“…In the community, symptom severity is an important factor, but only explains a small proportion of health-care-seeking behavior in population-based studies; psychosocial factors, including life event stress, psychological morbidity, abuse, and illness concerns, have also been implicated [18,19]. Recent work suggests that quality of life is associated with health care seeking among population-based subjects with IBS and that different factors may influence health care seeking in men and women [20]. In this study, neither pain nor mental health status was associated with health care seeking.…”