澳大利亚成年人的腰痛:患病率及相关残疾情况
Low back pain in Australian adults: prevalence and associated disability.
作者信息
Walker Bruce F, Muller Reinhold, Grant William D
机构信息
School of Public Health and Tropical Medicine, James Cook University, Suite 16, Hyde Park Centre, Woolcock Street, Townsville, Queensland 4810, Australia.
出版信息
J Manipulative Physiol Ther. 2004 May;27(4):238-44. doi: 10.1016/j.jmpt.2004.02.002.
OBJECTIVES
To determine the prevalence ranges of low back pain (LBP) together with any related disability in Australian adults.
DESIGN
A population-based survey.
METHODS
The survey was mailed in June 2001 to a stratified random sample of 3000 Australian adults selected from the Electoral Roll. Demographic variables of respondents were compared with the Australian population. Selective response bias was investigated using wave analysis. A range of prevalence data was derived, as were disability scores using the Chronic Pain Grade.
RESULTS
There was a 69% response rate. There was little variation between the sample and the Australian adult population. There was no significant selective response bias found. The sample point prevalence was estimated at 25.6% (95% confidence interval [CI], 23.6-27.5), 12-month prevalence was 67.6% (95% CI, 65.5-69.7), and lifetime prevalence was 79.2%, (95% CI, 77.3-81.0). In the previous 6-month period, 42.6% (95% CI, 40.4-44.8) of the adult population had experienced low-intensity pain and low disability from it. Another 10.9% (95% CI, 9.6-12.3) had experienced high intensity-pain but still low disability from this pain. However, 10.5% (95% CI, 9.2-11.9) had experienced high-disability LBP.
CONCLUSION
LBP is a common problem in the Australian adult population, yet most of this is low-intensity and low-disability pain. Nevertheless, over 10% had been significantly disabled by LBP in the past 6 months. Data from this study will provide a better understanding of the magnitude of the LBP problem in Australia, the need for access to health care resources, and also strategic research directions.
目的
确定澳大利亚成年人中腰痛(LBP)及其相关残疾的患病率范围。
设计
一项基于人群的调查。
方法
2001年6月,该调查被邮寄给从选民名册中选取的3000名澳大利亚成年人的分层随机样本。将受访者的人口统计学变量与澳大利亚人口进行比较。使用波动分析调查选择性反应偏差。得出一系列患病率数据,以及使用慢性疼痛分级的残疾评分。
结果
回复率为69%。样本与澳大利亚成年人口之间几乎没有差异。未发现明显的选择性反应偏差。样本点患病率估计为25.6%(95%置信区间[CI],23.6 - 27.5),12个月患病率为67.6%(95%CI,65.5 - 69.7),终生患病率为79.2%(95%CI,77.3 - 81.0)。在过去6个月期间,42.6%(95%CI,40.4 - 44.8)的成年人口经历过轻度疼痛且残疾程度较低。另有10.9%(95%CI,9.6 - 12.3)经历过高强度疼痛但残疾程度仍然较低。然而,10.5%(95%CI,9.2 - 11.9)经历过导致严重残疾的腰痛。
结论
腰痛在澳大利亚成年人口中是一个常见问题,但大多数是轻度和低残疾程度的疼痛。尽管如此,在过去6个月中,超过10%的人因腰痛而严重致残。本研究的数据将有助于更好地了解澳大利亚腰痛问题的严重程度、获得医疗保健资源的需求以及战略研究方向。