The University of North Carolina at Chapel Hill, NC 27599-3210, USA.
J Aging Health. 2010 Dec;22(8):1213-34. doi: 10.1177/0898264310374111. Epub 2010 Jul 23.
To determine the prevalence of chronic low back pain (LBP) in older North Carolinians, describe their health and health care utilization, and compare these findings with younger subgroups.
A cross-sectional, telephone survey of 5,357 households was conducted to identify 732 adults with chronic, impairing LBP.
Chronic LBP prevalence in older adults was significantly higher than the 21-to-44-year age group (12.3% vs. 6.5%, p < .001). Older adults were more disabled, had longer symptom duration, and were less depressed. Chronic LBP care seeking in older adults was significantly lower than the 45-to-64-year age group (80.6% vs. 88.6%, p = .02). Older adults were less likely to receive bed rest, spinal manipulation, heat/cold treatments, electrical stimulation, and massage therapy. Use of nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, strong narcotics, and antidepressants was significantly lower in the older age group.
There are age-related differences in health and health care use among individuals with chronic LBP.
确定北卡罗来纳州老年人慢性下背痛（LBP）的患病率，描述他们的健康和医疗保健利用情况，并将这些发现与年轻亚组进行比较。
对 5357 户家庭进行了横断面电话调查，以确定 732 名患有慢性、致残性 LBP 的成年人。
老年人慢性 LBP 的患病率明显高于 21 至 44 岁年龄组（12.3%比 6.5%，p<.001）。老年人的残疾程度更高，症状持续时间更长，抑郁程度更低。老年人慢性 LBP 的医疗寻求明显低于 45 至 64 岁年龄组（80.6%比 88.6%，p=0.02）。老年人接受卧床休息、脊柱手法治疗、热/冷治疗、电刺激和按摩疗法的可能性较低。在老年组中，非甾体抗炎药（NSAIDs）、肌肉松弛剂、强效麻醉剂和抗抑郁药的使用明显较低。
患有慢性 LBP 的个体的健康和医疗保健利用存在与年龄相关的差异。
