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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
2013 Impact Factor: 2.433
2013 SCImago Journal Rankings: 1.022
 
ISI Accession Number IDWOS:000208096600020
 
ReferencesReferences in Scopus
 
DC FieldValue
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_OA_fulltext
 
dc.identifier.citationWorld Journal Of Gastroenterology, 2004, v. 10 n. 5, p. 707-712 [How to Cite?]
 
dc.identifier.epage712
 
dc.identifier.hkuros85611
 
dc.identifier.isiWOS:000208096600020
 
dc.identifier.issn1007-9327
2013 Impact Factor: 2.433
2013 SCImago Journal Rankings: 1.022
 
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
 
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Author Affiliations
  1. The University of Hong Kong
  2. Hong Kong University of Science and Technology