ENATSE (Ecole Nationale de Santé Publique et de Surveillance Epidémiologique), Université de Parakou, 03 BP 10, Parakou, Benin.
REVAL, Rehabilitation Research Center, Hasselt University, Hasselt, Belgium.
Eur Spine J. 2022 Nov;31(11):2897-2906. doi: 10.1007/s00586-022-07345-1. Epub 2022 Aug 6.
This study aimed to assess the prevalence of chronic low back pain (CLBP) and related biopsychosocial factors in urban and rural communities in Benin.
This is a population-based observational cross-sectional survey. An interviewer-administered electronic questionnaire was used to collect information on demographic, socio-economic, behavioral, and psychological factors relating to CLBP risk factors and medical history of participants. The numeric pain rating scale and the Beck Depression Inventory were used to assess pain intensity and the level of depression, respectively. Bivariate analyses were performed to investigate the association between sociodemographic, behavioral, and psychological factors and CLBP. Sequential multiple regression analyses were subsequently performed to predict the occurrence of CLBP.
A total of 4320 participants, with a mean age ± SD of 32.9 ± 13.1 years, of which 40.7% were females and 50.1% from an urban area, were enrolled in the study. We found a global prevalence rate of CLBP of 35.5% [95% CI 34.1-36.9%]. The prevalence in urban areas was 30.68% [95% CI 28.9-32.8%]) while 40.2% was found in rural areas [95% CI 38.1-42.2%]). Age (p < 0.001), level of education (p = 0.046), marital status (p < 0.001), working status (p < 0.003), tobacco use (p < 0.016) and regular physical activity (p < 0.011) were associated with CLBP. In urban areas, only the level of education was able to predict the prevalence of CLBP (R = 61%). In rural areas, CLBP was predicted by age, marital and working status (R = 89%).
This study showed a high prevalence of CLBP among urban and rural communities in Benin. Age, level of education, marital status, and working status were significantly associated with CLBP in Benin.
本研究旨在评估贝宁城乡社区慢性下背痛（CLBP）的流行情况及其相关的生物心理社会因素。
这是一项基于人群的观察性横断面调查。使用访谈者管理的电子问卷收集与 CLBP 危险因素和参与者病史相关的人口统计学、社会经济、行为和心理因素信息。数字疼痛评分量表和贝克抑郁量表分别用于评估疼痛强度和抑郁程度。进行了单变量分析，以调查社会人口统计学、行为和心理因素与 CLBP 之间的关联。随后进行了逐步多元回归分析，以预测 CLBP 的发生。
共纳入 4320 名参与者，平均年龄为 32.9 ± 13.1 岁，其中 40.7%为女性，50.1%来自城市地区。我们发现 CLBP 的总体患病率为 35.5%[95%置信区间 34.1-36.9%]。城市地区的患病率为 30.68%[95%置信区间 28.9-32.8%]，而农村地区为 40.2%[95%置信区间 38.1-42.2%]。年龄（p<0.001）、教育水平（p=0.046）、婚姻状况（p<0.001）、工作状况（p<0.003）、吸烟状况（p<0.016）和有规律的体育活动（p<0.011）与 CLBP 相关。在城市地区，只有教育水平能够预测 CLBP 的患病率（R=61%）。在农村地区，CLBP 由年龄、婚姻和工作状况预测（R=89%）。
本研究显示贝宁城乡社区 CLBP 的患病率较高。年龄、教育水平、婚姻状况和工作状况与贝宁的 CLBP 显著相关。
