Pain as a reason for primary care visits: cross-sectional survey in a rural and periurban health clinic in the Eastern Cape, South Africa

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dc.contributor.authorIgumbor, Ehimario U.
dc.contributor.authorPuoane, Thandi
dc.contributor.authorGansky, Stuart A.
dc.contributor.authorPlesh, Octavia
dc.date.accessioned2012-10-01T13:50:36Z
dc.date.available2012-10-01T13:50:36Z
dc.date.issued2012
dc.description.abstractBackground: The burden of pain in primary care has not been described for South Africa. This study aimed to determine the prevalence of pain in primary care and to characterise pain among adult patients attending a rural and a periurban clinic in the Eastern Cape (EC) Province. Method: cross-sectional descriptive survey was conducted among adult patients attending a rural and periurban clinic over four days. Consecutive patients were asked whether they were in the clinic because of pain and whether the pain was the major reason for their visit. Pain was characterised using an adaptation of the Brief Pain Inventory and the Pain Disability Index. The prevalence percentage and the 95% confidence interval (CI) of pain were estimated, and the relationship with demographic variables was determined at a significance level of P < 0.05. Results: Seven hundred and ninety-six adult patients were interviewed, representing a response rate of 97.4%. Almost three-quarters (74.6%; 95% CI: 63.2-81.4%) reported visiting the clinic because of pain. Pain was the primary reason for 393 (49.4%; 95% CI: 32.1-61.0%) visits and was secondary in 201 (25.3%; 95% CI: 12.8-33.7%) visits. The common sites of pain were the head, back and chest. The median pain score was eight on a scale of 0-10 (interquartile range: 6-8). Respondents experienced limitations in a number of activities of daily living as a result of pain. Conclusion: Pain is a central problem in public primary care settings in the EC Province and must therefore be a priority area for primary care research. Strategies are needed to develop to improve pain management at primary care level in the province.en_US
dc.description.accreditationDepartment of HE and Training approved listen_US
dc.identifier.citationIgumbor, E.U., Puoane, T., Gansky, S.A. & Plesh, O. (2012). Pain as a reason for primary care visits: cross-sectional survey in a rural and periurban health clinic in the Eastern Cape, South Africa. South African Family Pracetice, 54(3): 256-263en_US
dc.identifier.issn2078-6204
dc.identifier.urihttp://hdl.handle.net/10566/428
dc.language.isoenen_US
dc.privacy.showsubmitterfalse
dc.publisherSouth Africa Academy of Family Physiciansen_US
dc.rights© 2012 Igumbor, et al; licensee South African Academy of Family Physicians. This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No Derivative Works 2.5 South Africa License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.status.ispeerreviewedtrue
dc.subjectPrimary careen_US
dc.subjectPainen_US
dc.subjectPeriurban clinicen_US
dc.subjectPain managementen_US
dc.subjectRural clinicen_US
dc.titlePain as a reason for primary care visits: cross-sectional survey in a rural and periurban health clinic in the Eastern Cape, South Africaen_US
dc.typeArticleen_US

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