东日本大地震幸存者的生活状况、经济困难和睡眠障碍与主观肩部疼痛相关：一项横断面研究。

Living status, economic hardship and sleep disturbance were associated with subjective shoulder pain in survivors of the Great East Japan Earthquake: A cross sectional study.

作者信息

Hagiwara Yoshihiro, Sekiguchi Takuya, Yabe Yutaka, Sugawara Yumi, Watanabe Takashi, Kanazawa Kenji, Koide Masashi, Itaya Nobuyuki, Tsuchiya Masahiro, Tsuji Ichiro, Itoi Eiji

机构信息

Department of Orthopaedic Surgery, Tohoku University School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8574, Japan.

出版信息

J Orthop Sci. 2017 May;22(3):442-446. doi: 10.1016/j.jos.2016.12.027. Epub 2017 Jan 21.

DOI:10.1016/j.jos.2016.12.027

PMID:28118947

Abstract

BACKGROUND

The Great East Japan Earthquake and devastating Tsunami hit hard everything on the northeastern coast of Japan. This study aimed to determine socio-psychological factors for "subjective shoulder pain" of the survivors at 2 years evaluated by a self-report questionnaire.

METHODS

Between November 2012 to February 2013, survivors replied to the self-report questionnaire, and 2275 people consented to join this study. Living status was divided into 5 categories (1. same house as before the earthquake (reference group), 2. temporary small house, 3. apartment, 4. house of relatives or acquaintance, 5. new house) and economic hardship was divided into 4 categories (1. normal (reference group), 2. a little bit hard, 3. hard, 4. very hard). Gender, age, body mass index, living areas, smoking and drinking habits, complications of diabetes mellitus and cerebral stroke, working status, and walking time were considered as the confounding factors. Kessler Psychological Distress Scale of ≥10/24 and Athens Insomnia Scale of ≥6/24 points were defined as a presence of psychological distress and sleep disturbance, respectively. We used multiple logistic regression analysis to examine the association of shoulder pain with living environment, economic hardship, psychological distress, and sleep disturbance at 2 years after the earthquake.

RESULTS

There were significant differences in the risk of having shoulder pain in those with "apartment" (OR = 1.74, 95% CI = 1.03-2.96), "house of relatives or acquaintance" (OR = 2.98, 95% CI = 1.42-6.25), economic hardship of "hard" (OR = 1.71, 95% CI = 1.08-2.7) and "very hard" (OR = 2.51, 95% CI = 1.47-4.29), and sleep disturbance (OR = 2.96, 95% CI = 2.05-4.27).

CONCLUSIONS

Living status of "apartment" and "house of relatives or acquaintance", economic hardship of "hard" and "very hard", and "sleep disturbance" were significantly associated with shoulder pain.

摘要

背景

东日本大地震及毁灭性海啸重创了日本东北海岸的一切。本研究旨在通过自我报告问卷确定地震2年后幸存者“主观肩部疼痛”的社会心理因素。

方法

2012年11月至2013年2月期间，幸存者回复了自我报告问卷，2275人同意参与本研究。生活状况分为5类（1. 与地震前住所相同（参照组），2. 临时小房子，3. 公寓，4. 亲戚或熟人的房子，5. 新房子），经济困难分为4类（1. 正常（参照组），2. 有点困难，3. 困难，4. 非常困难）。将性别、年龄、体重指数、居住地区、吸烟和饮酒习惯、糖尿病和脑卒中等并发症、工作状况以及步行时间视为混杂因素。凯斯勒心理困扰量表得分≥10/24以及雅典失眠量表得分≥6/24分别被定义为存在心理困扰和睡眠障碍。我们使用多元逻辑回归分析来研究地震2年后肩部疼痛与生活环境、经济困难、心理困扰和睡眠障碍之间的关联。

结果

居住在“公寓”（比值比=1.74，95%置信区间=1.03-2.96）、“亲戚或熟人的房子”（比值比=2.98，95%置信区间=1.42-6.25）、经济困难“困难”（比值比=1.71，95%置信区间=1.08-2.7）和“非常困难”（比值比=2.51，95%置信区间=1.47-4.29）以及睡眠障碍（比值比=2.96，95%置信区间=2.05-4.27）的人群中，出现肩部疼痛的风险存在显著差异。