Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.63231/2595-0118.202677-en
Brazilian Journal of Pain
Original Article

Factors associated with pain medication use and physiotherapy consultation among older adults with chronic spinal conditions: results from ELSI-Brazil

Fatores associados ao uso de fármacos para dor e à consulta fisioterapêutica em adultos mais velhos com problema crônico de coluna: resultados do ELSI-Brasil

Daniela Klunck; Marcelo Anderson Bracht; Ione Jayce Ceola Schneider

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Abstract

BACKGROUND AND OBJECTIVES: Chronic spinal conditions are highly prevalent among older adults and are associated with persistent pain, functional limitations, and health care utilization. This study aimed to analyze sociodemographic, functional, and clinical factors associated with pain medication use and physiotherapy consultation among older adults with chronic spinal conditions in Brazil.

METHODS: Cross-sectional study including 3,081 individuals (≥50 years) from the second wave of ELSI-Brazil who reported a chronic spinal condition. Outcomes were pain medication use and physiotherapy consultation in the previous three months. Poisson regression with robust variance was used, adjusted for sociodemographic and health characteristics.

RESULTS: Pain medication use occurred in 53.00% (95%CI: 48.64–57.31) and physiotherapy consultation in 3.70% (95%CI: 3.03–4.52). Pain medication use was lower among men (PR = 0.86; 95%CI: 0.79–0.94) and higher in the presence of functional limitations (PR = 1.22; 95%CI: 1.10–1.35), fair self-perceived health (PR = 1.41; 95%CI: 1.20–1.65), and poor self-perceived health (PR = 1.66; 95%CI: 1.42–1.95). Physiotherapy consultation was associated with age ≥80 years (PR = 2.12; 95%CI: 1.10–4.08), functional limitations (PR = 2.27; 95%CI: 1.30–3.95), and no formal education (PR = 0.28; 95%CI: 0.10–0.79).

CONCLUSION: Findings suggest the influence of health needs on pain medication use and potential inequalities in access to physiotherapy consultation, indicating the importance of care strategies aimed at improving equity in health care.

Keywords

Aged; Chronic pain; Cross-sectional studies; Drug therapy; Physical therapy services

Resumo

JUSTIFICATIVA E OBJETIVOS: Problemas crônicos de coluna são altamente prevalentes entre adultos mais velhos e associados à dor persistente, limitações funcionais e cuidados em saúde. O objetivo deste estudo foi analisar os fatores sociodemográficos, funcionais e clínicos associados ao uso de fármacos para dor e a realização de consulta fisioterapêutica em adultos mais velhos com problema crônico de coluna no Brasil.

MÉTODOS: Estudo transversal com 3.081 indivíduos (≥50 anos) da segunda onda do ELSI-Brasil que autorrelataram problema crônico de coluna. Os desfechos foram o uso de fármacos para dor e a realização de consulta fisioterapêutica (últimos três meses). Utilizou-se regressão de Poisson ajustada por características sociodemográficas e de saúde.

RESULTADOS: O uso de fármacos para dor ocorreu em 53,00% (IC95%:48,64-57,31), e a consulta fisioterapêutica em 3,70% (IC95%:3,03-4,52). O uso de fármacos para dor foi menor entre homens (RP=0,86; IC95%:0,79-0,94) e maior na presença de limitação funcional (RP=1,22; IC95%:1,10-1,35), autopercepção de saúde regular (RP=1,41; IC95%:1,20-1,65) e ruim (RP=1,66; IC95%:1,42-1,95). A consulta fisioterapêutica foi associada à idade, ≥80 anos (RP=2,12; IC95%:1,10-4,08), limitação funcional (RP=2,27; IC95%:1,30-3,95) e ausência de escolaridade formal (RP=0,28; IC95%:0,10-0,79).

CONCLUSÃO: Os achados sugerem influência de necessidades em saúde no uso de fármacos para dor e possíveis desigualdades no acesso à consulta fisioterapêutica, indicando a importância de estratégias assistenciais que ampliem a equidade no cuidado.

Palavras-chave

Dor crônica; Estudos transversais; Idoso; Serviços de Fisioterapia; Tratamento farmacológico

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Submitted date:
11/20/2025

Accepted date:
02/19/2026

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