Prista A, Balagué F, Nordin M, Skovron M L
Faculty of Medicine, Universidade Eduardo Mondlane, C.P. 2017, Maputo, Mozambique.
Eur Spine J. 2004 Jul;13(4):341-5. doi: 10.1007/s00586-004-0683-7. Epub 2004 Mar 18.
Recent literature shows that the prevalence of low back pain (LBP) in adolescents living in Western countries approaches that of adults 18-55 years of age. Moreover, epidemiological studies have also shown that the frequency of different rheumatic disorders in developing countries is similar to that found in Western industrialized regions. The purpose of this study was to ascertain the prevalence of LBP and to explore some risk factors among adolescents living in different zones of Mozambique. A previously validated questionnaire was distributed to schoolchildren of grades 6 and 7 living in three different residential/social regions of the country. Two hundred four (204) children participated in the survey. Median age was 13 years (age range 11-16 years) and 46% were boys. Several episodes of LBP interfering with usual activities during the previous year were reported by 13.5% of the sample. Living in the wealthier urban center (as compared with the peripheral regions) and walking >30 min per day to and from school were associated with an increased risk of LBP (OR 3.1, 95% CI 0.99-9.48, and OR 4.8, 95% CI 1.61-14.28, respectively).
近期文献表明，西方国家青少年中腰痛（LBP）的患病率接近18 - 55岁成年人的患病率。此外，流行病学研究还表明，发展中国家不同风湿性疾病的发病率与西方工业化地区相似。本研究的目的是确定莫桑比克不同地区青少年中腰痛的患病率，并探索一些风险因素。一份先前经过验证的问卷被分发给该国三个不同居住/社会区域的六年级和七年级学童。204名儿童参与了调查。中位年龄为13岁（年龄范围11 - 16岁），46%为男孩。样本中有13.5%的人报告在前一年有几次腰痛发作干扰了日常活动。生活在较富裕的城市中心（与周边地区相比）以及每天步行上下学超过30分钟与腰痛风险增加相关（优势比分别为3.1，95%置信区间0.99 - 9.48，以及4.8，95%置信区间1.61 - 14.28）。
