title: Pain, coping and health care utilization in younger and older adults with sickle cell disease.
abstract: Sickle cell disease is characterized by acute pain crises. Pain, chronic medical problems, utilization and coping were compared in younger vs older patients using questionnaires and medical record review. Groups reported similar pain intensity and medical conditions. The pattern of utilization differed such that older patients attended outpatient clinic, and younger patients went to the Emergency Department. Younger patients were more likely to cope by ignoring pain, or by using heat, cold or massage. Older patients were more likely to pray and hope. We conclude that age plays an important role in the utilization and coping of sickle cell patients.
authors.affiliation: VA Connecticut Healthcare System & Yale University School of Medicine, West Haven, CT 06516, USA. kathryn.sanders@va.gov
authors.forename: Kathryn A
authors.initials: KA
authors.lastname: Sanders
authors.forename: Susan M
authors.initials: SM
authors.lastname: Labott
authors.forename: Robert
authors.initials: R
authors.lastname: Molokie
authors.forename: Sarah R
authors.initials: SR
authors.lastname: Shelby
authors.forename: Joseph
authors.initials: J
authors.lastname: Desimone
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000755:Anemia, Sickle Cell / Q000453:epidemiology* / Q000628:therapy*; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000523:psychology*; D055815:Young Adult