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[{"key": "dc.contributor.advisor", "value": "Sipil\u00e4, Sarianna", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Haahkamo, Eveliina", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-05-06T12:47:12Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-05-06T12:47:12Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2020", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/68864", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Ik\u00e4\u00e4ntyneet henkil\u00f6t kokevat usein kipua ja pitk\u00e4\u00e4n jatkuva kipu voi heikent\u00e4\u00e4 toimintakyky\u00e4 sek\u00e4 el\u00e4m\u00e4nlaatua. Ik\u00e4\u00e4ntyneet henkil\u00f6t k\u00e4ytt\u00e4v\u00e4t kivun hoitoon yleisimmin kipul\u00e4\u00e4kkeit\u00e4. Sosioekonomisen aseman on havaittu olevan yhteydess\u00e4 terveyteen ja kivun yleisyyteen. Sosioekonomisen aseman ja kipul\u00e4\u00e4kkeiden k\u00e4yt\u00f6n yhteytt\u00e4 on tutkittu vain v\u00e4h\u00e4n ik\u00e4\u00e4ntyneill\u00e4 henkil\u00f6ill\u00e4. T\u00e4m\u00e4n pro gradu -tutkielman tarkoituksena oli selvitt\u00e4\u00e4, onko sosioekonominen asema yhteydess\u00e4 kotona asuvien ik\u00e4\u00e4ntyneiden miesten ja naisten kipul\u00e4\u00e4kkeiden k\u00e4ytt\u00f6\u00f6n.\nTutkielman aineistona oli Jyv\u00e4skyl\u00e4n yliopiston Gerontologian tutkimuskeskuksen PASSWORD-tutkimuksen alkumittausaineisto. Tutkittavat (n=314) olivat 70\u201485-vuotiaita kotona asuvia jyv\u00e4skyl\u00e4l\u00e4isi\u00e4, joilla ei ollut vakavia sairauksia tai kognition heikentym\u00e4\u00e4. Sosioekonomista asemaa mitattiin koulutustasolla, koulutusvuosilla, talouden tuloilla ja ammattiasemalla. Kipul\u00e4\u00e4kkeiden k\u00e4ytt\u00f6 selvitettiin kyselylomakkeella ja vertaamalla reseptil\u00e4\u00e4kkeiden tietoja Effica-potilastietoj\u00e4rjestelm\u00e4\u00e4n. Tutkittavat jaettiin kahteen ryhm\u00e4\u00e4n: kipul\u00e4\u00e4kkeit\u00e4 k\u00e4ytt\u00e4viin ja kipul\u00e4\u00e4kkeit\u00e4 k\u00e4ytt\u00e4m\u00e4tt\u00f6miin. N\u00e4iden ryhmien sek\u00e4 sukupuolten v\u00e4lisi\u00e4 eroja tarkasteltiin riippumattomien otosten t-testill\u00e4, Mann-Whitneyn U-testill\u00e4, \u03c72-testill\u00e4 ja Fisherin tarkalla testill\u00e4. Sosioekonomisen aseman yhteytt\u00e4 kipul\u00e4\u00e4kkeiden k\u00e4ytt\u00f6\u00f6n analysoitiin bin\u00e4\u00e4risell\u00e4 logistisella regressioanalyysill\u00e4.\nKipul\u00e4\u00e4kkeiden k\u00e4ytt\u00e4jist\u00e4 66 % oli naisia. Kipul\u00e4\u00e4kkeiden k\u00e4ytt\u00e4jill\u00e4 oli heikompi toimintakyky, enemm\u00e4n sairauksia ja reseptil\u00e4\u00e4kkeit\u00e4 kuin kipul\u00e4\u00e4kkeit\u00e4 k\u00e4ytt\u00e4m\u00e4tt\u00f6mill\u00e4 tutkittavilla. Tutkittaessa sosioekonomisen aseman yhteytt\u00e4 kipul\u00e4\u00e4kkeiden k\u00e4ytt\u00f6\u00f6n sukupuolia yht\u00e4 aikaa tarkasteltaessa ammattiaseman havaittiin olevan tilastollisesti merkitsev\u00e4sti yhteydess\u00e4 kipul\u00e4\u00e4kkeiden k\u00e4ytt\u00f6\u00f6n. Ylemm\u00e4t toimihenkil\u00f6t kuuluivat 48 % pienemm\u00e4ll\u00e4 todenn\u00e4k\u00f6isyydell\u00e4 kipul\u00e4\u00e4kkeit\u00e4 k\u00e4ytt\u00e4viin verrattuna ty\u00f6ntekij\u00f6ihin (p=0.029). Naiset, joilla oli matala koulutustaso, k\u00e4yttiv\u00e4t nelj\u00e4 kertaa todenn\u00e4k\u00f6isemmin kipul\u00e4\u00e4kkeit\u00e4 kuin korkeasti koulutetut (p=0.046). Naisilla koulutusvuosien lis\u00e4ys oli yhteydess\u00e4 7 % pienemp\u00e4\u00e4n riskiin k\u00e4ytt\u00e4\u00e4 kipul\u00e4\u00e4kett\u00e4 (p=0.024). Naisilla my\u00f6s kuuluminen ylemp\u00e4\u00e4n toimihenkil\u00f6ryhm\u00e4\u00e4n verrattuna ty\u00f6ntekij\u00f6ihin v\u00e4hensi 67 % todenn\u00e4k\u00f6isyytt\u00e4 kipul\u00e4\u00e4kkeiden k\u00e4ytt\u00e4miselle (p=0.010). Miehill\u00e4 ei havaittu tilastollisesti merkitsevi\u00e4 yhteyksi\u00e4 sosioekonomisen aseman ja kipul\u00e4\u00e4kkeiden k\u00e4yt\u00f6n v\u00e4lill\u00e4.