FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2184554515> ?p ?o ?g. }

• W2184554515 abstract "Chronic pain is a major public health problem. Increased healthcare utilization by individuals with pain puts enormous burden on financial and health resources. There is extremely limited understanding of psychosocial factors that affect healthcare use and prescription of opioids in individuals who experience heightened healthcare disparities associated with being African-American, having low income, and with rural residency. Health disparities research indicates that rural residency and low socioeconomic status are associated with greater self-reported pain levels. It is logical to expect then that this would be associated with increased needs for health services. However, at the same time, these very variables function as barriers in accessing health care. This disparity between greater need and limited access in turn creates greater distress. Further complicating the picture is the rapidly emerging concern about the misuse of prescription opioids in rural areas. As a result, empirical inquiry has started focusing on the variables influencing the likelihood of receiving opioid prescriptions in rural areas. The understanding of psychosocial factors affecting healthcare use and prescription of opioids in individuals who experience heightened healthcare disparities associated with being African-American, low-income, and living in rural areas remains extremely limited. The primary aim of this study was to examine the demographic and psychosocial variables that affect health services use in a rural, low-income population with chronic pain. Secondarily, the influence of these same variables on receiving prescription for opioids was examined.Healthcare use during a 3 month period, prescription analgesics, as well as medical comorbidities were obtained from the medical records of 64 patients with chronic pain. The participants were enrolling in an upcoming psychosocial intervention offered at two rural federally qualified health centers in a south-eastern state in the USA. For the present study, these participants consented to have their medical records reviewed for the 3 months prior to beginning the intervention protocol. Additionally, the pre-treatment (baseline) assessments were used in the present analyses. Demographic information, including age, sex, and education level, as well as measures of pain intensity, depressive symptoms, pain-related disability, and pain catastrophizing were collected.The participants were rural residents in medically underserved counties, primarily female (73.4%) and African-American (67.2%), and approximately 77% reported annual household income of less than $13,000. A majority had medical comorbidities, including diabetes mellitus (46.89%), cardiovascular disorders (29.7%), chronic renal disorder (14.1%), and asthma (6.3%). Approximately 30% had a diagnosis of depression. Demographic variables such as age, sex, and ethnicity did not influence the healthcare use or prescription of opioids. Depressive symptoms uniquely influenced health services use, with higher scores predicting greater health services utilization. In addition, those with a diagnosis of depression (per medical records) and those with a higher number of medical comorbidities were more likely to receive prescription opioids.This study adds to the current understanding of the factors affecting healthcare use and prescription of opioids in low-income individuals living in rural areas with chronic pain receiving treatment at federally qualified health centers. Since healthcare use was predicted by depressive symptoms and the prescription of opioids by a clinical diagnosis of depression, screening for depression is advised as part of the standard care of patients with pain, ideally with follow-up assessments and treatment of depression as necessary. Furthermore, making psychosocial interventions more available at rural healthcare centers may help in lowering psychological distress, which may have the ultimate effect of reducing opioid prescriptions for this subset of patients." @default.
• W2184554515 created "2016-06-24" @default.
• W2184554515 creator A5020318768 @default.
• W2184554515 creator A5020607392 @default.
• W2184554515 date "2014-09-09" @default.
• W2184554515 modified "2023-09-25" @default.
• W2184554515 title "Healthcare use and prescription of opioids in rural residents with pain" @default.
• W2184554515 cites W100098653 @default.
• W2184554515 cites W1503015181 @default.
• W2184554515 cites W1678077329 @default.
• W2184554515 cites W1923247157 @default.
• W2184554515 cites W1973826686 @default.
• W2184554515 cites W1975989808 @default.
• W2184554515 cites W1982031448 @default.
• W2184554515 cites W1982207092 @default.
• W2184554515 cites W1982223091 @default.
• W2184554515 cites W1989067367 @default.
• W2184554515 cites W1994544012 @default.
• W2184554515 cites W1995349186 @default.
• W2184554515 cites W2008674628 @default.
• W2184554515 cites W2011536372 @default.
• W2184554515 cites W2014263981 @default.
• W2184554515 cites W2022297662 @default.
