The association between GP consultations for non-specific physical symptoms in children and parents: a case-control study.

<h4>Background</h4>Non-specific physical symptoms (NSPS) such as abdominal pain, headache and musculoskeletal pain are widespread in the community, and are common reasons for visiting a general practitioner (GP). Causes of NSPS are multifactorial, but may include parental influences.<...

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Autores principales: Mujahed Shraim, Milisa Blagojevic-Bucknall, Christian D Mallen, Kate M Dunn
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Publicado: Public Library of Science (PLoS) 2014
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spelling oai:doaj.org-article:98ca8b126ded42de87c9823aaacf577d2021-11-25T05:59:29ZThe association between GP consultations for non-specific physical symptoms in children and parents: a case-control study.1932-620310.1371/journal.pone.0108039https://doaj.org/article/98ca8b126ded42de87c9823aaacf577d2014-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0108039https://doaj.org/toc/1932-6203<h4>Background</h4>Non-specific physical symptoms (NSPS) such as abdominal pain, headache and musculoskeletal pain are widespread in the community, and are common reasons for visiting a general practitioner (GP). Causes of NSPS are multifactorial, but may include parental influences.<h4>Objective</h4>To investigate associations between GP consultations for NSPS in parents and their children.<h4>Methods</h4>Matched case-control study using GP consultation data from 12 GP practices in the United Kingdom. Participants were 1328 children who consulted a GP for NSPS in 2009 (cases), 3980 controls who consulted a GP in 2009 but not for NSPS, plus parents of cases and controls (n = 8354).<h4>Primary outcome measure</h4>child consultation status for NSPS.<h4>Results</h4>Maternal consultation for NSPS was associated with significantly increased odds of their child consulting for NSPS (odds ratio (OR) 1.51, 95% confidence intervals (CI) 1.33, 1.73); there was no significant association with paternal consultations (OR 0.87, 95% CI 0.71, 1.08). Each additional maternal consultation for NSPS was associated with an increase in the rate ratio for number of consultations for NSPS in the child by 1.03 (95% CI 1.01, 1.05). This overall association was clearest in maternal-child consultations for painful NSPS and for specific bodily systems including gastrointestinal, musculoskeletal and neurologic symptoms.<h4>Conclusions</h4>Maternal GP consultation for NSPS is associated with increased odds of GP consultations for NSPS in children. This study included a large sample of children and parents and used medical records data which is not subject to recall bias. However, analysis was based on medical records, thus the presence of NSPS not leading to consultations is unknown. Medical practitioners managing children with NSPS need to be aware of this association.Mujahed ShraimMilisa Blagojevic-BucknallChristian D MallenKate M DunnPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 9, p e108039 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Mujahed Shraim
Milisa Blagojevic-Bucknall
Christian D Mallen
Kate M Dunn
The association between GP consultations for non-specific physical symptoms in children and parents: a case-control study.
description <h4>Background</h4>Non-specific physical symptoms (NSPS) such as abdominal pain, headache and musculoskeletal pain are widespread in the community, and are common reasons for visiting a general practitioner (GP). Causes of NSPS are multifactorial, but may include parental influences.<h4>Objective</h4>To investigate associations between GP consultations for NSPS in parents and their children.<h4>Methods</h4>Matched case-control study using GP consultation data from 12 GP practices in the United Kingdom. Participants were 1328 children who consulted a GP for NSPS in 2009 (cases), 3980 controls who consulted a GP in 2009 but not for NSPS, plus parents of cases and controls (n = 8354).<h4>Primary outcome measure</h4>child consultation status for NSPS.<h4>Results</h4>Maternal consultation for NSPS was associated with significantly increased odds of their child consulting for NSPS (odds ratio (OR) 1.51, 95% confidence intervals (CI) 1.33, 1.73); there was no significant association with paternal consultations (OR 0.87, 95% CI 0.71, 1.08). Each additional maternal consultation for NSPS was associated with an increase in the rate ratio for number of consultations for NSPS in the child by 1.03 (95% CI 1.01, 1.05). This overall association was clearest in maternal-child consultations for painful NSPS and for specific bodily systems including gastrointestinal, musculoskeletal and neurologic symptoms.<h4>Conclusions</h4>Maternal GP consultation for NSPS is associated with increased odds of GP consultations for NSPS in children. This study included a large sample of children and parents and used medical records data which is not subject to recall bias. However, analysis was based on medical records, thus the presence of NSPS not leading to consultations is unknown. Medical practitioners managing children with NSPS need to be aware of this association.
format article
author Mujahed Shraim
Milisa Blagojevic-Bucknall
Christian D Mallen
Kate M Dunn
author_facet Mujahed Shraim
Milisa Blagojevic-Bucknall
Christian D Mallen
Kate M Dunn
author_sort Mujahed Shraim
title The association between GP consultations for non-specific physical symptoms in children and parents: a case-control study.
title_short The association between GP consultations for non-specific physical symptoms in children and parents: a case-control study.
title_full The association between GP consultations for non-specific physical symptoms in children and parents: a case-control study.
title_fullStr The association between GP consultations for non-specific physical symptoms in children and parents: a case-control study.
title_full_unstemmed The association between GP consultations for non-specific physical symptoms in children and parents: a case-control study.
title_sort association between gp consultations for non-specific physical symptoms in children and parents: a case-control study.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/98ca8b126ded42de87c9823aaacf577d
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