title: Healthcare seeking for constipation: a population-based survey in the Mediterranean area of Spain.
abstract: BACKGROUND
  The use of healthcare resources for the management of constipation is not well-known.
  
  
  OBJECTIVE
  To analyse healthcare seeking for constipation, defined by three different criteria, and its related factors and to assess the frequency of use of laxatives, suppositories and enemas for the treatment of constipation.
  
  
  METHODS
  A cross-sectional study in the general community. A questionnaire comprising 21-items was developed and delivered by mail to a random sample of 506 subjects aged 18-65 years, and belonging to a Spanish population.
  
  
  RESULTS
  Seeking of health care was high in the sample (16%) and was similar for all definitions of constipation (over 40% of constipated subjects). It was associated with female gender, a higher educational level and two symptoms, such as prolonged defecation and abdominal pain. A 14% of the sample used laxatives, and about a 25% of constipated subjects used laxatives at least once a week. Utilization was more frequent in women, with no differences by age group.
  
  
  CONCLUSIONS
  Chronic constipation is a problem that causes an important consumption of resources in our setting, derived from laxative use and the seeking of medical help to combat the problem. The use of these resources is higher in women.
authors.affiliation: Gastroenterology Unit, Hospital Universitari LA FE, Valencia, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Gálvez
authors.forename: V
authors.initials: V
authors.lastname: Garrigues
authors.forename: V
authors.initials: V
authors.lastname: Ortiz
authors.forename: M
authors.initials: M
authors.lastname: Ponce
authors.forename: P
authors.initials: P
authors.lastname: Nos
authors.forename: J
authors.initials: J
authors.lastname: Ponce
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002400:Cathartics / Q000627:therapeutic use; D003248:Constipation / Q000453:epidemiology / Q000628:therapy*; D004733:Enema; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D017678:Sex Distribution; D013030:Spain / Q000453:epidemiology; D013488:Suppositories
chemical_list: D002400:Cathartics; D013488:Suppositories