• W2184554515 cites W2023541866 @default.
• W2184554515 cites W2024830167 @default.
• W2184554515 cites W2034948738 @default.
• W2184554515 cites W2035582164 @default.
• W2184554515 cites W2044595147 @default.
• W2184554515 cites W2044629812 @default.
• W2184554515 cites W2045384000 @default.
• W2184554515 cites W2050718087 @default.
• W2184554515 cites W2054218241 @default.
• W2184554515 cites W2066361610 @default.
• W2184554515 cites W2066553562 @default.
• W2184554515 cites W2069802456 @default.
• W2184554515 cites W2073159163 @default.
• W2184554515 cites W2079335027 @default.
• W2184554515 cites W2079940746 @default.
• W2184554515 cites W2080902960 @default.
• W2184554515 cites W2090003700 @default.
• W2184554515 cites W2090902762 @default.
• W2184554515 cites W2092595181 @default.
• W2184554515 cites W2096157711 @default.
• W2184554515 cites W2100360240 @default.
• W2184554515 cites W2103637716 @default.
• W2184554515 cites W2112778345 @default.
• W2184554515 cites W2126821919 @default.
• W2184554515 cites W2133624078 @default.
• W2184554515 cites W2144694293 @default.
• W2184554515 cites W2160662805 @default.
• W2184554515 cites W2163607991 @default.
• W2184554515 cites W2165031550 @default.
• W2184554515 cites W2169168414 @default.
• W2184554515 cites W2320909684 @default.
• W2184554515 cites W2335166482 @default.
• W2184554515 cites W2568896786 @default.
• W2184554515 cites W63902757 @default.
• W2184554515 doi "https://doi.org/10.22605/rrh2879" @default.
• W2184554515 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25204693" @default.
• W2184554515 hasPublicationYear "2014" @default.
• W2184554515 type Work @default.
• W2184554515 sameAs 2184554515 @default.
• W2184554515 citedByCount "13" @default.
• W2184554515 countsByYear W21845545152015 @default.
• W2184554515 countsByYear W21845545152017 @default.
• W2184554515 countsByYear W21845545152018 @default.
• W2184554515 countsByYear W21845545152019 @default.
• W2184554515 countsByYear W21845545152020 @default.
• W2184554515 countsByYear W21845545152022 @default.
• W2184554515 countsByYear W21845545152023 @default.
• W2184554515 crossrefType "journal-article" @default.
• W2184554515 hasAuthorship W2184554515A5020318768 @default.
• W2184554515 hasAuthorship W2184554515A5020607392 @default.
• W2184554515 hasBestOaLocation W21845545151 @default.
• W2184554515 hasConcept C118552586 @default.
• W2184554515 hasConcept C129047720 @default.
• W2184554515 hasConcept C138816342 @default.
• W2184554515 hasConcept C142724271 @default.
• W2184554515 hasConcept C147077947 @default.
• W2184554515 hasConcept C150966472 @default.
• W2184554515 hasConcept C159110408 @default.
• W2184554515 hasConcept C160735492 @default.
• W2184554515 hasConcept C162324750 @default.
• W2184554515 hasConcept C2250968 @default.
• W2184554515 hasConcept C2426938 @default.
• W2184554515 hasConcept C2781118164 @default.
• W2184554515 hasConcept C2908647359 @default.
• W2184554515 hasConcept C50522688 @default.
• W2184554515 hasConcept C512399662 @default.
• W2184554515 hasConcept C71924100 @default.
• W2184554515 hasConcept C99454951 @default.
• W2184554515 hasConceptScore W2184554515C118552586 @default.
• W2184554515 hasConceptScore W2184554515C129047720 @default.
• W2184554515 hasConceptScore W2184554515C138816342 @default.
• W2184554515 hasConceptScore W2184554515C142724271 @default.
• W2184554515 hasConceptScore W2184554515C147077947 @default.
• W2184554515 hasConceptScore W2184554515C150966472 @default.
• W2184554515 hasConceptScore W2184554515C159110408 @default.
• W2184554515 hasConceptScore W2184554515C160735492 @default.
• W2184554515 hasConceptScore W2184554515C162324750 @default.

• next