Evidence map›Paper›PMID 36931675›Full record

ArticleBMJ open2023

Exposure to traumatic events and use of over-the-counter analgesics in adolescents: cross-sectional findings from the Young-HUNT study.

Monica Baumann-Larsen, Grete Dyb, Tore Wentzel-Larsen, John-Anker Zwart, Kjersti Storheim, Synne Øien Stensland

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
5.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Monica Baumann-LarsenDepartment of Research and Innovation, Oslo University Hospital Division of Clinical Neuroscience, Oslo, Norway monica.baumann-larsen@studmed.uio.no.ORCID 0000-0001-9688-416X
Grete DybInstitute of Clinical Medicine, University of Oslo Faculty of Medicine, Oslo, Norway.
Tore Wentzel-LarsenSection for Trauma, catastrophes and forced migration - children and youths, Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway.
John-Anker ZwartDepartment of Research and Innovation, Oslo University Hospital Division of Clinical Neuroscience, Oslo, Norway.
Kjersti StorheimDepartment of Research and Innovation, Oslo University Hospital Division of Clinical Neuroscience, Oslo, Norway.
Synne Øien StenslandDepartment of Research and Innovation, Oslo University Hospital Division of Clinical Neuroscience, Oslo, Norway.
Oslo University Hospital · NONorwegian Centre for Violence and Traumatic Stress Studies · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFrequent and increasing use of over-the-counter analgesics (OTCA) among adolescents is a public health concern. Prior research indicates that adolescents exposed to traumatic events may be at increased risk of suffering from headaches and musculoskeletal pain. In this study, we assessed the association between trauma exposure and use of OTCA for headaches and musculoskeletal pain.

designA cross-sectional population study among adolescents, self-reported data on trauma exposure, pain and use of OTCA. SETTING AND

participantsAll 10 608 adolescents aged 13-19 years in a region of Norway were invited in this school-based survey, participation rate was 76%. OUTCOME MEASURE: Frequency of OTCA use for headache and musculoskeletal pain served as separate outcomes in ordinal logistic regression analyses.

resultsTrauma exposure was significantly and consistently related to higher frequency use of OTCA for headache and musculoskeletal pain, of which associations for bullying (OR 1.79, 95% CI 1.50 to 2.12, and OR 2.12, 95% CI 1.70 to 2.66), physical violence (OR 1.49, 95% CI 1.25 to 1.78 and OR 1.83, 95% CI 1.45 to 2.32) and sexual abuse (OR 1.83, 95% CI 1.55 to 2.18 and OR 1.53, 95% CI 1.18 to 1.90) were particularly strong. A dose-response relationship was found between interpersonal violence and OTCA use for headache (OR 1.46, 95% CI 1.29 to 1.66 for one type and OR 1.81, 95% CI 1.53 to 2.14 for two or more types) and musculoskeletal pain (OR 1.61, 95% CI 1.91 to 3.00 for one type and OR 2.39, 95% CI 1.91 to 3.00 for two or more types). The associations remained significant after adjustment for pain, although an attenuation in strength was observed.

conclusionTrauma exposed adolescents use OTCA for headaches and musculoskeletal pain more frequently than those not exposed. The higher frequency of pain conditions among trauma exposed only partially explained their more frequent OTCA use, indicating an increased risk relating to features beyond frequency of pain.

Indexed as

Musculoskeletal PainAdolescentAnalgesicsCross-Sectional StudiesHeadacheHumansNonprescription DrugsAnalgesicsNonprescription DrugsChild & adolescent psychiatryMENTAL HEALTHNEUROLOGYPAEDIATRICSPUBLIC HEALTH

Identifiers

PMID36931675
PMCPMC10030485
OpenAlexW4327811633

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.