Department of Interdisciplinary Health Sciences, Institute of Health and Society, University of Oslo, Blindern, P.O. Box 1089, 0317, Oslo, Norway.
Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
BMC Musculoskelet Disord. 2024 Jan 2;25(1):21. doi: 10.1186/s12891-023-07135-w.
Pelvic girdle pain (PGP) is common during and after pregnancy. It has been assumed that Scandinavian women report more PGP than women of other ethnicities. However, there are few population-based studies on ethnic differences and few with ethnicity as risk factor for PGP. The purposes of the present study were: To examine the prevalence of self-reported PGP through pregnancy and early postpartum in a multi-ethnic cohort. To investigate how ethnicity and patient characteristics were associated with risk of PGP during pregnancy and early postpartum. To investigate if clinical and personal factors obtained in gestation week (GW) 15 were associated with PGP in GW28 and postpartum week (PPW) 14.
This study analyzed questionnaire data from 823 women from the Stork - Groruddalen mult-iethnic cohort study in Norway. Chi-square tests were used to investigate ethnic differences in prevalence of self-reported PGP, and logistic regression analyses to identify factors associated with self-reported PGP.
Women from South-Asia and Middle East reported 10-20% higher prevalence of self-reported PGP at all time points compared with Western women. Ethnicity was associated with PGP in GW15 and PPW14, adjusted for parity. Pain locations in pelvic area (PGP locations) in GW15, especially combined symphysis and posterior PGP, gave the highest risk (OR=7.4) for PGP in GW28 and in PPW14 (OR = 3.9). Being multiparous was a risk for PGP in PPW14 (OR=1.9).
Women of South Asian and Middle Eastern background had higher risk of self-reported PGP than Western women. Ethnicity was associated with PGP in GW15 and PPW14, after adjustments for parity. PGP locations in GW15 was the most prominent risk factor for PGP in GW28 and PPW14, whilst ethnicity was not significant in multivariable analyses.
骨盆带疼痛（PGP）在妊娠期间和之后很常见。人们一直认为斯堪的纳维亚女性比其他种族的女性报告更多的 PGP。然而，关于种族差异的人群研究很少，将种族作为 PGP 风险因素的研究就更少了。本研究的目的是：通过多民族队列研究，检查妊娠和产后早期自我报告的 PGP 患病率。调查种族和患者特征与妊娠和产后早期 PGP 风险的关系。调查妊娠 15 周（GW）时获得的临床和个人因素是否与 GW28 和产后 14 周（PPW）的 PGP 相关。
本研究分析了来自挪威 Stork-Groruddalen 多民族队列研究的 823 名女性的问卷调查数据。卡方检验用于调查自我报告的 PGP 患病率的种族差异，逻辑回归分析用于确定与自我报告的 PGP 相关的因素。
南亚和中东的女性在所有时间点报告的自我报告 PGP 患病率比西方女性高 10-20%。调整了产次后，种族与 GW15 和 PPW14 的 PGP 相关。GW15 时的骨盆区域疼痛部位（PGP 部位），尤其是耻骨联合和后 PGP 的联合部位，与 GW28 和 PPW14 的 PGP 风险最高（OR=7.4）（OR = 3.9）。多产是 PPW14 发生 PGP 的危险因素（OR=1.9）。
南亚和中东背景的女性自我报告 PGP 的风险高于西方女性。调整产次后，种族与 GW15 和 PPW14 的 PGP 相关。GW15 时的 PGP 部位是 GW28 和 PPW14 发生 PGP 的最显著危险因素，而种族在多变量分析中并不显著。
