O'Sullivan Peter B, Straker Leon M, Smith Anne, Perry Mark, Kendall Garth
Schools of Physiotherapy, Curtin University of Technology, Perth, Western Australia, Australia.
Clin J Pain. 2008 Mar-Apr;24(3):226-31. doi: 10.1097/AJP.0b013e3181602131.
The study objectives were (1) to determine if adolescent back pain is related to carer back pain; and (2) to examine whether other carer and family factors accounted for any such relationship.
Back pain experience was collected independently from 1608 fourteen-year-old adolescents and their care givers by questionnaire. Measures of back pain impact on carers were also collected (modified activities, missed work, sought professional help, took medication). Other carer factors examined were age, sex, smoking habits, depression, anxiety, and stress. Familial factors examined included income, stressful events, and family functioning. Odds ratios were calculated to describe familial associations with multivariate modeling used to examine the influence of other carer and family factors.
Lifetime prevalence of back pain was 46.5% for adolescents and 72% for their carers. Having a carer with back pain increased the risk of back pain for adolescents, and this was magnified if both carers had back pain (odds ratio 1.61). Adolescent back pain was not associated with primary carer age, sex, depression, anxiety, or stress but was related to family stressful events. However, these other factors did not diminish the association between carer back pain and adolescent back pain.
Carer experience of back pain is clearly associated with adolescent experience of back pain. Although other carer and family factors are also associated, the carer's back pain experience is not a surrogate measure of these other factors suggesting other genetic and behavioral mechanisms may be important for adolescent back pain development.
本研究的目的是（1）确定青少年背痛是否与照顾者背痛有关；（2）检查其他照顾者和家庭因素是否能解释这种关系。
通过问卷调查，独立收集了1608名14岁青少年及其照顾者的背痛经历。还收集了背痛对照顾者影响的相关指标（活动受限、误工、寻求专业帮助、服药情况）。所检查的其他照顾者因素包括年龄、性别、吸烟习惯、抑郁、焦虑和压力。所检查的家庭因素包括收入、应激事件和家庭功能。计算比值比以描述家庭关联，并使用多变量模型来检查其他照顾者和家庭因素的影响。
青少年背痛的终生患病率为46.5%，其照顾者为72%。照顾者患有背痛会增加青少年背痛的风险，如果父母双方都有背痛，这种风险会更大（比值比为1.61）。青少年背痛与主要照顾者的年龄、性别、抑郁、焦虑或压力无关，但与家庭应激事件有关。然而，这些其他因素并没有削弱照顾者背痛与青少年背痛之间的关联。
照顾者的背痛经历显然与青少年的背痛经历有关。虽然其他照顾者和家庭因素也有关联，但照顾者的背痛经历并不是这些其他因素的替代指标，这表明其他遗传和行为机制可能对青少年背痛的发展很重要。
