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一项大型法国人群调查中的慢性背痛及其与生活质量的关系。

Chronic back pain and its association with quality of life in a large French population survey.

机构信息

Institut Universitaire de France, Laboratoire de Psychologie EA4139, Université de Bordeaux, Bordeaux, France.

Ecole des Hautes Etudes en Santé Publique, Paris, France.

出版信息

Health Qual Life Outcomes. 2018 Sep 26;16(1):195. doi: 10.1186/s12955-018-1018-4.

Abstract

BACKGROUND

Chronic back pain is associated with significant burden, yet few epidemiological studies have provided data on chronic back pain, its predictors and correlates in France.

METHODS

Data were drawn from a cross-sectional survey conducted in France (n = 17,249) using computer-assisted telephone interviews. Sample age ranges from 18 to 98 with a mean of 46.39 years (SD = 17.44), and was 56.7% female. Medical conditions were assessed using the CIDI, quality of life was assessed using both the physical and mental component scores of the SF-36.

RESULTS

Overall, 38.3% of adults reported chronic back pain. Female gender, older age, lower education, manual labor occupation, and population density were significantly associated with the distribution of chronic back pain. Chronic back pain was associated with lower scores on all SF-36 mean scores and on the Physical Composite Score and Mental Composite Score controlling for comorbid medical conditions including other types of chronic pain.

CONCLUSION

The study highlights the burden of chronic back pain in the general population and underscores its correlation with quality of life. Such data contribute to raise awareness among clinicians and health policy makers on the necessity of prevention, early diagnosis, proper management and rehabilitation policies in order to minimize the burden associated with chronic pain.

摘要

背景

慢性背痛负担沉重,但鲜少有流行病学研究提供法国慢性背痛、其预测因素和相关因素的数据。

方法

数据来自于法国进行的一项横断面调查(n=17249),采用计算机辅助电话访谈。样本年龄范围为 18 岁至 98 岁,平均年龄为 46.39 岁(标准差=17.44),女性占 56.7%。使用 CIDI 评估医疗状况,使用 SF-36 的生理和心理成分评分评估生活质量。

结果

总体而言,38.3%的成年人报告有慢性背痛。女性、年龄较大、受教育程度较低、体力劳动职业和人口密度与慢性背痛的分布显著相关。在控制包括其他类型慢性疼痛在内的合并症医疗状况后,慢性背痛与所有 SF-36 平均得分以及生理综合评分和心理综合评分的较低得分相关。

结论

该研究强调了慢性背痛在普通人群中的负担,并强调了其与生活质量的相关性。这些数据有助于提高临床医生和卫生政策制定者对预防、早期诊断、适当管理和康复政策的必要性的认识,以尽量减轻与慢性疼痛相关的负担。

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