女性性别与慢性颈部疼痛、慢性下腰痛和偏头痛的患病率较高相关：2017 年西班牙国家健康调查结果。

Female Gender Is Associated with a Higher Prevalence of Chronic Neck Pain, Chronic Low Back Pain, and Migraine: Results of the Spanish National Health Survey, 2017.

机构信息

Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Universidad Rey Juan Carlos, Madrid, Spain.

Department of Public Health & Maternal and Child Health, Faculty of Medicine, Universidad Complutense de Madrid, Madrid, Spain.

出版信息

Pain Med. 2021 Feb 23;22(2):382-395. doi: 10.1093/pm/pnaa368.

DOI:10.1093/pm/pnaa368

PMID:33164071

Abstract

OBJECTIVES

To assess the prevalence of chronic neck pain (CNP), chronic low back pain (CLBP), and migraine headache (MH) in the Spanish population and to identify sociodemographic and health-related variables associated with CNP, CLBP, and MH.

DESIGN

Observational study.

SETTING

Spain.

SUBJECTS

A total of 22,511 persons 18 years of age or older (10,304 males and 12,207 females) who participated in the 2017 Spanish National Health Survey.

METHODS

Stratified three-stage sampling was applied. CNP, CLBP, and MH were the dependent variables. The analysis was conducted separately by gender. Sociodemographic features, self-perceived health status, lifestyle habits, comorbidities, and pain features were analyzed by using logistic regression models.

RESULTS

Females reported a higher prevalence of CNP, CLBP, and MH (P < 0.001) than males. For both sexes, anxiety and/or depression and poor self-rated health were associated with a significantly increased prevalence of CNP, CLBP, and MH. For CNP and CLBP, the identified associated factors were older age and limitations to usual activity. For CNP and MH, the most common associated factor was comorbid respiratory disease.

CONCLUSIONS

Our study identified several factors associated with CNP, CLBP, and MH in Spanish female and male adults, with potential implications for health care providers.

摘要

目的

评估西班牙人群中慢性颈痛（CNP）、慢性下腰痛（CLBP）和偏头痛（MH）的患病率，并确定与 CNP、CLBP 和 MH 相关的社会人口学和健康相关变量。

设计

观察性研究。

地点

西班牙。

受试者

共纳入 22511 名 18 岁及以上的人群（男性 10304 名，女性 12207 名），他们参加了 2017 年西班牙国家健康调查。

方法

采用分层三级抽样。CNP、CLBP 和 MH 为因变量。按性别分别进行分析。采用逻辑回归模型分析社会人口学特征、自我感知健康状况、生活方式习惯、合并症和疼痛特征。

结果

女性报告 CNP、CLBP 和 MH 的患病率均高于男性（P<0.001）。对于男性和女性，焦虑和/或抑郁以及自我报告健康状况较差与 CNP、CLBP 和 MH 的患病率显著增加相关。对于 CNP 和 CLBP，确定的相关因素是年龄较大和日常活动受限。对于 CNP 和 MH，最常见的相关因素是合并呼吸系统疾病。