Health anxiety is an important driver of healthcare use
BACKGROUND: Healthcare use is increasing, and health anxiety (HA) is recognized as an important associated factor. Previous research on the association between HA and healthcare use has mostly explored HA as a dichotomous construct, which contrasts the understanding of HA as a continuous construct,...
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ftpubmed:oai:pubmedcentral.nih.gov:8812228 2023-05-15T18:34:55+02:00 Health anxiety is an important driver of healthcare use Norbye, Anja Davis Abelsen, Birgit Førde, Olav Helge Ringberg, Unni 2022-02-02 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8812228/ http://www.ncbi.nlm.nih.gov/pubmed/35109834 https://doi.org/10.1186/s12913-022-07529-x en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8812228/ http://www.ncbi.nlm.nih.gov/pubmed/35109834 http://dx.doi.org/10.1186/s12913-022-07529-x © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. CC0 PDM CC-BY BMC Health Serv Res Research Text 2022 ftpubmed https://doi.org/10.1186/s12913-022-07529-x 2022-02-13T01:35:39Z BACKGROUND: Healthcare use is increasing, and health anxiety (HA) is recognized as an important associated factor. Previous research on the association between HA and healthcare use has mostly explored HA as a dichotomous construct, which contrasts the understanding of HA as a continuous construct, and compared healthcare use to non-use. There is a need for studies that examine the association between healthcare use and the continuum of HA in a general population. AIM: To explore the association between HA and primary, somatic specialist and mental specialist healthcare use and any differences in the association by level of healthcare use. METHODS: This study used cross-sectional data from the seventh Tromsø study. Eighteen thousand nine hundred sixty-seven participants aged 40 years or older self-reported their primary, somatic specialist and mental specialist healthcare use over the past 12 months. Each health service was categorized into 5 groups according to the level of use. The Whiteley Index-6 (WI-6) was used to measure HA on a 5-point Likert scale, with a total score range of 0–24. Analyses were conducted using unconstrained continuation-ratio logistic regression, in which each level of healthcare use was compared with all lower levels. Morbidity, demographics and social variables were included as confounders. RESULTS: HA was positively associated with increased utilization of primary, somatic specialist and mental specialist healthcare. Adjusting for confounders, including physical and mental morbidity, did not alter the significant association. For primary and somatic specialist healthcare, each one-point increase in WI-6 score yielded a progressively increased odds ratio (OR) of a higher level of use compared to all lower levels. The ORs ranged from 1.06 to 1.15 and 1.05 to 1.14 for primary and somatic specialist healthcare, respectively. For mental specialist healthcare use, the OR was more constant across levels of use, ranging between 1.06 and 1.08. CONCLUSIONS: In an adult general population, HA, ... Text Tromsø PubMed Central (PMC) Tromsø BMC Health Services Research 22 1 |
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Research Norbye, Anja Davis Abelsen, Birgit Førde, Olav Helge Ringberg, Unni Health anxiety is an important driver of healthcare use |
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Research |
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BACKGROUND: Healthcare use is increasing, and health anxiety (HA) is recognized as an important associated factor. Previous research on the association between HA and healthcare use has mostly explored HA as a dichotomous construct, which contrasts the understanding of HA as a continuous construct, and compared healthcare use to non-use. There is a need for studies that examine the association between healthcare use and the continuum of HA in a general population. AIM: To explore the association between HA and primary, somatic specialist and mental specialist healthcare use and any differences in the association by level of healthcare use. METHODS: This study used cross-sectional data from the seventh Tromsø study. Eighteen thousand nine hundred sixty-seven participants aged 40 years or older self-reported their primary, somatic specialist and mental specialist healthcare use over the past 12 months. Each health service was categorized into 5 groups according to the level of use. The Whiteley Index-6 (WI-6) was used to measure HA on a 5-point Likert scale, with a total score range of 0–24. Analyses were conducted using unconstrained continuation-ratio logistic regression, in which each level of healthcare use was compared with all lower levels. Morbidity, demographics and social variables were included as confounders. RESULTS: HA was positively associated with increased utilization of primary, somatic specialist and mental specialist healthcare. Adjusting for confounders, including physical and mental morbidity, did not alter the significant association. For primary and somatic specialist healthcare, each one-point increase in WI-6 score yielded a progressively increased odds ratio (OR) of a higher level of use compared to all lower levels. The ORs ranged from 1.06 to 1.15 and 1.05 to 1.14 for primary and somatic specialist healthcare, respectively. For mental specialist healthcare use, the OR was more constant across levels of use, ranging between 1.06 and 1.08. CONCLUSIONS: In an adult general population, HA, ... |
format |
Text |
author |
Norbye, Anja Davis Abelsen, Birgit Førde, Olav Helge Ringberg, Unni |
author_facet |
Norbye, Anja Davis Abelsen, Birgit Førde, Olav Helge Ringberg, Unni |
author_sort |
Norbye, Anja Davis |
title |
Health anxiety is an important driver of healthcare use |
title_short |
Health anxiety is an important driver of healthcare use |
title_full |
Health anxiety is an important driver of healthcare use |
title_fullStr |
Health anxiety is an important driver of healthcare use |
title_full_unstemmed |
Health anxiety is an important driver of healthcare use |
title_sort |
health anxiety is an important driver of healthcare use |
publisher |
BioMed Central |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8812228/ http://www.ncbi.nlm.nih.gov/pubmed/35109834 https://doi.org/10.1186/s12913-022-07529-x |
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Tromsø |
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Tromsø |
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Tromsø |
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Tromsø |
op_source |
BMC Health Serv Res |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8812228/ http://www.ncbi.nlm.nih.gov/pubmed/35109834 http://dx.doi.org/10.1186/s12913-022-07529-x |
op_rights |
© The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
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CC0 PDM CC-BY |
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https://doi.org/10.1186/s12913-022-07529-x |
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BMC Health Services Research |
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22 |
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1 |
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