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Social inequalities among inpatients with non-specific chronic low back pain in medical rehabilitation. A secondary analysis from a randomised controlled trial

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Title: Social inequalities among inpatients with non-specific chronic low back pain in medical rehabilitation. A secondary analysis from a randomised controlled trial
Authors: Petra Hampel, Kevin Dadaczynski
Source: Hampel, P & Dadaczynski, K 2025, ' Social inequalities among inpatients with non-specific chronic low back pain in medical rehabilitation. A secondary analysis from a randomised controlled trial ', Journal of Back and Musculoskeletal Rehabilitation, vol. 38, no. 5, pp. 1165-1173 . https://doi.org/10.1177/10538127251326157
Publisher Information: SAGE Publications, 2025.
Publication Year: 2025
Subject Terms: social inequalities, name=Orthopedics and Sports Medicine, work-related factors, inpatient multidisciplinary rehabilitation, non-specific chronic low back pain, name=Psychology, name=SDG 3 - Good Health and Well-being, name=Physical Therapy, Sports Therapy and Rehabilitation, mental health, name=Rehabilitation
Description: Background Research has shown social inequalities in health parameters in the general population, but there is a lack of evidence in medical rehabilitation. Objective To investigate social inequalities in the utilisation and process of rehabilitation among people with non-specific chronic low back pain (CLBP) and multiple psychological strains undergoing inpatient multidisciplinary orthopaedic rehabilitation (MOR). Methods This multicentre study enrolled 910 patients with non-specific CLBP (ICD-10: M51/53/54) and examined the differences in self-initiative to attend rehabilitation, and psychological, work-related, and pain-related parameters prior to MOR stratified by the social class index (lower, middle, upper class). Moreover, socioeconomic differences were investigated in the frequency distributions of psychosocial cut-off scores before rehabilitation, indicating the clinical relevance of the social class index. Results Compared with patients in both higher classes, patients in the lower class showed significantly lower self-initiative for rehabilitation as well as unfavourable values for pain self-efficacy and work-related and pain-related parameters. Conclusions Health-related inequalities in the inpatient MOR of non-specific CLBP were supported. To promote better health equity, patients should be allocated to rehabilitation according to their needs and individually strengthened in terms of their self-efficacy, health literacy, and ability to cope with pain and work-related stress.
Document Type: Article
Language: English
ISSN: 1878-6324
1053-8127
DOI: 10.1177/10538127251326157
Access URL: https://pubmed.ncbi.nlm.nih.gov/40370070
http://www.scopus.com/inward/record.url?scp=105013524860&partnerID=8YFLogxK
http://fox.leuphana.de/portal/de/publications/social-inequalities-among-inpatients-with-nonspecific-chronic-low-back-pain-in-medical-rehabilitation-a-secondary-analysis-from-a-randomised-controlled-trial(1eb32066-6b8d-44aa-a6c7-4f712edafcfd).html
https://doi.org/10.1177/10538127251326157
Rights: URL: https://journals.sagepub.com/page/policies/text-and-data-mining-license
Accession Number: edsair.doi.dedup.....ba13f14d789b205f7cfbb2ed3278a773
Database: OpenAIRE
Description
Abstract:Background Research has shown social inequalities in health parameters in the general population, but there is a lack of evidence in medical rehabilitation. Objective To investigate social inequalities in the utilisation and process of rehabilitation among people with non-specific chronic low back pain (CLBP) and multiple psychological strains undergoing inpatient multidisciplinary orthopaedic rehabilitation (MOR). Methods This multicentre study enrolled 910 patients with non-specific CLBP (ICD-10: M51/53/54) and examined the differences in self-initiative to attend rehabilitation, and psychological, work-related, and pain-related parameters prior to MOR stratified by the social class index (lower, middle, upper class). Moreover, socioeconomic differences were investigated in the frequency distributions of psychosocial cut-off scores before rehabilitation, indicating the clinical relevance of the social class index. Results Compared with patients in both higher classes, patients in the lower class showed significantly lower self-initiative for rehabilitation as well as unfavourable values for pain self-efficacy and work-related and pain-related parameters. Conclusions Health-related inequalities in the inpatient MOR of non-specific CLBP were supported. To promote better health equity, patients should be allocated to rehabilitation according to their needs and individually strengthened in terms of their self-efficacy, health literacy, and ability to cope with pain and work-related stress.
ISSN:18786324
10538127
DOI:10.1177/10538127251326157