东日本大地震慢性期主观经济困难对新发颈部疼痛（所谓“斜颈”）的影响：一项前瞻性队列研究。

Influence of subjective economic hardship on new onset of neck pain (so-called: katakori) in the chronic phase of the Great East Japan Earthquake: A prospective cohort study.

作者信息

Sekiguchi Takuya, Hagiwara Yoshihiro, Sugawara Yumi, Tomata Yasutake, Tanji Fumiya, Watanabe Takashi, Yabe Yutaka, Koide Masashi, Itaya Nobuyuki, Itoi Eiji, Tsuji Ichiro

机构信息

Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan; Division of Epidemiology, Department of Health Informatics and Public Health, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan.

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

出版信息

J Orthop Sci. 2018 Sep;23(5):758-764. doi: 10.1016/j.jos.2018.04.011. Epub 2018 Jun 20.

DOI:10.1016/j.jos.2018.04.011

PMID:29933941

Abstract

BACKGROUND

Studies have suggested that musculoskeletal symptoms increase after natural disasters. The Great East Japan Earthquake (GEJE) and accompanying tsunami placed a huge financial burden on the local population. This study determined whether subjective economic hardship influenced the new onset of neck pain (katakori) in the chronic phase after the GEJE.

METHODS

This study used longitudinal data from 1359 adults who had responded to the self-report questionnaire at 2 and 3 years after the GEJE. New-onset neck pain was defined as neck pain absent at 2 years and present at 3 years. Subjective economic hardship at 2 years after the GEJE was categorized into 4 groups: "normal," "a little bit hard," "hard," and "very hard." Multiple logistic regression analysis was used to estimate the odds ratio (OR) and 95% confidence interval (CI) in order to examine the association between subjective economic hardship and new-onset neck pain.

RESULTS

Among the participants, 12.9% (n = 175) reported new-onset neck pain. A significantly higher rate of new-onset neck pain was observed in participants who considered their subjective economic hardship to be "hard" (OR = 2.10, 95% CI = 1.34-3.30) or "very hard" (OR = 3.26, 95% CI = 1.83-5.46; p for trend <0.001) compared with those who considered their hardship to be "normal."

CONCLUSIONS

Subjective economic hardship was significantly associated with new-onset neck pain in the chronic phase of the GEJE. (228/300).

摘要

背景

研究表明，自然灾害后肌肉骨骼症状会增加。东日本大地震（GEJE）及随之而来的海啸给当地居民带来了巨大的经济负担。本研究旨在确定主观经济困难是否会影响GEJE后慢性期颈痛（落枕）的新发情况。

方法

本研究使用了1359名成年人的纵向数据，这些人在GEJE发生后2年和3年时对自我报告问卷做出了回应。新发颈痛定义为在2年时无颈痛而在3年时出现颈痛。GEJE发生后2年时的主观经济困难分为4组：“正常”、“有点困难”、“困难”和“非常困难”。采用多元逻辑回归分析来估计优势比（OR）和95%置信区间（CI），以检验主观经济困难与新发颈痛之间的关联。

结果

在参与者中，12.9%（n = 175）报告有新发颈痛。与认为自己主观经济困难为“正常”的参与者相比，认为自己主观经济困难为“困难”（OR = 2.10，95% CI = 1.34 - 3.30）或“非常困难”（OR = 3.26，95% CI = 1.83 - 5.46；趋势p<0.001）的参与者中，新发颈痛的发生率显著更高。