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Original article
No pain no gain: a survey of use of healthcare and reasons not to seek healthcare by Norwegian climbers with chronic injuries
  1. Gudmund Grønhaug,
  2. Atle Saeterbakken
  1. Education, arts and sports, Western Norway University of Applied Sciences, Sogndal, Norway
  1. Correspondence to Gudmund Grønhaug; groenhaug{at}gmail.com

Abstract

Objectives To assess the use of healthcare, and reasons not to seek healthcare, by climbers with a chronic injury.

Method Retrospective survey.

Setting Web-based questionnaire.

Participants 667 active climbers (385 with chronic injuries).

Outcome measure Use of healthcare (including reasons not to seek healthcare if the patient was not attended by health professionals), performance level in sport climbing, onset of a climbing-related injury, site of injury, preferred style of climbing and gender differences.

Result Of the 667 respondents, 385 had experienced a chronic injury in the past 6 months. Climbers with a chronic injury are reluctant to seek healthcare, and male climbers are less likely to seek healthcare than female climbers. The two most frequent reasons not to seek healthcare were: (1) an assumption that the injury was not serious enough (70%) and (2) a belief that a health professional could not help (60%). Only one in five of the climbers with a finger injury sought healthcare. The more experienced climbers were less likely to seek healthcare than recreational climbers.

Conclusion Use of healthcare among climbers with a chronic injury is limited and injured climbers self-assess the injury before seeking medical aid. Experience is a strong predictor for not seeking healthcare after an injury. These findings open up the possibility that some of those who do not seek healthcare after self-assessing the injury are underestimating the seriousness of the injury due to lack of confidence in the health professionals’ abilities to help treating chronic climbing related injuries.

  • climbing
  • chronic injuries
  • sport medicine
  • healthcare
  • injuries

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjsem-2019-000513

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    Footnotes

    • Collaborators Marius Norberg helped designing the questionnaire from wich the data are subtracted.

    • Contributors GG collected the data and wrote the paper and AS performed the statistical analyses and collaborated on writing the paper.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Ethics approval The survey is approved by the Regional Ethics Committee. Ref nr 2016/1533.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data availability statement Data are available on reasonable request.