Abstract
In a study looking at the relationship of life stress events to health status, 500 individuals randomly selected from family practices in Hamilton, Ontario were asked to keep a health diary for three days every two weeks over a two year period. The compliance with diary keeping was remarkably high (85%), partly due to a novel method of reinforcing compliance. The present study involved reviewing these health diaries for symptoms of sore throat during the three month period January to March 1979. Over 2,700 diaries representing 8,148 person/days were reviewed; 48% recorded at least one symptom and 5.2% of all diaries recorded sore throat on at least one day. Eight to 16% of those individuals recording sore throat as a symptom contacted a health professional and/or took prescribed drugs.
Although the group under study included only adults, the low medical contact rate of patients with sore throats raises questions about the effectiveness of any approach to sore throat/pharyngitis adopted in office practice.
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- Breese B. B. A simple scorecard for the tentative diagnosis of streptococcal pharyngitis. Am J Dis Child. 1977 May;131(5):514–517. doi: 10.1001/archpedi.1977.02120180028003. [DOI] [PubMed] [Google Scholar]
- Crawford G., Brancato F., Holmes K. K. Streptococcal pharyngitis: diagnosis by gram stain. Ann Intern Med. 1979 Mar;90(3):293–297. doi: 10.7326/0003-4819-90-3-293. [DOI] [PubMed] [Google Scholar]
- Forsyth R. A. Selective utilization of clinical diagnosis in treatment of pharyngitis. J Fam Pract. 1975 Jun;2(3):173–177. [PubMed] [Google Scholar]
- Gillette R. D. Streptococal throat infections in family practice. J Fam Pract. 1978 Feb;6(2):251–256. [PubMed] [Google Scholar]
- Katz H. P., Clancy R. R. Accuracy of a home throat culture program: a study of parent participation in health care. Pediatrics. 1974 May;53(5):687–691. [PubMed] [Google Scholar]
- Marsland D. W., Wood M., Mayo F. Content of family practice. Part I. Rank order of diagnoses by frequency. Part II. Diagnoses by disease category and age/sex distribution. J Fam Pract. 1976 Feb;3(1):37–68. [PubMed] [Google Scholar]
- McFarlane A. H., Norman G. R., Streiner D. L., Roy R., Scott D. J. A longitudinal study of the influence of the psychosocial environment on health status: a preliminary report. J Health Soc Behav. 1980 Jun;21(2):124–133. [PubMed] [Google Scholar]
- McFarlane A. H., O'Connell B. P. Streptococcal pharyngitis-an analysis of the diagnostic process for ambulant patients. Can Fam Physician. 1970 Jul;16(7):53–55. [PMC free article] [PubMed] [Google Scholar]
- Sievers J., Hall P. Incidence of acute rheumatic fever. Br Heart J. 1971 Nov;33(6):833–836. doi: 10.1136/hrt.33.6.833. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Valkenburg H. A., Haverkorn M. J., Goslings W. R., Lorrier J. C., De Moor C. E., Maxted W. R. Streptococcal pharyngitis in the general population. II. The attack rate of rheumatic fever and acute glomerulonephritis in patients. J Infect Dis. 1971 Oct;124(4):348–358. doi: 10.1093/infdis/124.4.348. [DOI] [PubMed] [Google Scholar]
- WHITE K. L., WILLIAMS T. F., GREENBERG B. G. The ecology of medical care. N Engl J Med. 1961 Nov 2;265:885–892. doi: 10.1056/NEJM196111022651805. [DOI] [PubMed] [Google Scholar]
- Walsh B. T., Bookheim W. W., Johnson R. C., Tompkins R. K. Recognition of streptococcal pharyngitis in adults. Arch Intern Med. 1975 Nov;135(11):1493–1497. [PubMed] [Google Scholar]