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Socioeconomic status predicts functional disability in patients participating in a back pain trial
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Moffett, J. A. Klaber, Underwood, M. (Martin) M.D. and Gardiner, E. D.. (2009) Socioeconomic status predicts functional disability in patients participating in a back pain trial. Disability and Rehabilitation, Vol.31 (No.10). pp. 783-790. ISSN 0963-8288
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Official URL: http://dx.doi.org/10.1080/09638280802309327
Abstract
Purpose. To investigate whether socioeconomic status in patients with back pain participating in a randomised controlled trial was predictive of functional disability (Roland Disability Questionnaire, RDQ).
Method. Secondary analysis of data (n=949) from a national primary care trial of physical treatments for back pain (UKBEAM trial) using multilevel modelling. The three indicators were Townsend scores, educational levels and work status
Results. All indicators were significant predictors of outcome after adjusting for baseline variables. As Townsend scores increased (indicating greater deprivation) RDQ scores (functional disability related to back pain) increased. Lower levels of educational attainment were associated with higher RDQ scores. Those 'Not in Work' reported markedly higher levels of RDQ scores which increased over time. There was no evidence that one particular treatment was more suitable for participants of different socioeconomic status.
Conclusions. The findings from this study add to the body of literature which suggests the importance of socioeconomic factors as an influence on health, including resultant disability related to chronic musculoskeletal conditions such as back pain. Work status was particularly dominant in our findings and may suggest that helping patients with back pain back to work where appropriate, is an especially important part of the management process.
| Item Type: | Journal Article | ||||
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| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > R Medicine (General) R Medicine > RM Therapeutics. Pharmacology |
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Backache -- Patients -- Social conditions, Backache -- Patients -- Economic conditions, Social medicine, Clinical trials | ||||
| Journal or Publication Title: | Disability and Rehabilitation | ||||
| Publisher: | Taylor & Francis Ltd. | ||||
| ISSN: | 0963-8288 | ||||
| Official Date: | January 2009 | ||||
| Dates: |
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| Volume: | Vol.31 | ||||
| Number: | No.10 | ||||
| Number of Pages: | 8 | ||||
| Page Range: | pp. 783-790 | ||||
| Identification Number: | 10.1080/09638280802309327 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Funder: | Medical Research Council (Great Britain) (MRC), NHS R & D HTA Programme (Great Britain) | ||||
| URI: | http://wrap.warwick.ac.uk/id/eprint/27609 |
Data sourced from Thomson Reuters' Web of Knowledge
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