Socioeconomic status and the risk for being diagnosed with spondyloarthritis and chronic pain: a nested case-control study.

摘要: Socioeconomic status could potentially impact on which type of rheumatic diagnosis a patient receives. We determined whether different socioeconomic is risk factor for being diagnosed with spondyloarthritis (SpA) or chronic pain. In nested case-control study, we identified two sets adult cases (i) SpA (n = 1,194) and (ii) pain 3,730) during 2010-2012 in Skane region, Sweden. randomly sampled controls matched age sex. Level education, marital status, income were national registers 4 years before inclusion. also studied health-care utilization, prescribed pharmaceuticals, work status. used conditional logistic regressions included variables geographic area the models. Low (odds ratio [OR] 1.69 95 % CI 1.50-1.91) moderate education (OR 1.43 1.30-1.57), low 1.40 1.25-1.57) 1.24 1.10-1.38) associated diagnosis. For diagnosis, 1.25 1.04-1.50) was only significant identified. Both case groups had larger proportion that did not (P < 0.001), more health care frequently NSAIDs 0.001) than controls. confirmed lower levels are This association may reflect true higher incidence and/or increased consultation propensity such people found no SpA.