Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.
Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC 27701, USA.
Int J Environ Res Public Health. 2024 Sep 30;21(10):1310. doi: 10.3390/ijerph21101310.
Low back pain (LBP) is the leading cause of disability for individuals and societies globally. Prior investigations have predominantly centered around biological and psychological factors. Addressing social determinants is critical for enhancing the effectiveness and equity of pain interventions. We aimed to characterize social factors, sleep, and pain among adults with acute LBP, focusing on perceived community control.
A community-based sample of adults with acute LBP was recruited from two cities in North Carolina, United States, and followed up at 3 months. We used descriptive statistics to characterize social factors, sleep, and pain, overall and by levels of perceived community control.
In total, 110/131 enrolled participants had data on perceived community control (lower scores indicate higher control). Overall, the median perceived community control was 14 (interquartile range [IQR] = 11, 15). People with high perceived community control also had, on average, higher perceived individual control, better-perceived neighborhood walkability, lower number of sites with bothersome comorbid pain, and higher sleep quality. A higher proportion of participants with high perceived community control were of male sex, White race, and had a higher socioeconomic position.
Community control and related constructs may be further explored in future intervention development as potentially modifiable social factors that may reduce pain burden.
腰痛（LBP）是全球个人和社会残疾的主要原因。先前的研究主要集中在生物和心理因素上。解决社会决定因素对于提高疼痛干预的效果和公平性至关重要。我们旨在描述急性腰痛成年人的社会因素、睡眠和疼痛，重点关注感知的社区控制。
从美国北卡罗来纳州的两个城市招募了患有急性 LBP 的成年人进行社区为基础的样本，并在 3 个月时进行随访。我们使用描述性统计来描述社会因素、睡眠和疼痛，总体上以及根据感知社区控制的水平进行描述。
总共 110/131 名入组参与者有感知社区控制的数据（分数越低表示控制程度越高）。总体而言，感知社区控制的中位数为 14（四分位距[IQR]=11，15）。感知社区控制程度较高的人，平均而言，个体控制感较高，感知邻里步行性较好，令人烦恼的共病疼痛部位较少，睡眠质量较高。感知社区控制程度较高的参与者中，男性、白种人比例较高，社会经济地位较高。
在未来的干预措施发展中，可以进一步探索社区控制和相关结构，因为它们可能是减轻疼痛负担的可改变的社会因素。
