Sydsjö Adam, Alexanderson Kristina, Dastserri Monir, Sydsjö Gunilla
Department of Health and Environment, Faculty of Health Sciences, University of Linköping, Sweden.
Spine (Phila Pa 1976). 2003 Feb 15;28(4):385-9. doi: 10.1097/01.BRS.0000048467.77507.FC.
A cross-sectional population-based study was conducted.
To investigate the influence of pregnancy on any gender differences in sickness absence related to back pain diagnoses in the group 16 to 44 years of age.
Back pain diagnoses are a major reason for sickness absence, especially among pregnant women. There is, however, little knowledge on the extent to which back pain during pregnancy may account for any differences in sickness absence when compared with men and nonpregnant women.
Data on sick leave periods certified by a physician were combined from two research databases: one including all insured persons (n = 50,167) and one including pregnant women (n = 1342) for the duration of 1 year.
When pregnant women were subtracted from "all women," nonpregnant women had the same cumulative incidence of sickness absence related to back pain diagnoses as men. Among "all women" sick-listed with back pain diagnoses, 37% were pregnant, a finding not evident from official statistics. Sickness absence increased with age among nonpregnant women and men, but decreased among pregnant women.
The proportion of sickness absence related to back pain diagnoses did not differ between nonpregnant women and men ages 16 to 44 years. The importance of back pain diagnosis as a reason for sickness absence may thus be overrated among nonpregnant women.
开展了一项基于人群的横断面研究。
调查怀孕对16至44岁人群中与背痛诊断相关的病假中性别差异的影响。
背痛诊断是病假的主要原因，尤其是在孕妇中。然而，与男性和非孕妇相比，孕期背痛在多大程度上可能导致病假差异，目前知之甚少。
将来自两个研究数据库的医生开具的病假数据合并：一个数据库包含所有参保人员（n = 50,167），另一个数据库包含1年内的孕妇（n = 1342）。
从“所有女性”中减去孕妇后，非孕妇与背痛诊断相关的病假累积发病率与男性相同。在因背痛诊断而列入病假名单的“所有女性”中，37%为孕妇，这一发现从官方统计数据中并不明显。非孕妇和男性的病假率随年龄增长而增加，但孕妇的病假率则下降。
16至44岁的非孕妇和男性中，与背痛诊断相关的病假比例没有差异。因此，在非孕妇中，背痛诊断作为病假原因的重要性可能被高估了。
