Jiménez-García Rodrigo, López-de-Andrés Ana, de Miguel-Diez Javier, Zamorano-León José J, Carabantes-Alarcón David, Noriega Concepción, Cuadrado-Corrales Natividad, Pérez-Farinos Napoleón
Department of Public Health and Maternal & Child Health, Faculty of Medicine, Universidad Complutense de Madrid, IdISSC, 28040 Madrid, Spain.
Respiratory Care Department, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Universidad Complutense de Madrid, 28007 Madrid, Spain.
J Clin Med. 2022 Nov 25;11(23):6953. doi: 10.3390/jcm11236953.
(1) Background: To assess the time trend in the prevalence of chronic neck pain (CNP), chronic low back pain (CLBP), and migraine or frequent headache (MFH) among people with diabetes in Spain from 2014 to 2020, this study identified sex differences and compared the prevalence of these pain sites between people with diabetes and age−sex-matched non-diabetic subjects. (2) Methods: The study design included a cross-sectional and a case−control study. The data were obtained from the European Health Interview Surveys for Spain conducted in 2014 and 2020. The presence of diabetes, CNP, CLBP, and MFH was self-reported. Study covariates included sociodemographic characteristics, comorbidities, lifestyles, and pain-related variables. (3) Results: Among people with diabetes, the prevalence of CNP, CLBP, and MFH did not improve from 2014 to 2020. Women with diabetes had a significantly higher prevalence of all the pain sites analyzed than men with diabetes. After matching by sex and age, the prevalence of CNP (26.0% vs. 21.1%; p < 0.001), CLBP (31.2% vs. 25.0%; p < 0.001), and MFH (7.7% vs. 6.5%; p = 0.028) was higher for people with diabetes than for those without diabetes. Self-reported mental disease was independently associated with reporting the three pain sites analyzed in people with diabetes. (4) Conclusions: The prevalence of CNP, CLBP, and MFH has remained stable over time. Remarkable sex differences were found, with a higher prevalence among women than men with diabetes. Diabetes was associated with reporting in all the pain sites analyzed. Self-reported mental disease was associated with reporting CNP, CLBP, and MFH.
（1）背景：为评估2014年至2020年西班牙糖尿病患者慢性颈痛（CNP）、慢性腰痛（CLBP）以及偏头痛或频繁头痛（MFH）的患病率随时间的变化趋势，本研究确定了性别差异，并比较了糖尿病患者与年龄和性别匹配的非糖尿病受试者这些疼痛部位的患病率。（2）方法：研究设计包括横断面研究和病例对照研究。数据来自2014年和2020年西班牙的欧洲健康访谈调查。糖尿病、CNP、CLBP和MFH的存在情况通过自我报告获得。研究协变量包括社会人口学特征、合并症、生活方式和疼痛相关变量。（3）结果：在糖尿病患者中，2014年至2020年CNP、CLBP和MFH的患病率没有改善。糖尿病女性所有分析的疼痛部位患病率均显著高于糖尿病男性。按性别和年龄匹配后，糖尿病患者的CNP患病率（26.0%对21.1%；p<0.001）、CLBP患病率（31.2%对25.0%；p<0.001）和MFH患病率（7.7%对6.5%；p = 0.028）高于非糖尿病患者。自我报告的精神疾病与糖尿病患者报告的三个分析疼痛部位独立相关。（4）结论：CNP、CLBP和MFH的患病率随时间保持稳定。发现了显著的性别差异，糖尿病女性的患病率高于男性。糖尿病与所有分析的疼痛部位报告相关。自我报告的精神疾病与CNP、CLBP和MFH报告相关。
