Low-Educated Women with Chronic Pain Were Less Often Selected to Multidisciplinary Rehabilitation Programs
Background: There is a lack of research about a potential education-related bias in assessment of patients with chronic pain. The aim of this study was to analyze whether low-educated men and women with chronic pain were less often selected to multidisciplinary rehabilitation than those with high ed...
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Umeå universitet, Allmänmedicin
2014
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ftumeauniv:oai:DiVA.org:umu-90849 2023-10-09T21:54:34+02:00 Low-Educated Women with Chronic Pain Were Less Often Selected to Multidisciplinary Rehabilitation Programs Hammarström, Anne Haukenes, Inger Fjellman Wiklund, Anncristine Lehti, Arja Wiklund, Maria Evengard, Birgitta Stålnacke, Britt-Marie 2014 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-90849 https://doi.org/10.1371/journal.pone.0097134 eng eng Umeå universitet, Allmänmedicin Umeå universitet, Fysioterapi Umeå universitet, Institutionen för samhällsmedicin och rehabilitering Umeå universitet, Professionell utveckling Umeå universitet, Infektionssjukdomar Umeå universitet, Rehabiliteringsmedicin PLOS ONE, 2014, 9:5, http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-90849 doi:10.1371/journal.pone.0097134 ISI:000336730600022 Scopus 2-s2.0-84901317856 info:eu-repo/semantics/openAccess Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Article in journal info:eu-repo/semantics/article text 2014 ftumeauniv https://doi.org/10.1371/journal.pone.0097134 2023-09-22T13:57:34Z Background: There is a lack of research about a potential education-related bias in assessment of patients with chronic pain. The aim of this study was to analyze whether low-educated men and women with chronic pain were less often selected to multidisciplinary rehabilitation than those with high education. Methods: The population consisted of consecutive patients (n = 595 women, 266 men) referred during a three-year period from mainly primary health care centers for a multidisciplinary team assessment at a pain rehabilitation clinic at a university hospital in Northern Sweden. Patient data were collected from the Swedish Quality Registry for Pain Rehabilitation National Pain Register. The outcome variable was being selected by the multidisciplinary team assessment to a multidisciplinary rehabilitation program. The independent variables were: sex, age, born outside Sweden, education, pain severity as well as the hospital, anxiety and depression scale (HADS). Results: Low-educated women were less often selected to multidisciplinary rehabilitation programs than high-educated women (OR 0.55, CI 0.30-0.98), even after control for age, being born outside Sweden, pain intensity and HADS. No significant findings were found when comparing the results between high-and low-educated men. Conclusion: Our findings can be interpreted as possible discrimination against low-educated women with chronic pain in hospital referrals to pain rehabilitation. There is a need for more gender-theoretical research emphasizing the importance of taking several power dimensions into account when analyzing possible bias in health care. Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) PLoS ONE 9 5 e97134 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
spellingShingle |
Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Hammarström, Anne Haukenes, Inger Fjellman Wiklund, Anncristine Lehti, Arja Wiklund, Maria Evengard, Birgitta Stålnacke, Britt-Marie Low-Educated Women with Chronic Pain Were Less Often Selected to Multidisciplinary Rehabilitation Programs |
topic_facet |
Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
description |
Background: There is a lack of research about a potential education-related bias in assessment of patients with chronic pain. The aim of this study was to analyze whether low-educated men and women with chronic pain were less often selected to multidisciplinary rehabilitation than those with high education. Methods: The population consisted of consecutive patients (n = 595 women, 266 men) referred during a three-year period from mainly primary health care centers for a multidisciplinary team assessment at a pain rehabilitation clinic at a university hospital in Northern Sweden. Patient data were collected from the Swedish Quality Registry for Pain Rehabilitation National Pain Register. The outcome variable was being selected by the multidisciplinary team assessment to a multidisciplinary rehabilitation program. The independent variables were: sex, age, born outside Sweden, education, pain severity as well as the hospital, anxiety and depression scale (HADS). Results: Low-educated women were less often selected to multidisciplinary rehabilitation programs than high-educated women (OR 0.55, CI 0.30-0.98), even after control for age, being born outside Sweden, pain intensity and HADS. No significant findings were found when comparing the results between high-and low-educated men. Conclusion: Our findings can be interpreted as possible discrimination against low-educated women with chronic pain in hospital referrals to pain rehabilitation. There is a need for more gender-theoretical research emphasizing the importance of taking several power dimensions into account when analyzing possible bias in health care. |
format |
Article in Journal/Newspaper |
author |
Hammarström, Anne Haukenes, Inger Fjellman Wiklund, Anncristine Lehti, Arja Wiklund, Maria Evengard, Birgitta Stålnacke, Britt-Marie |
author_facet |
Hammarström, Anne Haukenes, Inger Fjellman Wiklund, Anncristine Lehti, Arja Wiklund, Maria Evengard, Birgitta Stålnacke, Britt-Marie |
author_sort |
Hammarström, Anne |
title |
Low-Educated Women with Chronic Pain Were Less Often Selected to Multidisciplinary Rehabilitation Programs |
title_short |
Low-Educated Women with Chronic Pain Were Less Often Selected to Multidisciplinary Rehabilitation Programs |
title_full |
Low-Educated Women with Chronic Pain Were Less Often Selected to Multidisciplinary Rehabilitation Programs |
title_fullStr |
Low-Educated Women with Chronic Pain Were Less Often Selected to Multidisciplinary Rehabilitation Programs |
title_full_unstemmed |
Low-Educated Women with Chronic Pain Were Less Often Selected to Multidisciplinary Rehabilitation Programs |
title_sort |
low-educated women with chronic pain were less often selected to multidisciplinary rehabilitation programs |
publisher |
Umeå universitet, Allmänmedicin |
publishDate |
2014 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-90849 https://doi.org/10.1371/journal.pone.0097134 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
PLOS ONE, 2014, 9:5, http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-90849 doi:10.1371/journal.pone.0097134 ISI:000336730600022 Scopus 2-s2.0-84901317856 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1371/journal.pone.0097134 |
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PLoS ONE |
container_volume |
9 |
container_issue |
5 |
container_start_page |
e97134 |
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