Nakazato Tomas, Quezada Pablo, Gutiérrez César, Romaní Franco
Facultad de Medicina Humana, Universidad de Piura, Lima, Peru.
Ann Rehabil Med. 2024 Apr;48(2):124-134. doi: 10.5535/arm.230030. Epub 2024 Apr 22.
To estimate the prevalence of chronic neck pain (CNP) among the adult population in Peru during the post-coronavirus disease 2019 (COVID-19) restriction period compared with that during the pre-pandemic period and evaluate its association with prolonged digital devices connected to the internet (DDCI) screen viewing.
We conducted a cross-sectional study using a representative sample of adults living in Peru in November 2022. A structured survey was employed to identify CNP, and the exposure variable was set as the duration of DDCI screen viewing. The McNemar test was used to compare CNP prevalence pre- and post-COVID-19 restrictions, and ordinal logistic regression was used to evaluate its association with prolonged screen viewing.
A total of 1,202 individuals participated, with 52.8% females and 79.9% residing in urban areas. Following the restrictions, the prevalence of CNP occurring daily or almost daily and at least once a week was 14.8% and 27.8%, respectively (95% confidence Interval [95% CI], 12.6-17.3 and 24.9-30.9), representing a significant increase (p<0.001) compared with pre-pandemic estimates. Notably, among those viewing DDCI screens for ≥8 hours, the odds ratio for CNP frequency escalation compared with those who did not or rarely view screens was 1.61 (95% CI, 1.04-2.50; p=0.033).
Approximately 4 of 10 adults in Peru experienced CNP following the lifting of COVID-19 social restrictions, more than double the pre-pandemic prevalence. Furthermore, prolonged viewing of DDCI screens increased the risk of having this condition.
评估2019冠状病毒病（COVID-19）疫情限制期后秘鲁成年人群中慢性颈痛（CNP）的患病率，并与疫情前时期进行比较，同时评估其与长时间使用联网数字设备（DDCI）屏幕观看之间的关联。
我们于2022年11月对居住在秘鲁的成年人进行了一项横断面研究，采用具有代表性的样本。通过结构化调查来确定CNP，将暴露变量设定为DDCI屏幕观看时长。采用McNemar检验比较COVID-19疫情限制前后的CNP患病率，并使用有序逻辑回归评估其与长时间屏幕观看的关联。
共有1202人参与，其中女性占52.8%，79.9%居住在城市地区。在限制措施实施后，每天或几乎每天以及每周至少一次出现CNP的患病率分别为14.8%和27.8%（95%置信区间[95%CI]，12.6 - 17.3和24.9 - 30.9），与疫情前的估计相比显著增加（p<0.001）。值得注意的是，在观看DDCI屏幕≥8小时的人群中，与未观看或很少观看屏幕的人群相比，CNP频率升高的优势比为1.61（95%CI，1.04 - 2.50；p = 0.033）。
在COVID-19社交限制解除后，秘鲁约十分之四成年人经历了CNP，这一患病率是疫情前的两倍多。此外，长时间观看DDCI屏幕会增加患这种疾病的风险。
