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Determinants of healthcare utilisation for low back pain: a population-based study in Ethiopia


Beyera, GK and O'Brien, J and Campbell, S, Determinants of healthcare utilisation for low back pain: a population-based study in Ethiopia, Health and Social Care in The Community, 28, (3) pp. 1058-1070. ISSN 0966-0410 (2020) [Refereed Article]

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Copyright Statement

Copyright 2020 John Wiley & Sons Ltd.

DOI: doi:10.1111/hsc.12939


Low back pain (LBP) remains one of the major public health problems worldwide. However, in low-income countries, such as those in Africa, the epidemiological data on healthcare utilisation for LBP are lacking due to more pressing problems such as infectious diseases, to which the majority of health resources are channelled. Therefore, this study aimed at investigating the determinants of healthcare utilisation for LBP in the general population of Ethiopia. A population-based cross-sectional study was conducted in South-West Shewa zone of Ethiopia from June to November 2018. The data were collected by interviewing adults with LBP (n = 1812, randomly selected) using a psychometrically tested and validated instrument, analysed using R version 3.5.1. A log-binomial regression model was used to determine the prevalence ratio with a 95% confidence interval (CI) in identifying factors associated with healthcare utilisation for LBP. Estimates of population parameters were also presented with 95% CIs and p values. For all applications of inferential statistics, a p value of ≤.05 was taken as the significance level. The lifetime prevalence of healthcare utilisation for LBP was 36.1%, 95% CI: 33.9-38.1, while the annual prevalence rate was 30%, 95% CI: 27.9-32.2. Of those with a 1-year history of healthcare utilisation, while 7.4%, 95% CI: 4.9-10.3 rural and 36.6%, 95% CI: 29.5-44 urban populations utilised healthcare from general hospitals, 1.4%, 95% CI: 0.3-2.7 rural and 6.8%, 95% CI: 3.1-10.8 urban populations utilised healthcare from specialised hospitals. Several sociodemographic factors, modifiable health behaviours/lifestyle habits, pain interrelated factors, and specific factors such as beliefs about the pain, depressive symptoms and insomnia were associated with healthcare utilisation for LBP. The implications of this research are that it may be prudent for the Ethiopian healthcare policy makers to develop the necessary strategies to meet the health needs of both urban and rural populations with LBP.

Item Details

Item Type:Refereed Article
Keywords:determinants, Ethiopia, healthcare utilisation, low back pain, population-based study
Research Division:Health Sciences
Research Group:Epidemiology
Research Field:Epidemiology not elsewhere classified
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Health policy evaluation
UTAS Author:Beyera, GK (Mr Getahun Beyera)
UTAS Author:O'Brien, J (Dr Jane O'Brien)
UTAS Author:Campbell, S (Professor Steven Campbell)
ID Code:137706
Year Published:2020
Web of Science® Times Cited:8
Deposited By:Nursing
Deposited On:2020-02-27
Last Modified:2021-05-24
Downloads:8 View Download Statistics

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