Article: Population based study of noncardiac chest pain in southern Chinese: Prevalence, psychosocial factors and health care utilization

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TitlePopulation based study of noncardiac chest pain in southern Chinese: Prevalence, psychosocial factors and health care utilization
AuthorsWong, WM1
Lam, KF1
Cheng, C2
Hui, WM1
Xia, HHX1
Lai, KC1
Hu, WHC1
Huang, JQ1
Lam, CLK1
Chan, CK1
Chan, AOO1
Lam, SK1
Wong, BCY1
Issue Date2004
PublisherBeijing Baishideng BioMed Scientific Co., Ltd. The Journal's web site is located at http://www.wjgnet.com/1007-9327/index.htm
CitationWorld Journal Of Gastroenterology, 2004, v. 10 n. 5, p. 707-712 [How to Cite?]
AbstractAim: Population-based assessment of noncardiac chest pain (NCCP) is lacking. The aim of this study was to evaluate the prevalence, psychosocial factors and health seeking behaviour of NCCP in southern Chinese. Methods: A total of 2 209 ethnic Hong Kong Chinese households were recruited to participate in a telephone survey to study the epidemiology of NCCP using the Rose angina questionnaire, a validated gastroesophageal reflux disease (GERD) questionnaire and the hospital anxiety-depression scale. NCCP was defined as non-exertional chest pain according to the Rose angina questionnaire and had not been diagnosed as ischaemic heart diseases by a physician. Results: Chest pain over the past year was present in 454 subjects (20.6%, 95% CI 19-22), while NCCP was present in 307 subjects (13.9%, 95% CI 13-15). GERD was present in 51% of subjects with NCCP and 34% had consulted a physician for chest pain. Subjects with NCCP had a significantly higher anxiety (P<0.001) and depression score (P=0.007), and required more days off (P=0.021) than subjects with no chest pain. By multiple logistic regression analysis, female gender (OR 1.9, 95% CI 1.1-3.2), presence of GERD (OR 2.8, 95% CI 1.6-4.8), and social life being affected by NCCP (OR 6.9, 95% CI 3.3-15.9) were independent factors associated with health seeking behaviour in southern Chinese with NCCP. Conclusion: NCCP is a common problem in southern Chinese and associated with anxiety and depression. Female gender, GERD and social life affected by chest pain were associated with health care utilization in subjects with NCCP. Copyright © 2004 by The WJG Press.
ISSN1007-9327
2011 Impact Factor: 2.471
2011 SCImago Journal Rankings: 0.189
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorWong, WM
dc.contributor.authorLam, KF
dc.contributor.authorCheng, C
dc.contributor.authorHui, WM
dc.contributor.authorXia, HHX
dc.contributor.authorLai, KC
dc.contributor.authorHu, WHC
dc.contributor.authorHuang, JQ
dc.contributor.authorLam, CLK
dc.contributor.authorChan, CK
dc.contributor.authorChan, AOO
dc.contributor.authorLam, SK
dc.contributor.authorWong, BCY
dc.date.accessioned2012-09-05T05:23:25Z
dc.date.available2012-09-05T05:23:25Z
dc.date.issued2004
dc.description.abstractAim: Population-based assessment of noncardiac chest pain (NCCP) is lacking. The aim of this study was to evaluate the prevalence, psychosocial factors and health seeking behaviour of NCCP in southern Chinese. Methods: A total of 2 209 ethnic Hong Kong Chinese households were recruited to participate in a telephone survey to study the epidemiology of NCCP using the Rose angina questionnaire, a validated gastroesophageal reflux disease (GERD) questionnaire and the hospital anxiety-depression scale. NCCP was defined as non-exertional chest pain according to the Rose angina questionnaire and had not been diagnosed as ischaemic heart diseases by a physician. Results: Chest pain over the past year was present in 454 subjects (20.6%, 95% CI 19-22), while NCCP was present in 307 subjects (13.9%, 95% CI 13-15). GERD was present in 51% of subjects with NCCP and 34% had consulted a physician for chest pain. Subjects with NCCP had a significantly higher anxiety (P<0.001) and depression score (P=0.007), and required more days off (P=0.021) than subjects with no chest pain. By multiple logistic regression analysis, female gender (OR 1.9, 95% CI 1.1-3.2), presence of GERD (OR 2.8, 95% CI 1.6-4.8), and social life being affected by NCCP (OR 6.9, 95% CI 3.3-15.9) were independent factors associated with health seeking behaviour in southern Chinese with NCCP. Conclusion: NCCP is a common problem in southern Chinese and associated with anxiety and depression. Female gender, GERD and social life affected by chest pain were associated with health care utilization in subjects with NCCP. Copyright © 2004 by The WJG Press.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationWorld Journal Of Gastroenterology, 2004, v. 10 n. 5, p. 707-712 [How to Cite?]
dc.identifier.epage712
dc.identifier.issn1007-9327
2011 Impact Factor: 2.471
2011 SCImago Journal Rankings: 0.189
dc.identifier.issue5
dc.identifier.pmid14991943
dc.identifier.scopuseid_2-s2.0-12144288624
dc.identifier.spage707
dc.identifier.urihttp://hdl.handle.net/10722/162775
dc.identifier.volume10
dc.languageeng
dc.publisherBeijing Baishideng BioMed Scientific Co., Ltd. The Journal's web site is located at http://www.wjgnet.com/1007-9327/index.htm
dc.publisher.placeChina
dc.relation.ispartofWorld Journal of Gastroenterology
dc.relation.referencesReferences in Scopus
dc.subject.meshAdult
dc.subject.meshAnxiety - Epidemiology
dc.subject.meshChest Pain - Epidemiology - Psychology
dc.subject.meshDepression - Epidemiology
dc.subject.meshFemale
dc.subject.meshGastroesophageal Reflux - Epidemiology - Psychology
dc.subject.meshHealth Services - Utilization
dc.subject.meshHong Kong - Epidemiology
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPatient Acceptance Of Health Care
dc.subject.meshPrevalence
dc.subject.meshPsychology
dc.subject.meshRisk Factors
dc.titlePopulation based study of noncardiac chest pain in southern Chinese: Prevalence, psychosocial factors and health care utilization
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong
  2. Hong Kong University of Science and Technology