Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Front Public Health. 2024 Jan 12;12:1307845. doi: 10.3389/fpubh.2024.1307845. eCollection 2024.
INTRODUCTION: Lower back pain is common worldwide and affects over 600,000 people annually, including teachers. The study aimed to investigate the prevalence of low back pain and disability among secondary school teachers in the Eastern Province of the Kingdom of Saudi Arabia. MATERIALS AND METHODS: This cross-sectional study included secondary school teachers in the eastern province of Saudi Arabia. 34 schools were selected using a multistage stratified sampling approach. Teachers were allotted randomly and proportionally to each school. Data was collected by anonymous questionnaire having three elements: sociodemographic and health-related questions, the Standardized Nordic Questionnaire, and the Oswestry Low Back Pain Disability Questionnaire. The anthropometric data was also included. Both unadjusted and adjusted logistic regression analyses were performed. RESULTS: A total of 601 teachers participated in the study with 62.56% reported low back pain. The overall mean age was 40.31 ± 8.13 years. The male-to-female ratio was similar. Back pain was significantly higher among females than males (73.36 and 51.52%, respectively). Additionally, back pain will significantly increase when stress levels and the number of classes increases. A positive correlation was found between age with low back pain ( = 0.001).There was minimal disability in 64.63% of the 376 teachers who reported low back pain, moderate disability in 29.79%, and severe disability in 4.79%, and only three (0.8%) were considered crippled. Females were more frequently seen in moderate and crippled categories, and perceived stress levels generally increased mean disability scores. Age and female gender were revealed to be significant predictors of low back pain by logistic regression (adjusted odds ratio [OR] = 1.04, 95% confidence interval [CI] = 1.02-1.07) and (adjusted OR = 2.11, 95% CI = 1.45-3.05), respectively. The number of classes per week was also a significant predictor. CONCLUSION: This study adds to the epidemiological evidence that reveals a high prevalence of low back pain and disability among teachers. Identified risk factors in this study may also reinforce the importance of setting different interventions and preventive measures to reduce lower back pain risk.
引言：下腰痛在全球范围内很常见，每年影响超过 60 万人，包括教师。本研究旨在调查沙特阿拉伯东部省份中学教师中腰痛和残疾的患病率。
材料和方法：这是一项横断面研究，包括沙特阿拉伯东部省份的中学教师。使用多阶段分层抽样方法选择了 34 所学校。教师随机分配到每个学校，并按比例分配。数据通过匿名问卷收集，问卷包含三个部分：社会人口学和健康相关问题、标准化北欧问卷和 Oswestry 下腰痛残疾问卷。还包括人体测量数据。进行了未调整和调整后的逻辑回归分析。
结果：共有 601 名教师参与了研究，其中 62.56%报告有腰痛。总体平均年龄为 40.31±8.13 岁。男女比例相似。女性腰痛发生率明显高于男性（分别为 73.36%和 51.52%）。此外，当压力水平和课程数量增加时，腰痛也会显著增加。发现年龄与腰痛呈正相关（ = 0.001）。在报告腰痛的 376 名教师中，有 64.63%的腰痛程度较轻，29.79%的腰痛程度中等，4.79%的腰痛程度严重，只有 3 名（0.8%）被认为残疾。女性在中等和残疾类别中更为常见，而感知压力水平普遍增加了平均残疾评分。逻辑回归显示，年龄和女性性别是腰痛的显著预测因素（调整后的优势比[OR] = 1.04，95%置信区间[CI] = 1.02-1.07）和（调整后的 OR = 2.11，95% CI = 1.45-3.05）。每周的课程数也是一个显著的预测因素。
结论：本研究增加了流行病学证据，表明教师中腰痛和残疾的患病率很高。本研究确定的风险因素也可能强调制定不同干预措施和预防措施以降低下腰痛风险的重要性。
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