Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Mohali, Punjab, India.
Department of Anesthesia, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Pain Physician. 2023 Sep;26(5):E549-E556.
Chronic low back pain (CLBP) is a common and significant cause of disability globally. In their lifetime, 70% to 80% of adults will have low back discomfort at some point. Even though CLBP is a very disabling disorder, information about its prevalence and associated factors is sparse in the literature.
We aimed to determine the prevalence of CLBP and its risk factors among an adult population, as well as related health concerns and health-seeking behaviors.
Cross-sectional study.
A tertiary care setting in Chandigarh, India from November 2017 through February 2020.
Adults of either gender who provided informed consent were included in the study. Sociodemographic and CLBP awareness data were collected using a standard questionnaire. Prevalence was expressed as proportion of sample, with 95% CI. For categorical and quantitative data, the chi squared and independent t test were utilized. Logistic regression was applied to identify significant risk variables and outcomes. A P value of <= 0.05 was considered significant.
A total of 2,847 patients were enrolled, with a mean (SD) age of 38 (14) years; 61% of them were men. These patients had a CLBP lifetime prevalence of 16% (95% CI, 15-17; 457/2,847). In addition, 62% (285/457) of these patients visited their doctor/physician more than 10 times and 23% (103/457) sought the advice of 2 physicians to treat their CLBP. Increasing age (odds ratio[OR], 1.040, 95% CI, 1.032-1.049; P < 0.001), being underweight (OR, 3.315; 95% CI, 1.494-7.359; P < 0.003) and increasing pain frequency (OR, 1.616; 95% CI, 1.139-2.293; P < 0.007) were identified as potential CLBP risks.
The study was carried out in a single tertiary hospital in northern India; hence its results cannot be extrapolated. Also, we were unable to categorize CLBP based on how severe the symptoms were, such as complaint-only or debilitating.
An effective, supervised program addressing the younger productive population to maintain a healthy weight, give up smoking, and encourage an active lifestyle should be implemented.
Chronic low back pain, prevalence, health concerns, risk factors, public health.
慢性下腰痛（CLBP）是全球常见且严重的致残原因。一生中，70%至 80%的成年人在某个时候会出现下背部不适。尽管 CLBP 是一种非常致残的疾病，但关于其患病率及其相关因素的信息在文献中很少。
我们旨在确定成年人中 CLBP 的患病率及其危险因素，以及相关的健康问题和寻求医疗的行为。
横断面研究。
2017 年 11 月至 2020 年 2 月在印度昌迪加尔的一家三级护理机构进行。
同意提供知情同意的成年男女均纳入研究。使用标准问卷收集社会人口统计学和 CLBP 意识数据。患病率以样本比例表示，并附有 95%置信区间。对于分类和定量数据，使用卡方检验和独立 t 检验。应用逻辑回归来确定显著的风险变量和结果。P 值 <= 0.05 被认为具有统计学意义。
共纳入 2847 例患者，平均（SD）年龄为 38（14）岁；其中 61%为男性。这些患者的终生 CLBP 患病率为 16%（95%CI，15-17；457/2847）。此外，这些患者中有 62%（285/457）就诊医生/医师超过 10 次，23%（103/457）寻求 2 位医生的建议来治疗他们的 CLBP。年龄增长（优势比[OR]，1.040，95%CI，1.032-1.049；P < 0.001）、体重不足（OR，3.315；95%CI，1.494-7.359；P < 0.003）和疼痛频率增加（OR，1.616；95%CI，1.139-2.293；P < 0.007）被确定为潜在的 CLBP 风险因素。
该研究仅在印度北部的一家三级医院进行，因此其结果不能推广。此外，我们无法根据症状的严重程度对 CLBP 进行分类，例如仅抱怨或致残。
应实施一项有效的、有监督的计划，针对年轻的生产性人群，以保持健康的体重、戒烟和鼓励积极的生活方式。
慢性下腰痛、患病率、健康问题、危险因素、公共卫生。
