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Differences in reporting somatic complaints in elderly by education level
Authors:Mindaugas Stankunas  Joaquim F.J. Soares  Aurima Stankuniene  M. Gabriella Melchiorre  Francisco Torres-Gonzales  Elisabeth Ioannidi-Kapolou  Henrique Barros  Jutta Lindert
Affiliation:1. School of Public Health, Griffith University, Gold Coast Campus, Queensland, 4222, Australia
2. Department of Health Management, Lithuanian University of Health Sciences, A. Mickevi?iaus g. 9, LT 44307, Kaunas, Lithuania
3. Department of Public Health Sciences, Institution for Health Sciences, Mid Sweden University, SE-851 70, Sundsvall, Sweden
4. Department of Pharmaceutical Technology and Social Pharmacy, Lithuanian University of Health Sciences, A. Mickevi?iaus g. 9, LT 44307, Kaunas, Lithuania
5. Scientific Technological Area, Socio Economic Research Centre, Italian National Institute of Health and Science on Aging (INRCA), Via Santa Margherita, 5, 60124, Ancona, Italy
6. Centro de Investigación Biomedica en Red de Salud Mental” CIBERSAM-Granada University, Av Madrid, 11 PC:18071, Granada, Spain
7. Department of Sociology, National School of Public Health, 196 Alexandras avenue, Athens, 11521, Greece
10. Medical School and Institute of Public Health of the University of Porto, Porto, 4200-319, Portugal
8. Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto, Porto, 4200-319, Portugal
11. Department of Psychology and Sociology, University of Leipzig, Leipzig, Germany
9. Department of Public Health, Protestant University of Applied Sciences, Paulusweg 6, 71638, Ludwigsburg, Germany
Abstract:

Aim

To evaluate the association between somatic complaints and education level among elders in selected European countries.

Methods

Cross-sectional study among randomly selected community dwelling persons aged 60–84 years from seven cities in Europe: Ancona (Italy), Athens (Greece), Granada (Spain), Kaunas (Lithuania), Stuttgart (Germany), Porto (Portugal) and Stockholm (Sweden). Somatic complaints were measured with the 24-item version of the Giessen Complaint List (GBB-24). A regression analysis was done to investigate the association between education and somatic complaints. Results. The mean GBB-24 scale was 16.3±14.9. The most common complaints were pain in joints and limbs (29.6%), back-pain (24.1%), heaviness or tiredness in the legs (19.1%) and general tiredness (15.7%). Respondents with less than primary education reported higher levels of somatic symptoms compared to those with university degree. A regression analysis showed that higher education (OR=0.69) and being male (OR=0.48) were associated with a decreased risk for high levels of somatic complaints, and the opposite for older age (OR=1.03) and being single/divorced/window (OR=1.28).

Conclusions

The results indicate that less educated elders are more likely to expressed somatic complaints.
Keywords:
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