Where we live matters: a comparison of chronic pain treatment between remote and non-remote regions of Quebec, Canada
ObjectiveWhere a person lives is a recognized socioeconomic determinant of health and influences healthcare access. This study aimed to compare the pain treatment profile of persons with chronic pain (CP) living in remote regions to those living in non-remote regions (near or in major urban centers)...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Pain Research |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpain.2024.1291101/full |
| _version_ | 1797295169433763840 |
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| author | Claudie Audet Meriem Zerriouh Hermine Lore Nguena Nguefack Nancy Julien M. Gabrielle Pagé M. Gabrielle Pagé Line Guénette Line Guénette Lucie Blais Anaïs Lacasse |
| author_facet | Claudie Audet Meriem Zerriouh Hermine Lore Nguena Nguefack Nancy Julien M. Gabrielle Pagé M. Gabrielle Pagé Line Guénette Line Guénette Lucie Blais Anaïs Lacasse |
| author_sort | Claudie Audet |
| collection | DOAJ |
| description | ObjectiveWhere a person lives is a recognized socioeconomic determinant of health and influences healthcare access. This study aimed to compare the pain treatment profile of persons with chronic pain (CP) living in remote regions to those living in non-remote regions (near or in major urban centers).MethodsA cross-sectional study was performed among persons living with CP across Quebec. In a web-based questionnaire, participants were asked to report in which of the 17 administrative regions they were living (six considered “remote”). Pain treatment profile was drawn up using seven variables: use of prescribed pain medications, over-the-counter pain medications, non-pharmacological pain treatments, multimodal approach, access to a trusted healthcare professional for pain management, excessive polypharmacy (≥10 medications), and use of cannabis for pain.Results1,399 participants completed the questionnaire (women: 83.4%, mean age: 50 years, living in remote regions: 23.8%). As compared to persons living in remote regions, those living in non-remote regions were more likely to report using prescribed pain medications (83.8% vs. 67.4%), a multimodal approach (81.5% vs. 75.5%), experience excessive polypharmacy (28.1% vs. 19.1%), and report using cannabis for pain (33.1% vs. 20.7%) (bivariable p < 0.05). Only the use of prescribed medications as well as cannabis remained significantly associated with the region of residence in the multivariable models.DiscussionThere are differences in treatment profiles of persons with CP depending on the region they live. Our results highlight the importance of considering remoteness, and not only rurality, when it comes to better understanding the determinants of pain management. |
| first_indexed | 2024-03-07T21:42:52Z |
| format | Article |
| id | doaj.art-c4cf5bdf9e274a1488785cef403f15a9 |
| institution | Directory Open Access Journal |
| issn | 2673-561X |
| language | English |
| last_indexed | 2024-03-07T21:42:52Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pain Research |
| spelling | doaj.art-c4cf5bdf9e274a1488785cef403f15a92024-02-26T04:52:06ZengFrontiers Media S.A.Frontiers in Pain Research2673-561X2024-02-01510.3389/fpain.2024.12911011291101Where we live matters: a comparison of chronic pain treatment between remote and non-remote regions of Quebec, CanadaClaudie Audet0Meriem Zerriouh1Hermine Lore Nguena Nguefack2Nancy Julien3M. Gabrielle Pagé4M. Gabrielle Pagé5Line Guénette6Line Guénette7Lucie Blais8Anaïs Lacasse9Département des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, CanadaDépartement des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, CanadaDépartement des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, CanadaDépartement des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, CanadaDepartment of Anesthesiology and Pain Medicine, Centre de Recherche Centre Hospitalier de l’Université de Montréal (CRCHUM), Montréal, QC, CanadaDépartement d’Anesthésiologie et de Médecine de la Douleur, Faculté de Médecine, Université de Montréal, Montréal, QC, CanadaFaculté de Pharmacie, Université Laval, Québec, QC, CanadaPopulation Health and Optimal Health Practices Axis, Centre de Recherche CHU de Québec—Université Laval, Québec, QC, CanadaFaculté de Pharmacie, Université de Montréal, Montréal, QC, CanadaDépartement des Sciences de la Santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, CanadaObjectiveWhere a person lives is a recognized socioeconomic determinant of health and influences healthcare access. This study aimed to compare the pain treatment profile of persons with chronic pain (CP) living in remote regions to those living in non-remote regions (near or in major urban centers).MethodsA cross-sectional study was performed among persons living with CP across Quebec. In a web-based questionnaire, participants were asked to report in which of the 17 administrative regions they were living (six considered “remote”). Pain treatment profile was drawn up using seven variables: use of prescribed pain medications, over-the-counter pain medications, non-pharmacological pain treatments, multimodal approach, access to a trusted healthcare professional for pain management, excessive polypharmacy (≥10 medications), and use of cannabis for pain.Results1,399 participants completed the questionnaire (women: 83.4%, mean age: 50 years, living in remote regions: 23.8%). As compared to persons living in remote regions, those living in non-remote regions were more likely to report using prescribed pain medications (83.8% vs. 67.4%), a multimodal approach (81.5% vs. 75.5%), experience excessive polypharmacy (28.1% vs. 19.1%), and report using cannabis for pain (33.1% vs. 20.7%) (bivariable p < 0.05). Only the use of prescribed medications as well as cannabis remained significantly associated with the region of residence in the multivariable models.DiscussionThere are differences in treatment profiles of persons with CP depending on the region they live. Our results highlight the importance of considering remoteness, and not only rurality, when it comes to better understanding the determinants of pain management.https://www.frontiersin.org/articles/10.3389/fpain.2024.1291101/fullchronic painremote regiontreatmentaccessruralmultimodal |
| spellingShingle | Claudie Audet Meriem Zerriouh Hermine Lore Nguena Nguefack Nancy Julien M. Gabrielle Pagé M. Gabrielle Pagé Line Guénette Line Guénette Lucie Blais Anaïs Lacasse Where we live matters: a comparison of chronic pain treatment between remote and non-remote regions of Quebec, Canada Frontiers in Pain Research chronic pain remote region treatment access rural multimodal |
| title | Where we live matters: a comparison of chronic pain treatment between remote and non-remote regions of Quebec, Canada |
| title_full | Where we live matters: a comparison of chronic pain treatment between remote and non-remote regions of Quebec, Canada |
| title_fullStr | Where we live matters: a comparison of chronic pain treatment between remote and non-remote regions of Quebec, Canada |
| title_full_unstemmed | Where we live matters: a comparison of chronic pain treatment between remote and non-remote regions of Quebec, Canada |
| title_short | Where we live matters: a comparison of chronic pain treatment between remote and non-remote regions of Quebec, Canada |
| title_sort | where we live matters a comparison of chronic pain treatment between remote and non remote regions of quebec canada |
| topic | chronic pain remote region treatment access rural multimodal |
| url | https://www.frontiersin.org/articles/10.3389/fpain.2024.1291101/full |
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