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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ftunivtroemsoe:oai:munin.uit.no:10037/24571 2023-05-15T18:34:53+02:00 Health anxiety is an important driver of healthcare use Norbye, Anja Margrete Davis Abelsen, Birgit Førde, Olav Helge Ringberg, Unni 2022-02-02 https://hdl.handle.net/10037/24571 https://doi.org/10.1186/s12913-022-07529-x eng eng BMC Norbye, A.D. (2022). Health anxiety as a continuous construct in the general population - measuring the distribution of health anxiety and the associations with healthcare use, physical disease and cardiovascular risk factors. (Doctoral thesis). https://hdl.handle.net/10037/27090 . BMC Health Services Research Norbye AD, Abelsen B, Førde oh, Ringberg U. Health anxiety is an important driver of healthcare use. BMC Health Services Research. 2022;22(1) FRIDAID 1997919 doi:10.1186/s12913-022-07529-x 1472-6963 https://hdl.handle.net/10037/24571 openAccess Copyright 2022 The Author(s) Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2022 ftunivtroemsoe https://doi.org/10.1186/s12913-022-07529-x 2022-10-26T23:01:05Z 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 diferences 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 12months. 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 signifcant 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, as ... Article in Journal/Newspaper Tromsø University of Tromsø: Munin Open Research Archive Tromsø BMC Health Services Research 22 1 |
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University of Tromsø: Munin Open Research Archive |
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English |
description |
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 diferences 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 12months. 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 signifcant 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, as ... |
format |
Article in Journal/Newspaper |
author |
Norbye, Anja Margrete Davis Abelsen, Birgit Førde, Olav Helge Ringberg, Unni |
spellingShingle |
Norbye, Anja Margrete Davis Abelsen, Birgit Førde, Olav Helge Ringberg, Unni Health anxiety is an important driver of healthcare use |
author_facet |
Norbye, Anja Margrete Davis Abelsen, Birgit Førde, Olav Helge Ringberg, Unni |
author_sort |
Norbye, Anja Margrete 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 |
BMC |
publishDate |
2022 |
url |
https://hdl.handle.net/10037/24571 https://doi.org/10.1186/s12913-022-07529-x |
geographic |
Tromsø |
geographic_facet |
Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_relation |
Norbye, A.D. (2022). Health anxiety as a continuous construct in the general population - measuring the distribution of health anxiety and the associations with healthcare use, physical disease and cardiovascular risk factors. (Doctoral thesis). https://hdl.handle.net/10037/27090 . BMC Health Services Research Norbye AD, Abelsen B, Førde oh, Ringberg U. Health anxiety is an important driver of healthcare use. BMC Health Services Research. 2022;22(1) FRIDAID 1997919 doi:10.1186/s12913-022-07529-x 1472-6963 https://hdl.handle.net/10037/24571 |
op_rights |
openAccess Copyright 2022 The Author(s) |
op_doi |
https://doi.org/10.1186/s12913-022-07529-x |
container_title |
BMC Health Services Research |
container_volume |
22 |
container_issue |
1 |
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1766219855642492928 |