziologie | de |
dc.subject.classoz | Gesundheitspolitik | de |
dc.subject.classoz | Medical Sociology | en |
dc.subject.thesoz | Berufssituation | de |
dc.subject.thesoz | Gesundheitsverhalten | de |
dc.subject.thesoz | occupational situation | en |
dc.subject.thesoz | Schmerz | de |
dc.subject.thesoz | medizinische Versorgung | de |
dc.subject.thesoz | microcensus | en |
dc.subject.thesoz | Inanspruchnahme | de |
dc.subject.thesoz | Mikrozensus | de |
dc.subject.thesoz | medical care | en |
dc.subject.thesoz | Krankheit | de |
dc.subject.thesoz | health behavior | en |
dc.subject.thesoz | recourse | en |
dc.subject.thesoz | illness | en |
dc.subject.thesoz | pain | en |
dc.subject.thesoz | Patient | de |
dc.subject.thesoz | patient | en |
dc.identifier.urn | urn:nbn:de:0168-ssoar-74314-8 | |
dc.rights.licence | Creative Commons - Attribution 4.0 | en |
dc.rights.licence | Creative Commons - Namensnennung 4.0 | de |
ssoar.contributor.institution | FDB | de |
internal.status | formal und inhaltlich fertig erschlossen | de |
internal.identifier.thesoz | 10045563 | |
internal.identifier.thesoz | 10038328 | |
internal.identifier.thesoz | 10035075 | |
internal.identifier.thesoz | 10034647 | |
internal.identifier.thesoz | 10052284 | |
internal.identifier.thesoz | 10049928 | |
internal.identifier.thesoz | 10057264 | |
internal.identifier.thesoz | 10047100 | |
dc.type.stock | article | de |
dc.type.document | journal article | en |
dc.type.document | Zeitschriftenartikel | de |
dc.source.pageinfo | 1-10 | de |
internal.identifier.classoz | 10215 | |
internal.identifier.classoz | 11006 | |
internal.identifier.document | 32 | |
internal.identifier.ddc | 300 | |
internal.identifier.ddc | 301 | |
dc.identifier.doi | https://doi.org/10.1186/s10194-020-01099-1 | de |
dc.description.pubstatus | Published Version | en |
dc.description.pubstatus | Veröffentlichungsversion | de |
internal.identifier.licence | 16 | |
internal.identifier.pubstatus | 1 | |
internal.identifier.review | 1 | |
internal.pdf.wellformed | true | |
internal.pdf.encrypted | false | |