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颈痛的患病率及相关因素:一项基于人群的研究。

Prevalence and factors associated with neck pain: a population-based study.

机构信息

Programa de Mestrado em Fisioterapia na Saúde Funcional, Universidade do Sagrado Coração (USC), Bauru, SP, Brazil.

Curso de Fisioterapia, Universidade do Sagrado Coração (USC), Bauru, SP, Brazil.

出版信息

Braz J Phys Ther. 2017 Jul-Aug;21(4):274-280. doi: 10.1016/j.bjpt.2017.05.005. Epub 2017 May 20.

Abstract

BACKGROUND

Neck pain is a musculoskeletal condition with high prevalence that may affect the physical, social, and psychological aspects of the individual, contributing to the increase in costs in society and business.

OBJECTIVE

To determine the prevalence of neck pain and associated factors in a population-based sample of adults aged 20 and more.

METHODS

Cross-sectional study based on a population survey. A total number of 600 individuals were interviewed in their homes, and the following data were collected: (1) participant characteristics (demographic, socioeconomic, and work-related aspects) using a pre-coded questionnaire; (2) physical activity level using the IPAQ; and (3) musculoskeletal symptoms using the Nordic questionnaire. Descriptive, bivariate, and Poisson regression analyses were performed.

RESULTS

The prevalence of neck pain was 20.3% (95% CI 17.3-23.7). The adjusted analyses showed that individuals who were widowers or separated (PR=2.26; 1.42-5.88), had a low income (PR=1.32; 1.22-6.27) or low educational level (PR=1.83; 1.02-5.26), worked while sitting and leaning (PR=1.55; 1.08-2.40), and who reported having two or more diseases (PR=1.71; 1.55-6.31) remained associated with neck pain.

CONCLUSION

This study reveals the high prevalence of neck pain and remarkable association with widowed/separated people who have low income and low educational level, who perform their occupational activities in sitting and leaning positions, and who reported having two or more diseases. Knowledge of these risk factors will contribute to the development of forms of assistance in which neck pain can be prevented and better managed.

摘要

背景

颈痛是一种肌肉骨骼疾病,发病率较高,可能会影响个人的身体、社会和心理方面,导致社会和企业成本增加。

目的

在 20 岁及以上的成年人中,确定颈痛的流行率及相关因素。

方法

基于人群调查的横断面研究。共对 600 名个体进行家访访谈,并收集以下数据:(1)参与者特征(人口统计学、社会经济和工作相关方面),使用预编码问卷;(2)使用 IPAQ 评估体力活动水平;(3)使用北欧问卷评估肌肉骨骼症状。进行描述性、双变量和泊松回归分析。

结果

颈痛的患病率为 20.3%(95%CI 17.3-23.7)。调整分析表明,丧偶或离异者(PR=2.26;1.42-5.88)、收入低(PR=1.32;1.22-6.27)或教育程度低(PR=1.83;1.02-5.26)、坐着或倾斜工作(PR=1.55;1.08-2.40)以及报告有两种或两种以上疾病的个体(PR=1.71;1.55-6.31)仍与颈痛相关。

结论

本研究显示颈痛的高患病率,与收入和教育程度低、从事坐着和倾斜工作、报告有两种或两种以上疾病的丧偶/离异者显著相关。了解这些危险因素有助于制定形式的援助,以预防和更好地管理颈痛。

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