Factors Related to Healthcare Utilization of Physical Discomfort in Electronic Device Users at Home

Authors

Keywords:

musculoskeletal pain, consumer health information, health-seeking behavior, computers, sitting position

Abstract

Objective This study aims to discern the factors influencing the utilization of healthcare services among individuals experiencing physical discomfort from electronic device usage at home.

Methods A retrospective cross-sectional study was performed. The sociodemographic information, exercise habits, working organization, behavioral patterns, treatment methods, healthcare service usage, and responses to the modified online Thai Cornell Musculoskeletal Discomfort Questionnaires (CMDQ) were reviewed from the web-based online questionnaire surveyed from November 29th to December 28th, 2021. The impact of various factors on healthcare utilization was assessed using multivariable logistic regression.

Results Three hundred and thirty-four participants were included, primarily female (70%) and with a mean age of 35.0±7.3 years. Most common was neck discomfort (24.9%) with 48.5% experiencing chronic symptoms and 52.1% reporting severe discomfort. The majority (72.4%) indicated discomfort in multiple areas (5-7 regions). The methods of treatment consisted of complementary and alternative medicine (23.7%), conventional medicine (16.5%), and both (22.5%).  Healthcare services were accessed by 56% of the participants, with 35.9% choosing private healthcare.  Healthcare utilization was significantly associated with being aged ≥ 45 years (odd ratio = 5.476, 95%CI 1.953, 15.356), short break durations (odd ratio = 1.809, 95%CI 1.010, 3.240), having an ergonomic policy in the organization (odd ratio = 2.119, 95%CI 1.161, 3.866), chronic symptoms (odd ratio = 1.901, 95%CI 1.047, 3.452), severe discomfort (odd ratio =2.121, 95%CI 1.218, 3.693), and multiple discomfort areas (odd ratio = 2.384, 95%CI 1.060,5.362).

Conclusions Healthcare utilization for addressing physical discomfort among electronic device users is influenced by various factors, including age, short break duration, ergonomic policy in the organization, chronic or severe discomfort, and the extent of discomfort distribution. Prioritizing healthcare facilities for individuals experiencing chronic and severe discomfort is warranted.

References

Ashkenazy S, DeKeyser Ganz F. The differentiation between pain and discomfort: a concept analysis of discomfort. Pain Manag Nurs. 2019;20:556-62.

Shariat A, Tamrin SBM, Arumugam M, Danaee M, Ramasamy R. Prevalence rate of musculoskeletal discomforts based on severity level among office workers. Acta Medica Bulgarica. 2016;43:54-63.

Dacharux W, Kijkool K, Wongsaengchan D, Jetsadapattaraku S. Factors associated with physical discomfort in computer users at home. The Journal of Prapokklao Hospital Clinical Medical Education Center. 2022;39:194-202.

Borhany T, Shahid E, Siddique WA, Ali H. Musculoskeletal problems in frequent computer and internet users. J Family Med Prim Care. 2018;7:337-9.

Andarini S, Arif AZ, Al Rasyid H, Wahono CS, Kalim H, Handono K. Factors associated with health care seeking behavior for musculoskeletal pain in Indonesia: A cross-sectional study. Int J Rheum Dis. 2019;22:1297-304. doi: 10.1111/1756-185X.13536

Sugai K, Tsuji O, Takahashi S, Matsumoto M, Nakamura M, Fujita N. Internet survey on factors associated with care-seeking behaviours of people with chronic musculoskeletal pain in Japan. J Orthop Surg (Hong Kong). 2021;29:23094990211044836. doi: 10.1177/23094990211044836

Wiitavaara B, Fahlstrom M, Djupsjobacka M. Prevalence, diagnostics and management of musculoskeletal disorders in primary health care in Sweden - an investigation of 2000 randomly selected patient records. J Eval Clin Pract. 2017;23:325-32.

Andersen R, Newman JF. Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc. 1973;51:95-124.

Mose S, Kent P, Smith A, Andersen JH, Christiansen DH. Number of musculoskeletal pain sites leads to increased long-term healthcare contacts and healthcare related costs - a Danish population-based cohort study. BMC Health Serv Res. 2021;21:980-92.

