ArticleWestern journal of nursing research2024
Factors Affecting Health Care Utilization Associations Among Young Adolescents With Persistent or Recurrent Pain.
Article in Western journal of nursing research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Longitudinal Associations Among Pain Catastrophizing, Pain Interference, and Pain Medication Use in Adolescents With Chronic Pain.European journal of pain (London, England) · 2026Article
- Moving Integrated Care for Pediatric Somatic Symptoms into Primary Care: An Innovative Approach.Journal of clinical psychology in medical settings · 2026Review
- Prevalence, medication use, and health care utilization in pediatric primary headache: a school-based cross-sectional study.The journal of headache and pain · 2026Article
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Authors and funding
3 authors.
Funding
Abstract
backgroundIt is unclear how family factors affect health care utilization among youth with persistent or recurrent pain, despite potential relevance to interventions targeting treatment barriers.
objectiveWe aimed to examine health care utilization among young adolescents with persistent or recurrent pain and family factor influences toward higher health care utilization.
methodsWe analyzed longitudinal data from the Adolescent Brain Cognitive Development Study and coded pain as none, infrequent (present 1-2 years), or persistent/recurrent pain (present 3-4 years). Higher health care utilization was coded as nonroutine or emergency department visit at ≥2 years. Parent-reported education, pain status, family income, and insurance status were recorded. Logistic regression examined the contributions of the child's pain and family factors toward higher health care utilization.
resultsAmong 5960 youth, 1908 (32%) had persistent/recurrent pain and 2199 (37%) had infrequent pain. Youth with persistent/recurrent pain were more likely to have higher health care utilization compared to those without pain (adjusted odds ratio [OR]: 2.39) or those with infrequent pain (OR: 1.79). Higher health care utilization was associated with parents' pain (adjusted OR: 1.22) and higher education (adjusted OR: 1.44), and family income below the poverty line (adjusted OR: 1.26), controlling for child characteristics and pain status.
conclusionFindings show how youths' persistent/recurrent pain, parental, and family socioeconomic factors affect health care utilization among young adolescents, emphasizing a need for family-centered care and economic policies.
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