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Epidemiology and health care seeking in the functional GI disorders: a population-based study.
Am J Gastroenterol 2002; 97(9):2290-9AJ

Abstract

OBJECTIVES

Functional GI disorders (FGIDs) are common in clinical practice, but little is known about the epidemiology of these disorders in the general population. We aimed to determine the prevalence, association with psychological morbidity, and health care seeking behavior of FGIDs in the population.

METHODS

A random sample of subjects (n = 4500) aged > or = 18 yr and representative of the Australian population were mailed a validated questionnaire. For these subjects we measured all Rome I GI symptoms and physician visits over the past 12 months, as well as neuroticism, anxiety, depression, and somatic distress.

RESULTS

The response rate for the study was 72%. The prevalence of any FGID was 34.6%, and 62.1% of these subjects had consulted a physician. There was considerable overlap of the FGIDs (19.2% had more than two disorders). Independent predictors for an FGID diagnosis were neuroticism, somatic distress, anxiety, bowel habit disturbance, abdominal pain frequency, and increasing age. However, psychological morbidity did not independently discriminate between consulters and nonconsulters with an FGID.

CONCLUSIONS

More than one third of the general population have one or more FGIDs. There seems to be a modest link between psychological morbidity and FGIDs, although other unknown factors seem to be more important in explaining health care seeking for these disorders.

Authors+Show Affiliations

Department of Medicine, University of Sydney, Nepean Hospital, Penrith, New South Wales, Australia.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12358247

Citation

Koloski, Natasha A., et al. "Epidemiology and Health Care Seeking in the Functional GI Disorders: a Population-based Study." The American Journal of Gastroenterology, vol. 97, no. 9, 2002, pp. 2290-9.
Koloski NA, Talley NJ, Boyce PM. Epidemiology and health care seeking in the functional GI disorders: a population-based study. Am J Gastroenterol. 2002;97(9):2290-9.
Koloski, N. A., Talley, N. J., & Boyce, P. M. (2002). Epidemiology and health care seeking in the functional GI disorders: a population-based study. The American Journal of Gastroenterology, 97(9), pp. 2290-9.
Koloski NA, Talley NJ, Boyce PM. Epidemiology and Health Care Seeking in the Functional GI Disorders: a Population-based Study. Am J Gastroenterol. 2002;97(9):2290-9. PubMed PMID: 12358247.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Epidemiology and health care seeking in the functional GI disorders: a population-based study. AU - Koloski,Natasha A, AU - Talley,Nicholas J, AU - Boyce,Philip M, PY - 2002/10/3/pubmed PY - 2002/10/19/medline PY - 2002/10/3/entrez SP - 2290 EP - 9 JF - The American journal of gastroenterology JO - Am. J. Gastroenterol. VL - 97 IS - 9 N2 - OBJECTIVES: Functional GI disorders (FGIDs) are common in clinical practice, but little is known about the epidemiology of these disorders in the general population. We aimed to determine the prevalence, association with psychological morbidity, and health care seeking behavior of FGIDs in the population. METHODS: A random sample of subjects (n = 4500) aged > or = 18 yr and representative of the Australian population were mailed a validated questionnaire. For these subjects we measured all Rome I GI symptoms and physician visits over the past 12 months, as well as neuroticism, anxiety, depression, and somatic distress. RESULTS: The response rate for the study was 72%. The prevalence of any FGID was 34.6%, and 62.1% of these subjects had consulted a physician. There was considerable overlap of the FGIDs (19.2% had more than two disorders). Independent predictors for an FGID diagnosis were neuroticism, somatic distress, anxiety, bowel habit disturbance, abdominal pain frequency, and increasing age. However, psychological morbidity did not independently discriminate between consulters and nonconsulters with an FGID. CONCLUSIONS: More than one third of the general population have one or more FGIDs. There seems to be a modest link between psychological morbidity and FGIDs, although other unknown factors seem to be more important in explaining health care seeking for these disorders. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/12358247/Epidemiology_and_health_care_seeking_in_the_functional_GI_disorders:_a_population_based_study_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0002-9270&date=2002&volume=97&issue=9&spage=2290 DB - PRIME DP - Unbound Medicine ER -