Mose S, Kent P, Smith A, Andersen JH, Christiansen DH. Trajectories of musculoskeletal healthcare utilization of people with chronic musculoskeletal pain - a population-based cohort study. Clin Epidemiol. 2021;13:825-43.

Babitsch B, Gohl D, von Lengerke T. Re-revisiting Andersen’s Behavioral Model of health services use: a systematic review of studies from 1998-2011. Psychosoc Med. 2012;9:Doc11. doi: 10.3205/psm000089

Woo J, Leung J, Lau E. Prevalence and correlates of musculoskeletal pain in Chinese elderly and the impact on 4-year physical function and quality of life. Public Health. 2009;123:549-56.

Phongamwong C, Mungkumpa A, Pawapootanon W, Saiyotha D, Duangtapha C. The impact of musculoskeletal pain on health-related quality of life in Fort Prajaksilapakom Hospital. J Med Assoc Thai. 2014;97 Suppl 2:S181-7.

Reme SE, Dennerlein JT, Hashimoto D, Sorensen G. Musculoskeletal pain and psychological distress in hospital patient care workers. J Occup Rehabil. 2012;22:503-10.

Netirojjanakul W. Effects of Program “Little Change for Decreasing Office Syndrome” on musculoskeletal discomfort at neck, shoulders and lower back of Nakhonpathom Hospital’s Office Workers. Medical Journal. 2022;41:456-77.

Pattath P, Webb L. Computer-usage and associated musculoskeletal discomfort in college students. Work. 2022;73:327-34.

Barredo RDV, Mahon K. The effects of exercise and rest breaks on musculoskeletal discomfort during computer tasks: an evidence-based perspective. Journal of Physical Therapy Science. 2007;19:151-63.

Rodrigues EV GA, Tanhoffer AIP, Leite N. Effects of exercise on pain of musculoskeletal disorders: a systematic review. Acta Ortop Bras [online]. 2014; 22:334-8.

Gosain L, Ahmad I, Rizvi MR, Sharma A, Saxena S. Prevalence of musculoskeletal pain among computer users working from home during the COVID-19 pandemic: a cross-sectional survey: Bull Fac Phys Ther. 2022;27:51. doi: 10.1186/s43161-022-00110-x

El-Tallawy SN, Nalamasu R, Salem GI, LeQuang JAK, Pergolizzi JV, Christo PJ. Management of musculoskeletal pain: an update with emphasis on chronic musculoskeletal pain. Pain Ther. 2021;10: 181-209.

Galasso A, Urits I, An D, Nguyen D, Borchart M, Yazdi C, et al. A Comprehensive review of the treatment and management of myofascial pain syndrome. Curr Pain Headache Rep. 2020;24:43-53.

Artus M, Croft P, Lewis M. The use of CAM and conventional treatments among primary care consulters with chronic musculoskeletal pain. BMC family practice. 2007;8:1-14.

Chopra A, Abdel-Nasser A. Epidemiology of rheumatic musculoskeletal disorders in the developing world. Best Pract Res Clin Rheumatol. 2008;22: 583-604.

Kovacevic I, Kogler VM, Turkovic TM, Dunkic LF, Ivanec Z, Petek D. Self-care of chronic musculoskeletal pain-experiences and attitudes of patients and health care providers. BMC Musculoskelet Disord. 2018;19:76-85.

Nakamura M, Nishiwaki Y, Ushida T, Toyama Y. Prevalence and characteristics of chronic musculoskeletal pain in Japan: a second survey of people with or without chronic pain. J Orthop Sci. 2014; 19:339-50. doi: 10.1007/s00776-013-0525-8

Sutherland K, Chessman J, Zhao J, Sara G, Shetty A, Smith S, et al. Impact of COVID-19 on healthcare activity in NSW, Australia. Public Health Res Pract. 2020;30:3042030. doi: 10.17061/phrp3042030

Downloads

Published

2023-08-29

How to Cite

1.
Puprasert C, Nimnoi P, Dacharux W. Factors Related to Healthcare Utilization of Physical Discomfort in Electronic Device Users at Home. BSCM [Internet]. 2023 Aug. 29 [cited 2024 May 17];62(3):123-32. Available from: https://he01.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/265640

Issue

Section

Original Article