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发展中国家城市人口面临的一个微妙威胁:腰痛及其相关风险因素。

A Subtle Threat to Urban Populations in Developing Countries: Low Back Pain and its Related Risk Factors.

作者信息

Noormohammadpour Pardis, Mansournia Mohammad Ali, Asadi-Lari Mohsen, Nourian Ruhollah, Rostami Mohsen, Kordi Ramin

机构信息

*Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran†Department of Sports and Exercise Medicine, Imam Khomeini Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran‡Spine Division, Noorafshar Rehabilitation & Sports Medicine Hospital, Tehran, Iran§Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran||Oncopathology Research Center, Iran University of Medical Sciences, Tehran, Iran¶Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Spine (Phila Pa 1976). 2016 Apr;41(7):618-27. doi: 10.1097/BRS.0000000000001269.

DOI:10.1097/BRS.0000000000001269
PMID:27018901
Abstract

STUDY DESIGN

A cross-sectional, population-based survey.

OBJECTIVE

The aim of this study was to estimate the prevalence, and biological and psychological correlates of low back pain (LBP) in large, populated urban areas.

SUMMARY OF BACKGROUND DATA

LBP is a common and costly medical problem all around the world. Currently, there are limited data available on prevalence as well as biological and psychological correlates of LBP in large urban populations in developing countries.

METHODS

Here, in a cross-sectional, population-based survey, we analyzed data obtained from 22,952 subjects living in Tehran.

RESULTS

Chronic, 1-year, and point prevalence of LBP among subjects were 12.2%, 42.1%, and 36.2%, respectively. LBP was more prevalent among older population, women, housewives, and obese people after adjustment for confounding factors using logistic regression models. In addition, persons with a general health questionnaire (GHQ-28) score ≥6 were about 2 times more likely to experience LBP in comparison with others. Both subjects with higher educational levels and those who were never married reported significantly less LBP. Furthermore, we could not find any significant correlation between smoking and physical activity level with LBP.

CONCLUSION

LBP is prevalent among the general population of Tehran. Our findings can help health care providers regarding logical assignment of limited resources, in order to create multidimensional prevention plans according to potentially modifiable associated factors.

LEVEL OF EVIDENCE

摘要

研究设计

一项基于人群的横断面调查。

目的

本研究旨在估计大城市人口中腰痛(LBP)的患病率以及生物学和心理学相关因素。

背景数据总结

腰痛是全球常见且代价高昂的医学问题。目前,关于发展中国家大城市人口中腰痛的患病率以及生物学和心理学相关因素的数据有限。

方法

在此项基于人群的横断面调查中,我们分析了从居住在德黑兰的22952名受试者获得的数据。

结果

受试者中腰痛的慢性患病率、1年患病率和点患病率分别为12.2%、42.1%和36.2%。在使用逻辑回归模型对混杂因素进行调整后,腰痛在老年人群、女性、家庭主妇和肥胖人群中更为普遍。此外,一般健康问卷(GHQ - 28)得分≥6的人经历腰痛的可能性是其他人的约2倍。受教育程度较高的受试者和从未结婚的受试者报告的腰痛明显较少。此外,我们未发现吸烟和身体活动水平与腰痛之间存在任何显著相关性。

结论

腰痛在德黑兰普通人群中普遍存在。我们的研究结果可帮助医疗保健提供者合理分配有限资源,以便根据潜在可改变的相关因素制定多维预防计划。

证据水平

3级。

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