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.

Abstract

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.

摘要

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。

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