Social inequalities among inpatients with non-specific chronic low back pain in medical rehabilitation. A secondary analysis from a randomised controlled trial.
Background: Research has shown social inequalities in health parameters in the general population, but there is a lack of evidence in medical rehabilitation. Objective: To investigate social inequalities in the utilisation and process of rehabilitation among people with non-specific chronic low back...
| Publicado en: | Journal of Back & Musculoskeletal Rehabilitation Vol. 38; no. 5; pp. 1165 - 1174 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Sep2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187310774&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187310774 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538127 3MD jtl: Journal of Back & Musculoskeletal Rehabilitation issn: 10538127 maglogo: N pubinfo: dt: Sep2025 vid: 38 iid: 5 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 187310774 185180712 185180713 187310774 187310774 10.1177/10538127251326157 187310774 ppf: 1165 ppct: 9 formats: tig: atl: Social inequalities among inpatients with non-specific chronic low back pain in medical rehabilitation. A secondary analysis from a randomised controlled trial. aug: au: Hampel, Petra Dadaczynski, Kevin affil: Department of Health Psychology and Health Education, Institute of Health and Nutrition Sciences, Europa-Universität Flensburg, Flensburg, Germany sug: subj: Chronic Pain Rehabilitation Low Back Pain Rehabilitation Social Class Psychological Distress Multidisciplinary Care Team Socioeconomic Factors Pain Management Human Secondary Analysis Inpatients Multicenter Studies Self-Efficacy Health Inequities Health Literacy Coping Stress, Occupational Cross Sectional Studies Female Male Adult Middle Age Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Background: Research has shown social inequalities in health parameters in the general population, but there is a lack of evidence in medical rehabilitation. Objective: To investigate social inequalities in the utilisation and process of rehabilitation among people with non-specific chronic low back pain (CLBP) and multiple psychological strains undergoing inpatient multidisciplinary orthopaedic rehabilitation (MOR). Methods: This multicentre study enrolled 910 patients with non-specific CLBP (ICD-10: M51/53/54) and examined the differences in self-initiative to attend rehabilitation, and psychological, work-related, and pain-related parameters prior to MOR stratified by the social class index (lower, middle, upper class). Moreover, socioeconomic differences were investigated in the frequency distributions of psychosocial cut-off scores before rehabilitation, indicating the clinical relevance of the social class index. Results: Compared with patients in both higher classes, patients in the lower class showed significantly lower self-initiative for rehabilitation as well as unfavourable values for pain self-efficacy and work-related and pain-related parameters. Conclusions: Health-related inequalities in the inpatient MOR of non-specific CLBP were supported. To promote better health equity, patients should be allocated to rehabilitation according to their needs and individually strengthened in terms of their self-efficacy, health literacy, and ability to cope with pain and work-related stress. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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