Department of Physical and Rehabilitation Medicine, Institute of Clinical Medicine, University of Oulu, Finland.
Eur J Pain. 2012 Nov;16(10):1467-76. doi: 10.1002/j.1532-2149.2012.00178.x. Epub 2012 Jul 13.
Recent studies have indicated that low back pain (LBP) is common already in adolescence, but only few studies have evaluated the factors that determine LBP-related health care use at this age.
The study population included 1987 adolescents aged 18 from the Oulu Back Study, a subcohort of the 1986 Northern Finland Birth Cohort. We used logistic regression to evaluate whether enabling resources, need factors, personal health habits or psychological problems are associated with seeking health care for LBP, among adolescents reporting LBP during the last year.
Of the 1987 respondents, 50% of the females and 42% of the males reported having had LBP during the previous year. Of the 921 respondents with LBP, 89 (16%) females, and 59 (16%) males had consulted a health care professional. In both genders, pain intensity was strongly associated with seeking care [visual analogue scale (VAS) 8-10 vs. VAS 0-3; males: OR 16.6, 95% CI 3.8-72.5, females: OR 18.8 95% CI 6.3-56.1]. In addition, LBP-related daily activity limitations (impairment index 4-6 vs. 0 OR 15.7 95% CI 1.7-142.5) were associated with care seeking among males. Student status was also associated with care seeking among males (OR 2.34 95% CI 1.02-5.36).
Approximately one out of six adolescents with LBP seeks medical care. Intensity of pain and daily activity limitations appear to be the main determinants of seeking care for LBP in adolescence.
最近的研究表明，青少年中已经普遍存在下腰痛（LBP），但只有少数研究评估了在这个年龄段决定与 LBP 相关的医疗保健使用的因素。
研究人群包括来自奥卢背研究的 1987 名 18 岁的青少年，这是 1986 年芬兰北部出生队列的一个子队列。我们使用逻辑回归来评估在报告过去一年有 LBP 的青少年中，促进资源、需求因素、个人健康习惯或心理问题是否与 LBP 的医疗保健寻求有关。
在 1987 名受访者中，50%的女性和 42%的男性报告在过去一年中有过 LBP。在 921 名有 LBP 的受访者中，89 名女性（16%）和 59 名男性（16%）曾咨询过医疗保健专业人员。在两种性别中，疼痛强度与寻求护理密切相关[视觉模拟量表（VAS）8-10 与 VAS 0-3；男性：OR 16.6，95%CI 3.8-72.5，女性：OR 18.8 95%CI 6.3-56.1]。此外，LBP 相关的日常活动限制（损伤指数 4-6 与 0 OR 15.7 95%CI 1.7-142.5）与男性寻求护理有关。学生身份也与男性寻求护理有关（OR 2.34 95%CI 1.02-5.36）。
大约六分之一有 LBP 的青少年寻求医疗护理。疼痛强度和日常活动限制似乎是青少年寻求 LBP 护理的主要决定因素。
