Gureje Oye, Akinpelu Aderonke O, Uwakwe Richard, Udofia Owoidoho, Wakil Abba
Department of Psychiatry, University of Ibadan, Ibadan, Nigeria.
Spine (Phila Pa 1976). 2007 Aug 1;32(17):E495-500. doi: 10.1097/BRS.0b013e31810768fc.
A cross-sectional survey of households selected using multistage stratified sampling.
This paper investigates the prevalence of chronic spinal pain, its profile of comorbidity, and its impact on role disability in Nigeria.
Study was conducted in 21 states representing 57% of the national population. A probability sample (n = 2143) was interviewed.
Self-reports of chronic spinal pain, other pain conditions, as well as comorbid medical conditions were obtained. Composite International Diagnostic Interview, version 3, was used to evaluate mood, anxiety, and substance use disorders. Functional role impairment was assessed with questions about days out of role.
Chronic spinal pain was present in 16.4% (95% confidence interval, 14.5%-18.5%) of the sample. Prevalence increased with age of respondents, with 1 in 3 persons 60 years of age and older reporting chronic spinal pain. Persons with chronic spinal pain were at elevated risk to have chronic pain at other anatomic sites, to have a range of medical comorbidities, and to have mood and substance use disorders. Even though about one third of the decrement in functional role performance associated with chronic pain condition was attributable to demographics and comorbid conditions, chronic spinal pain was independently associated with significant role impairment.
Chronic spinal pain is a common problem in the Nigerian community, and persons 60 years of age and older may be at particularly elevated risk. Chronic spinal pain is associated with increased probability of comorbid physical and mental disorders. These comorbid conditions partly but do not fully explain the disability associated with chronic spinal pain, which therefore constitutes a substantial health burden on the society.
采用多阶段分层抽样法对家庭进行横断面调查。
本文调查尼日利亚慢性脊柱疼痛的患病率、共病情况及其对角色功能障碍的影响。
研究在代表全国57%人口的21个州开展。对一个概率样本（n = 2143）进行了访谈。
获取慢性脊柱疼痛、其他疼痛状况以及共病医疗状况的自我报告。使用综合国际诊断访谈第3版评估情绪、焦虑和物质使用障碍。通过询问角色缺失天数来评估功能角色损害。
样本中16.4%（95%置信区间，14.5%-18.5%）存在慢性脊柱疼痛。患病率随受访者年龄增加而上升，60岁及以上人群中每3人就有1人报告患有慢性脊柱疼痛。患有慢性脊柱疼痛的人在其他解剖部位患慢性疼痛、患有一系列医疗共病以及患有情绪和物质使用障碍的风险更高。尽管与慢性疼痛状况相关的功能角色表现下降约三分之一可归因于人口统计学和共病情况，但慢性脊柱疼痛与显著的角色损害独立相关。
慢性脊柱疼痛在尼日利亚社区是一个常见问题，60岁及以上人群可能风险尤其高。慢性脊柱疼痛与身心共病的可能性增加有关。这些共病情况部分但不能完全解释与慢性脊柱疼痛相关的功能障碍，因此构成了社会的重大健康负担。
