Vis enkel innførsel

dc.contributor.authorNorbye, Anja Margrete Davis
dc.contributor.authorAbelsen, Birgit
dc.contributor.authorFørde, Olav Helge
dc.contributor.authorRingberg, Unni
dc.date.accessioned2022-03-25T13:47:49Z
dc.date.available2022-03-25T13:47:49Z
dc.date.issued2022-02-02
dc.description.abstractBackground: 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.<p> 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.<p> 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.<p> 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.<p> Conclusions: In an adult general population, HA, as a continuous construct, was signifcantly and positively associated with primary, somatic specialist and mental healthcare use. A small increase in HA was associated with progressively increased healthcare use across the three health services, indicating that the impact of HA is more prominent with higher healthcare use.en_US
dc.identifier.citationNorbye AD, Abelsen B, Førde oh, Ringberg U. Health anxiety is an important driver of healthcare use. BMC Health Services Research. 2022;22(1)en_US
dc.identifier.cristinIDFRIDAID 1997919
dc.identifier.doi10.1186/s12913-022-07529-x
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/10037/24571
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.ispartofNorbye, 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). <a href=https://hdl.handle.net/10037/27090>https://hdl.handle.net/10037/27090</a>.
dc.relation.journalBMC Health Services Research
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.titleHealth anxiety is an important driver of healthcare useen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


Tilhørende fil(er)

Thumbnail

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel