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Sex differences in consequences of musculoskeletal pain.

机译：性别差异导致肌肉骨骼疼痛。

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STUDY DESIGN: Cross-sectional population-based study. OBJECTIVE: To study sex differences in consequences of musculoskeletal pain (MP): limited functioning, work leave or disability, and healthcare use. SUMMARY OF BACKGROUND DATA: MP is a major public health problem in developed countries due to high prevalence rates and considerable consequences. There are indications that consequences of MP differ for men and women. METHODS: Data of a Dutch population-based study were used, limited to persons 25 to 64 years of age (n = 2517). Data were collected by a postal questionnaire. RESULTS: Women with any MP report more healthcare use for MP, i.e., contact with a medical caregiver and use of medicines than men, while men report more work disability (ever in life) due to low back pain only, irrespective of work status. None of the sex differences can be explained by age, household composition, educational level, smoking status, overweight, physical activity, and pain catastrophizing. Older age was related to more limited functioning due to MP (women), work disability due to MP (men), and healthcare use due to MP (men and women). A one-person household was associated with work disability (women) and use of medicines (men). Low educational level was associated with limited functioning (men), work leave (men), contact with a medical caregiver (men), and work disability (men and women). Smoking was associated with limited functioning (men), work leave (women), and healthcare use (women). Physical inactivity was associated with limited functioning due to MP in women. Pain catastrophizing was associated with limited functioning, work leave, and healthcare use (men and women) and work disability (men). CONCLUSIONS: Consequences of MP show a slightly different pattern for men and women. Women with any MPreport more healthcare use for MP, while men report more work disability due to low back pain only. These sex differences can not be explained by general risk factors, but associations between these factors and consequences of MP show some sex differences.
机译：研究设计：基于人群的横断面研究。目的：研究在肌肉骨骼疼痛（MP）后果中的性别差异：功能受限，工作假或残疾以及医疗保健使用。背景数据概述：由于高流行率和严重后果，MP是发达国家的主要公共卫生问题。有迹象表明，MP对男人和女人的影响不同。方法：使用基于荷兰人群的研究数据，限于25至64岁（n = 2517）的人群。数据通过邮政调查表收集。结果：患有MP的女性报告称其与MP相比具有更多的医疗保健用途，即与医疗照护者接触和使用药物的比例高于男性，而男性仅由于腰痛而报告了更多的工作残障（终身），而与工作状态无关。性别，年龄，家庭组成，教育程度，吸烟状况，超重，体育锻炼和痛苦的灾难性都不能解释性别差异。老年人与MP（女性），功能障碍（MP）（男性）和MP（男性和女性）导致的医疗保健使用有关。一个单人家庭与工作残疾（妇女）和药物使用（男子）有关。文化程度低与功能受限（男性），工作休假（男性），与医疗人员接触（男性）和工作残障（男性和女性）有关。吸烟与功能受限（男性），工作假（女性）和医疗保健用途（女性）相关。缺乏运动与妇女MP导致的功能受限有关。痛苦的灾难性疾病与功能受限，工作假，医疗保健使用（男性和女性）和工作残疾（男性）有关。结论：MP的后果显示出男性和女性的模式略有不同。拥有MP的女性报告说MP会更多地用于医疗保健，而男性仅因腰痛而报告更多的工作残障。这些性别差异不能由一般危险因素解释，但这些因素与MP后果之间的关联显示出某些性别差异。

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