Social inequalities among inpatients with non-specific chronic low back pain in medical rehabilitation. A secondary analysis from a randomised controlled trial
Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › begutachtet
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in: Journal of Back and Musculoskeletal Rehabilitation, Jahrgang 38, Nr. 5, 01.09.2025, S. 1165-1173.
Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › begutachtet
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TY - JOUR
T1 - Social inequalities among inpatients with non-specific chronic low back pain in medical rehabilitation. A secondary analysis from a randomised controlled trial
AU - Hampel, Petra
AU - Dadaczynski, Kevin
PY - 2025/9/1
Y1 - 2025/9/1
N2 - BackgroundResearch has shown social inequalities in health parameters in the general population, but there is a lack of evidence in medical rehabilitation.ObjectiveTo 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).MethodsThis 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.ResultsCompared 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.ConclusionsHealth-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.
AB - BackgroundResearch has shown social inequalities in health parameters in the general population, but there is a lack of evidence in medical rehabilitation.ObjectiveTo 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).MethodsThis 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.ResultsCompared 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.ConclusionsHealth-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.
KW - inpatient multidisciplinary rehabilitation
KW - mental health
KW - non-specific chronic low back pain
KW - social inequalities
KW - work-related factors
KW - Psychology
UR - http://www.scopus.com/inward/record.url?scp=105013524860&partnerID=8YFLogxK
U2 - 10.1177/10538127251326157
DO - 10.1177/10538127251326157
M3 - Journal articles
C2 - 40370070
AN - SCOPUS:105013524860
VL - 38
SP - 1165
EP - 1173
JO - Journal of Back and Musculoskeletal Rehabilitation
JF - Journal of Back and Musculoskeletal Rehabilitation
SN - 1053-8127
IS - 5
ER -