Bergman S, Herrström P, Högström K, Petersson I F, Svensson B, Jacobsson L T
Primary Care Centre Hertig Knut, Bryggaregatan 1, S-302 43 Halmstad, Sweden.
J Rheumatol. 2001 Jun;28(6):1369-77.
To estimate the prevalence of chronic regional and widespread musculoskeletal pain in a sample of the general adult population and study the association to age, sex, socioeconomic class, immigration, and housing area.
A cross sectional survey with a postal questionnaire to 3928 inhabitants on the west coast of Sweden.
The age and sex adjusted prevalence of chronic regional pain (CRP) was 23.9% and chronic widespread pain (CWP) 11.4% among 2425 subjects who responded to the complete questionnaire. Odds ratio (OR) for CWP showed a systematic increasing gradient with age and was highest in the age group 59-74 yrs (OR 6.36, 95% CI 3.85-10.50) vs age group 20-34 yrs. CWP was also associated with female sex (OR 1.91, 95% CI 1.41-2.61), being an immigrant (OR 1.83, 95% CI 1.22-2.77), living in a socially compromised housing area (OR 3.05, 95% CI 1.48-6.27), and being an assistant nonmanual lower level employee (OR 1.92, 95% CI 1.09-3.38) or manual worker (OR 2.72, 95% CI 1.65-4.49) vs being an intermediate/higher nonmanual employee. OR for CRP showed a systematic increasing gradient with age and was highest in the age group 59-74 yrs (OR 2.22, 95% CI 1.62-3.05) vs age group 20-34 yrs. CRP was also associated with being a manual worker (OR 1.63, 95% CI 1.19-2.23) vs being an intermediate/higher nonmanual employee.
Chronic musculoskeletal pain is common in the general population. Sociodemographic variables were overall more frequently and strongly associated with CWP than with CRP, which indicates different pathophysiology in the development or preservation of pain in the 2 groups.
评估普通成年人群样本中慢性局部和广泛性肌肉骨骼疼痛的患病率，并研究其与年龄、性别、社会经济阶层、移民身份及居住区域的关联。
采用邮寄问卷对瑞典西海岸的3928名居民进行横断面调查。
在对完整问卷作出回应的2425名受试者中，经年龄和性别调整后的慢性局部疼痛（CRP）患病率为23.9%，慢性广泛性疼痛（CWP）患病率为11.4%。CWP的比值比（OR）随年龄呈系统性上升趋势，在59 - 74岁年龄组中最高（OR 6.36，95%可信区间3.85 - 10.50），与20 - 34岁年龄组相比。CWP还与女性性别（OR 1.91，95%可信区间1.41 - 2.61）、移民身份（OR 1.83，95%可信区间1.22 - 2.77）、居住在社会条件较差的住房区域（OR 3.05，95%可信区间1.48 - 6.27）以及作为非体力劳动低层助理员工（OR 1.92，95%可信区间1.09 - 3.38）或体力劳动者（OR 2.72，95%可信区间1.65 - 4.49）有关，与中级/高级非体力劳动员工相比。CRP的OR随年龄呈系统性上升趋势，在59 - 74岁年龄组中最高（OR 2.22，95%可信区间1.62 - 3.05），与20 - 34岁年龄组相比。CRP还与作为体力劳动者（OR 1.63，95%可信区间1.19 - 2.23）有关，与中级/高级非体力劳动员工相比。
慢性肌肉骨骼疼痛在普通人群中很常见。社会人口统计学变量总体上与CWP的关联比与CRP更频繁、更强，这表明两组疼痛的发生或维持存在不同的病理生理学机制。
