Bener Abdulbari, Dafeeah Elnour E, Alnaqbi Khalid, Falah Omar, Aljuhaisi Taha, Sadeeq Alhassan, Khan Shehryar, Schlogl Josia
Department of Medical Statistics & Epidemiology, Hamad Medical Corporation & Department of Public Health, Weill Cornell Medical College, Doha, Qatar.
J Prim Care Community Health. 2013 Jul 1;4(3):220-7. doi: 10.1177/2150131913479385. Epub 2013 Feb 19.
Low back pain is one of the most common conditions for which patients seek medical care.
The aim of the study was to study the epidemiology of low back pain in primary care setting with emphasis on frequency, sociodemographic factors, and impact of low back pain on lifestyle habits.
This is a cross-sectional study. A representative sample of 2742 patients was approached and 2180 subjects agreed to participate in this study (79.5%). The survey was conducted among primary health care visitors during the period from March to October 2012. The questionnaire collected the sociodemographic characteristics, lifestyle habits, and type of treatment taken for relief from recruited subjects.
Of the subjects studied, 52.9% were males and 47.1% were females. The prevalence of low back pain in the study sample was 59.2%. Low back pain was more prevalent among women (67.7%) than among men (51.6%). The proportion of low back pain was highest in the age-group 45 to 55 years in both the genders (37.6% and 36.4%, respectively). Nearly half of the men (45.7%) and women (45.2%) with low back pain were overweight with a significant difference (P < .001). More than half of the women with low back pain were housewives (50.4%), whereas most of the men had clerical jobs (36.8%). There was a significant difference observed between men and women in terms of nationality (P < .001), body mass index (P < .001), and occupation (P < .001). Prolonged standing (41.2% vs 29.5%; P < .001) and use of sponge mattress (50.9% vs 45.8%; P .041) was significantly higher among male patients with low back pain compared with females. Coughing/sneezing/straining (9.7% vs 5.9%; P = .01) were more frequent triggering factors in male patients with low back pain as compared with females.
The study findings revealed that the prevalence of low back pain was higher among women than among men. Low back pain was observed more frequently among older people and among those who were overweight.
腰背痛是患者寻求医疗护理的最常见病症之一。
本研究旨在探讨基层医疗环境中腰背痛的流行病学情况，重点关注发病率、社会人口学因素以及腰背痛对生活习惯的影响。
这是一项横断面研究。我们接触了2742名具有代表性的患者样本，其中2180名受试者同意参与本研究（79.5%）。调查于2012年3月至10月期间在基层医疗就诊者中进行。问卷收集了受试对象的社会人口学特征、生活习惯以及为缓解疼痛所采取的治疗类型。
在研究的受试者中，52.9%为男性，47.1%为女性。研究样本中腰背痛的患病率为59.2%。女性中腰背痛的患病率（67.7%）高于男性（51.6%）。45至55岁年龄组中，男性和女性腰背痛的比例均最高（分别为37.6%和36.4%）。近一半的男性（45.7%）和女性（45.2%）腰背痛患者超重，差异有统计学意义（P < .001）。超过一半的女性腰背痛患者是家庭主妇（50.4%），而大多数男性从事文职工作（36.8%）。在国籍（P < .001）、体重指数（P < .001）和职业（P < .001）方面，男性和女性之间存在显著差异。与女性相比，男性腰背痛患者中长时间站立（41.2%对29.5%；P < .001）和使用海绵床垫（50.9%对45.8%；P = .041）的比例显著更高。咳嗽/打喷嚏/用力（9.7%对5.9%；P = .01）在男性腰背痛患者中作为诱发因素比女性更频繁。
研究结果显示，女性中腰背痛的患病率高于男性。在老年人和超重者中，腰背痛更为常见。