\nJohtop\u00e4\u00e4t\u00f6ksen\u00e4 voidaan todeta, ett\u00e4 erityisesti ik\u00e4\u00e4ntyneill\u00e4 naisilla alhainen sosioekonominen asema on yhteydess\u00e4 kipul\u00e4\u00e4kkeiden k\u00e4ytt\u00e4miseen. Aiheesta tarvitaan viel\u00e4 lis\u00e4\u00e4 tutkimusta, etenkin ik\u00e4\u00e4ntyneiden henkil\u00f6iden itsehoitokipul\u00e4\u00e4kkeiden k\u00e4yt\u00f6st\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The experience of pain is common among older people and due to long-term pain, the ability to function in daily activities and the quality of life can decrease. Analgesics are most commonly used for pain management by older people. Socioeconomic status has been found to have a connection with health and pain prevalence. Studies exploring the association between socioeconomic status and the use of analgesic in older people are rare. The aim of this thesis was to analyze associations between socioeconomic status and analgesic use in community-dwelling older men and women.\nThis thesis was based on the baseline data of the PASSWORD study by the University of Jyv\u00e4skyl\u00e4 Gerontology Research Center. The subjects (n=314) were 70\u201385 years old community-dwelling citizens of Jyv\u00e4skyl\u00e4 who didn\u2019t have serious diseases or cognitive impairment. Socioeconomic status was determined by educational level, years of education, household income and professional status. The use of analgesics was measured by the questionnaire and comparing the data of prescription medicines to the Effica-patient data system. The subjects were separated into two groups: analgesic users and non-users. Differences between these two groups and genders were analyzed by independent t-test, Mann-Whitney U-test, \u03c72-test and Fisher\u2019s Exact Tests. The association between socioeconomic status and analgesic use was analyzed by binary logistic regression analysis.\nAmong the users of analgesics 66 % were women. The analgesic users had decreased ability to function, more diseases and prescription medicines than the subjects who didn\u2019t use analgesics. When the association between socioeconomic status and analgesic use were analyzed simultaneously in both genders, professional status was statistically significantly associated with the analgesic use. Upper white-collar workers were 48 % less likely analgesic users compared to blue-collar workers (p=0.029). Women with a lower level of education were four times more likely to use analgesics than highly educated women (p=0.046). In women, an increase of years of education was associated with 7 % smaller odds to analgesic use (p=0.024). Also, women who had belonged to upper white-collar workers were 67 % less likely analgesic users than women who had worked in blue-collar positions (p=0.010). In men, there were no statistically significant associations between socioeconomic status and analgesic use.\nAs a conclusion, it can be noted that especially older women have an association between socioeconomic status and analgesic use. Further research on this topic is required, particularly on the use of non-prescription analgesic by older people.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-05-06T12:47:12Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-05-06T12:47:12Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "51", "language": "", "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.title", "value": "Sosioekonomisen aseman yhteys kotona asuvien ik\u00e4\u00e4ntyneiden henkil\u00f6iden kipul\u00e4\u00e4kkeiden k\u00e4ytt\u00f6\u00f6n", "language": "", "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-202005063075", "language": "", "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Gerontologia ja kansanterveys", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Gerontology and Public Health", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50423", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kivunhoito", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kipul\u00e4\u00e4kkeet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ik\u00e4\u00e4ntyneet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kipu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "sosioekonominen asema", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vanhukset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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