Oliveira Crystian B, Pinto Rafael Z, Damato Tatiana M, Lemes Italo Ribeiro, Delfino Leandro D, Tebar William R, Christofaro Diego G D
Departamento de Fisioterapia, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista (UNESP), Presidente Prudente, Brazil.
Departamento de Fisioterapia, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
Musculoskelet Sci Pract. 2021 Aug;54:102385. doi: 10.1016/j.msksp.2021.102385. Epub 2021 Apr 30.
Understanding the factors associated with care-seeking behaviour in adolescents with spinal pain will inform health care professionals and guide a better decision-making.
To identify factors, including parents' habits and behaviour, related to care-seeking in adolescents with neck pain or low back pain (LBP).
A cross-sectional study.
Adolescents between 10 and 17 years were randomly recruited from public schools. The proportion of adolescents with neck or LBP and those who had sought care for neck and LBP were assessed with the Nordic Musculoskeletal questionnaire. Daily activity limitation and the frequency of parents' habits and behaviour were collected using self-reported questions. Logistic regression analyses were performed to investigate if the following factors were associated with adolescents' care-seeking behaviour due to neck or LBP: daily activity limitations, physical activity (PA) domains, items of the social support scale.
The prevalence of adolescents reporting neck or LBP was 31.4% (318 out of 1011). Of these, 35.8% (n = 114) sought care for neck or low back pain. Activity limitations related to neck or LBP (OR: 5.83, 95% CI: 3.46 to 9.84), higher PA levels at school (OR: 1.67, 95% CI: 1.02 to 2.75), and PA encouragement (OR: 2.73, 95% CI: 1.27 to 5.85) were associated with care-seeking in adolescents with neck or LBP.
Adolescents with activity limitations due to neck or LBP, higher PA levels at school and encouraged by parents or friends to practice PA were more likely to seek care for their neck or LBP.
了解与脊柱疼痛青少年的就医行为相关的因素，将为医护人员提供信息并指导更好的决策。
确定与颈痛或腰痛（LBP）青少年就医相关的因素，包括父母的习惯和行为。
横断面研究。
从公立学校随机招募10至17岁的青少年。使用北欧肌肉骨骼问卷评估颈痛或腰痛青少年的比例以及因颈痛和腰痛寻求治疗的青少年比例。通过自我报告的问题收集日常活动限制以及父母习惯和行为的频率。进行逻辑回归分析，以调查以下因素是否与青少年因颈痛或腰痛的就医行为相关：日常活动限制、身体活动（PA）领域、社会支持量表项目。
报告颈痛或腰痛的青少年患病率为31.4%（1011人中有318人）。其中，35.8%（n = 114）因颈痛或腰痛寻求治疗。与颈痛或腰痛相关的活动限制（比值比：5.83，95%置信区间：3.46至9.84）、学校较高的PA水平（比值比：1.67，95%置信区间：1.02至2.75）以及PA鼓励（比值比：2.73，95%置信区间：1.27至5.85）与颈痛或腰痛青少年的就医行为相关。
因颈痛或腰痛而有活动限制、在学校PA水平较高且受到父母或朋友鼓励进行PA的青少年更有可能因颈痛或腰痛寻求治疗。
