ArticleBMJ open2023
Sex and gender differences in healthcare utilisation trajectories: a cohort study among Quebec workers living with chronic pain.
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 13 papers.
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Who cites it
13 citing papers in PubMed.
- Treatment trajectories among patients with musculoskeletal disorders in Norway - a register-based cohort study over 2 years.Scandinavian journal of primary health care · 2026Article
- Differences in Anticholinergic Exposure Assessment Across Burden Scales and Exposure Measures in a Population-Based Study: Implications for Targeted Deprescribing in Older Adults.Drugs & aging · 2026Article
- Gambling trajectories among sexual and gender minority individuals in Canada: protocol for a 5-year mixed-methods longitudinal study.BMJ open · 2026Article
- Cannabis Use During Early Pregnancy and Child Diagnoses of Depressive and Anxiety Disorders.Cannabis (Albuquerque, N.M.) · 2026Article
- Effectiveness of the Internet of Things for Improving Health of Non-Pregnant Women Living in High-Income Countries: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Risks for Adverse Events by Sex and Age After Prescription Opioid Dose Reduction: A Secondary Analysis Across 8 U.S. Health Systems.American journal of preventive medicine · 2025Observational
- A sex- and gender-based analysis plus of frequent healthcare utilization among individuals living with chronic pain: a cohort study.BMC health services research · 2025Article
- Gendered experience of people living with type 2 diabetes in rural and urban Mexico: an ethnographic study.International journal for equity in health · 2025Article
- Value is Gendered: The Need for Sex and Gender Considerations in Health Economic Evaluations.Applied health economics and health policy · 2025Article
- Gender differences in eating habits and lifestyles of young students: observational evaluation from MaestraNatura program.Frontiers in nutrition · 2025Article
- Social and economic impacts of non-communicable diseases by gender and its correlates: a literature review.International journal for equity in health · 2024Review
- The gender gap in outpatient care for non-communicable diseases in Mexico between 2006 and 2022.Global health research and policy · 2024Article
- Insights into determinants of health-seeking behavior: a cross-sectional investigation in the Iraqi context.Frontiers in public health · 2024Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesChronic pain (CP) is a poorly recognised and frequently inadequately treated condition affecting one in five adults. Reflecting on sociodemographic disparities as barriers to CP care in Canada was recently established as a federal priority. The objective of this study was to assess sex and gender differences in healthcare utilisation trajectories among workers living with CP.
designRetrospective cohort study.
participantsThis study was conducted using the TorSaDE Cohort which links the 2007-2016 Canadian Community Health Surveys and Quebec administrative databases (longitudinal claims). Among 2955 workers living with CP, the annual number of healthcare contacts was computed during the 3 years after survey completion. OUTCOME: Group-based trajectory modelling was used to identify subgroups of individuals with similar patterns of healthcare utilisation over time (healthcare utilisation trajectories).
resultsAcross the study population, three distinct 3-year healthcare utilisation trajectories were found: (1) low healthcare users (59.9%), (2) moderate healthcare users (33.6%) and (3) heavy healthcare users (6.4%). Sex and gender differences were found in the number of distinct trajectories and the stability of the number of healthcare contacts over time. Multivariable analysis revealed that independent of other sociodemographic characteristics and severity of health condition, sex-but not gender-was associated with the heavy healthcare utilisation longitudinal trajectory (with females showing a greater likelihood; OR 2.6, 95% CI 1.6 to 4.1).
conclusionsOur results underline the importance of assessing sex-based disparities in help-seeking behaviours, access to healthcare and resource utilisation among persons living with CP.
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