Pain as a reason for primary care visits: Cross-sectional survey in a rural and periurban health clinic in the Eastern Cape, South Africa
Background: The burden of pain in primary care has not been described for South Africa. This study aimed to determine the prevalence of pain in primary care and to characterise pain among adult patients attending a rural and a periurban clinic in the Eastern Cape (EC) Province. Method: A cross-sec...
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| Language: | English |
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AOSIS
2012-06-01
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| Series: | South African Family Practice |
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| Online Access: | https://safpj.co.za/index.php/safpj/article/view/1784 |
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| author | E.U. Igumbor T. Puoane S.A. Gansky O. Plesh |
| author_facet | E.U. Igumbor T. Puoane S.A. Gansky O. Plesh |
| author_sort | E.U. Igumbor |
| collection | DOAJ |
| description | Background: The burden of pain in primary care has not been described for South Africa. This study aimed to determine the prevalence of pain in primary care and to characterise pain among adult patients attending a rural and a periurban clinic in the Eastern Cape (EC) Province.
Method: A cross-sectional descriptive survey was conducted among adult patients attending a rural and periurban clinic over four days. Consecutive patients were asked whether they were in the clinic because of pain and whether the pain was the major reason for their visit. Pain was characterised using an adaptation of the Brief Pain Inventory and the Pain Disability Index. The prevalence percentage and the 95% confidence interval (CI) of pain were estimated, and the relationship with demographic variables was determined at a significance level of P 0.05.
Results: Seven hundred and ninety-six adult patients were interviewed, representing a response rate of 97.4%. Almost three-quarters (74.6%; 95% CI: 63.2-81.4%) reported visiting the clinic because of pain. Pain was the primary reason for 393 (49.4%; 95% CI: 32.1-61.0%) visits and was secondary in 201 (25.3%; 95% CI: 12.8-33.7%) visits. The common sites of pain were the head, back and chest. The median pain score was eight on a scale of 0-10 (interquartile range: 6-8). Respondents experienced limitations in a number of activities of daily living as a result of pain.
Conclusion: Pain is a central problem in public primary care settings in the EC Province and must therefore be a priority area for primary care research. Strategies are needed to develop to improve pain management at primary care level in the province. |
| format | Article |
| id | doaj-art-307be89d8a1f4cb5901a10b5bb1a7065 |
| institution | Kabale University |
| issn | 2078-6190 2078-6204 |
| language | English |
| publishDate | 2012-06-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Family Practice |
| spelling | doaj-art-307be89d8a1f4cb5901a10b5bb1a70652025-08-20T03:43:47ZengAOSISSouth African Family Practice2078-61902078-62042012-06-0154310.1080/20786204.2012.108742244763Pain as a reason for primary care visits: Cross-sectional survey in a rural and periurban health clinic in the Eastern Cape, South AfricaE.U. Igumbor0T. Puoane1S.A. Gansky2O. Plesh3School of Public Health, University of the Western CapeSchool of Public Health, University of the Western CapeSchool of Dentistry, University of CaliforniaSchool of Dentistry, University of CaliforniaBackground: The burden of pain in primary care has not been described for South Africa. This study aimed to determine the prevalence of pain in primary care and to characterise pain among adult patients attending a rural and a periurban clinic in the Eastern Cape (EC) Province. Method: A cross-sectional descriptive survey was conducted among adult patients attending a rural and periurban clinic over four days. Consecutive patients were asked whether they were in the clinic because of pain and whether the pain was the major reason for their visit. Pain was characterised using an adaptation of the Brief Pain Inventory and the Pain Disability Index. The prevalence percentage and the 95% confidence interval (CI) of pain were estimated, and the relationship with demographic variables was determined at a significance level of P 0.05. Results: Seven hundred and ninety-six adult patients were interviewed, representing a response rate of 97.4%. Almost three-quarters (74.6%; 95% CI: 63.2-81.4%) reported visiting the clinic because of pain. Pain was the primary reason for 393 (49.4%; 95% CI: 32.1-61.0%) visits and was secondary in 201 (25.3%; 95% CI: 12.8-33.7%) visits. The common sites of pain were the head, back and chest. The median pain score was eight on a scale of 0-10 (interquartile range: 6-8). Respondents experienced limitations in a number of activities of daily living as a result of pain. Conclusion: Pain is a central problem in public primary care settings in the EC Province and must therefore be a priority area for primary care research. Strategies are needed to develop to improve pain management at primary care level in the province.https://safpj.co.za/index.php/safpj/article/view/1784painconsultationprimary careclinic visitseastern cape provincesouth africa |
| spellingShingle | E.U. Igumbor T. Puoane S.A. Gansky O. Plesh Pain as a reason for primary care visits: Cross-sectional survey in a rural and periurban health clinic in the Eastern Cape, South Africa South African Family Practice pain consultation primary care clinic visits eastern cape province south africa |
| title | Pain as a reason for primary care visits: Cross-sectional survey in a rural and periurban health clinic in the Eastern Cape, South Africa |
| title_full | Pain as a reason for primary care visits: Cross-sectional survey in a rural and periurban health clinic in the Eastern Cape, South Africa |
| title_fullStr | Pain as a reason for primary care visits: Cross-sectional survey in a rural and periurban health clinic in the Eastern Cape, South Africa |
| title_full_unstemmed | Pain as a reason for primary care visits: Cross-sectional survey in a rural and periurban health clinic in the Eastern Cape, South Africa |
| title_short | Pain as a reason for primary care visits: Cross-sectional survey in a rural and periurban health clinic in the Eastern Cape, South Africa |
| title_sort | pain as a reason for primary care visits cross sectional survey in a rural and periurban health clinic in the eastern cape south africa |
| topic | pain consultation primary care clinic visits eastern cape province south africa |
| url | https://safpj.co.za/index.php/safpj/article/view/1784 |
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