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Título

Influence of sociodemographic factors upon pain intensity in patients with temporomandibular joint disorders seen in the primary care setting

Autor Serrano del Rosal, Rafael ; Biedma Velázquez, Lourdes ; Blanco Hungría, Antonio; Rodríguez Torronteras, Alejandro; Blanco Aguilera, Antonio; Segura Saint Gerons, R; Torre, Javier de la; Esparza Díaz, Federico
Palabras clave Cranial-mandibular disorders
Research diagnostic
Primary care
Educational level
Criteria for temporomandibular joint disorders (RDC/TMD).
Age
Gender
Fecha de publicación 2012
EditorMedicina Oral
Citación Medicina Oral, Patologia Oral y Cirugia Bucal 17: e1034- e1041 (2012)
ResumenObjective: A study is made of the influence of gender, educational level, marital status, income, social support, and perceived general and oral health upon pain intensity in a sample of patients with temporomandibular joint disorders (TMJD) explored in primary care (AP). Design: A review was made of 899 patients from Córdoba Healthcare District (Spain) referred to the primary care TMJD Unit by their primary care physician and/or dentist. Of these subjects, 151 failed to meet the inclusion criteria. The remaining 748 subjects were explored according to the corresponding research diagnostic criteria (RDC/TMJD). A bivariate analysis was made the association of pain intensity to the demographic and psychological characteristics of the patients, and to perceived general and oral health, followed by a multivariate linear regression analysis to explain pain intensity as a function of the rest of the variables. The SPSS version 19.0 statistical package was used. Results: The patient age ranged from 18-86 years, with a mean of 45.8 years (± 15.8), and a female predominance of 5:1. The characteristic pain intensity (CPI) score was almost 15 points higher on average in women than in men (p<0.05). A lower educational level, and separation or divorce, were correlated to an increased intensity of pain. Social support, depression and general and oral health also explained part of pain intensity. The regression model established with these variables accounted for 13.3% of the variability of pain (R2 = 0.133). Conclusions: Women suffer more intense pain than men. Perceived health partially explains the variability of the CPI score. However, it is empirically seen that the variables gender, educational level and marital status exert an important and independent influence upon pain intensity. © Medicina Oral S. L.
URI http://hdl.handle.net/10261/87739
DOI10.4317/medoral.17576
Identificadoresdoi: 10.4317/medoral.17576
issn: 1698-4447
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