Oksuz Ergun
Family Medicine Unit, Medico Social Health Center, Baskent University, Ankara, Turkey.
Spine (Phila Pa 1976). 2006 Dec 1;31(25):E968-72. doi: 10.1097/01.brs.0000247787.25382.3c.
STUDY DESIGN: A community-based cross-sectional survey was conducted using face-to-face interviews. OBJECTIVES: To estimate the point, 12-month period, and lifetime prevalence of low back pain (LBP) in the general population of Turkey, and to determine the factors associated with LBP. We also aim to determine self-reported health states differences between patients and the general population by the EuroQol-5D & Visual Analogue Scale (EQ5D-VAS). SUMMARY OF BACKGROUND DATA: LBP as a major public health problem has been unquestionably the most serious pain problem. LBP generally appears between 35 and 64 years of age. Little was known about the prevalence and determinants of LBP among populations from developing areas; information mostly comes from industrialized countries. This epidemiologic study reported the prevalence of LBP in the general population in Turkey. In Turkey, community-based trials on the prevalence of LBP were scarce. METHODS: A total of 7,000 participants selected by randomly sampling from seven regions of Turkey. A comprehensive questionnaire on demographics, physical and emotional stress, LBP, and EQ5D-VAS was administered to 4,990 men and women (age range, 18-70 years). RESULTS: The lifetime, 12-month period, and point prevalence of LBP were 44.1%, 34.0%, and 19.7%, respectively. The prevalence of LBP in women was consistently higher than in men across all age groups. The proportion of specific LBP was 10.2%, and most common etiology of specific LBP was disc hernia. In regression analysis, occupation, physical, and emotional stress showed significant associations with having LBP. The EQ5D-VAS scores of patients with LBP were significantly lower than self-reported assessments of the population without LBP (64.6, 63.0 vs. 73.8, P < 0.05). CONCLUSIONS: In comparison with other developing countries, the prevalence of LBP is higher in Turkey and approximates prevalence estimates of LBP in developed countries. LBP is associated with occupation. Smoking is not associated with having LBP. This study also shows that LBP influences disability and quality of life.
研究设计：采用面对面访谈的方式进行基于社区的横断面调查。 目的：估计土耳其普通人群中腰痛（LBP）的时点患病率、12个月患病率和终生患病率，并确定与LBP相关的因素。我们还旨在通过欧洲五维健康量表（EQ-5D）和视觉模拟量表（VAS）确定患者与普通人群自我报告的健康状况差异。 背景数据总结：LBP作为一个主要的公共卫生问题，无疑是最严重的疼痛问题。LBP通常出现在35至64岁之间。关于发展中地区人群中LBP的患病率和决定因素知之甚少；相关信息大多来自工业化国家。这项流行病学研究报告了土耳其普通人群中LBP的患病率。在土耳其，基于社区的LBP患病率试验很少。 方法：通过从土耳其七个地区随机抽样选取了7000名参与者。对4990名男性和女性（年龄范围18 - 70岁）进行了关于人口统计学、身体和情绪压力、LBP以及EQ-5D-VAS的综合问卷调查。 结果：LBP的终生患病率、12个月患病率和时点患病率分别为44.1%、34.0%和19.7%。在所有年龄组中，女性LBP的患病率始终高于男性。特定LBP的比例为10.2%，特定LBP最常见的病因是椎间盘突出。在回归分析中，职业、身体和情绪压力与患有LBP显著相关。LBP患者的EQ-5D-VAS评分显著低于无LBP人群的自我报告评估（64.6、63.0对73.8，P < 0.05）。 结论：与其他发展中国家相比，土耳其LBP的患病率较高，接近发达国家LBP患病率的估计值。LBP与职业有关。吸烟与患有LBP无关。这项研究还表明LBP会影响残疾和生活质量。
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