Kuntz Benjamin, Hoebel Jens, Fuchs Judith, Neuhauser Hanne, Lampert Thomas
FG 28 Soziale Determinanten der Gesundheit, Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Str. 62-66, 12101, Berlin, Deutschland.
FG 25 Körperliche Gesundheit, Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2017 Jul;60(7):783-791. doi: 10.1007/s00103-017-2568-z.
Back pain is a common cause for health care utilization and inability to work and associated with corresponding costs. The aim of the study was to investigate socioeconomic inequalities in chronic back pain in the adult general population.
The analyses were based on pooled data of three waves (2009, 2010, 2012) of the nationwide German Health Update (GEDA) study carried out by the Robert Koch Institute (n = 62,606 aged 18 years and older). Self-reported back pain symptoms persisting at least three months were used to determine lifetime and 12-month prevalence. For analyzing socioeconomic differences in the prevalence of chronic back pain, a multidimensional SES index and its three individual components - educational level, occupational status and income - were used.
About every sixth man (17.1%) and every fourth woman (24.4%) reported chronic back pain in the past twelve months. With decreasing SES, the 12-month prevalence of chronic back pain increased (Relative Index of Inequality (RII) [95% CI], men = 2.29 [2.04-2,56], women=1.92 [1.76-2.09]). Similar results were observed for lifetime prevalence. For both men and women, educational level, occupational status and income each had independent effects on chronic back pain prevalence.
In Germany, back pain is widely prevalent. Our finding that different aspects of SES are independently associated with chronic back pain prevalence is a challenge but also a chance for treatment and preventive strategies combining behavioral and setting-oriented measures.
背痛是医疗保健利用和无法工作的常见原因，并伴有相应的费用。本研究的目的是调查成年普通人群慢性背痛中的社会经济不平等情况。
分析基于罗伯特·科赫研究所开展的德国全国健康更新（GEDA）研究的三波数据（2009年、2010年、2012年）（n = 62,606名18岁及以上成年人）。使用自我报告的持续至少三个月的背痛症状来确定终生患病率和12个月患病率。为分析慢性背痛患病率的社会经济差异，使用了一个多维社会经济地位指数及其三个单独组成部分——教育水平、职业地位和收入。
在过去十二个月中，约每六名男性（17.1%）和每四名女性（24.4%）报告有慢性背痛。随着社会经济地位的降低，慢性背痛的12个月患病率升高（不平等相对指数（RII）[95%置信区间]，男性 = 2.29 [2.04 - 2.56]，女性 = 1.92 [1.76 - 2.09]）。终生患病率也观察到类似结果。对于男性和女性，教育水平、职业地位和收入各自对慢性背痛患病率有独立影响。
在德国，背痛普遍存在。我们的发现，即社会经济地位的不同方面与慢性背痛患病率独立相关，这对于结合行为和环境导向措施的治疗和预防策略而言既是挑战也是机遇。
