Sharma Sweekriti, Traeger Adrian C, Maher Chris G, Bista Bihungum, Dhimal Meghnath, Dixit Lonim P, Sharma Saurab
Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia; Institute for Musculoskeletal Health, Sydney Local Health District, New South Wales, Australia; Sydney Musculoskeletal Research Flagship Centre, The University of Sydney, New South Wales, Australia.
Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia; Institute for Musculoskeletal Health, Sydney Local Health District, New South Wales, Australia; Sydney Musculoskeletal Research Flagship Centre, The University of Sydney, New South Wales, Australia.
J Pain. 2025 May;30:105352. doi: 10.1016/j.jpain.2025.105352. Epub 2025 Feb 25.
Low back pain is the leading cause of disability globally. Most prevalence data for low back pain come from high-income countries. Data from low-and middle-income countries such as Nepal are currently lacking. This study aimed to estimate one-month prevalence of low back pain in Nepal using a nationally representative sample and present the prevalence estimates by socio-demographic characteristics. We used national population-based survey data from the World Health Organisation (WHO) STEPwise Approach to Non-communicable Disease Risk Factor Surveillance (STEPS) survey conducted in Nepal from February to May 2019 with people aged 15 to 69 years. We reported the age-standardised low back pain prevalence (95% CI). We used univariate and multivariable logistic regression to assess the associations between sociodemographic variables and the presence of low back pain and results were presented as odds ratios. A total of 5593 people aged 15 to 69 years participated in the survey. The response rate was 86.4%. The age-standardised prevalence of activity limiting low back pain was 23.2% (95% CI: 21.9% to 24.5%). Older people were more likely to have low back pain than younger people. For example, people aged 55-69 years had over 4 times higher odds of having low back pain than people aged 15-24 years [odds ratio: 4.06 (95%CI= 2.57 to 6.42)]. Females had 1.74 times higher odds of having low back pain than males [odds ratio: 1.74 (95%CI= 1.45 to 2.09)]. The results of our study show that a quarter of adults are affected by low back pain in Nepal; with women and older people more likely to experience low back pain. PERSPECTIVE: This study shows that a quarter of adults are affected by low back pain in Nepal. Women and older people are more likely to experience back pain in Nepal.
腰痛是全球致残的主要原因。大多数腰痛患病率数据来自高收入国家。目前缺乏来自尼泊尔等低收入和中等收入国家的数据。本研究旨在使用具有全国代表性的样本估计尼泊尔腰痛的一个月患病率，并按社会人口学特征呈现患病率估计值。我们使用了世界卫生组织（WHO）在2019年2月至5月于尼泊尔对15至69岁人群进行的非传染性疾病风险因素监测逐步调查（STEPS）的全国性基于人群的调查数据。我们报告了年龄标准化的腰痛患病率（95%置信区间）。我们使用单变量和多变量逻辑回归来评估社会人口学变量与腰痛存在之间的关联，结果以优势比表示。共有5593名15至69岁的人参与了调查。应答率为86.4%。限制活动的腰痛的年龄标准化患病率为23.2%（95%置信区间：21.9%至24.5%）。老年人比年轻人更有可能患腰痛。例如，55至69岁的人患腰痛的几率比15至24岁的人高出4倍多[优势比：4.06（95%置信区间=2.57至6.42）]。女性患腰痛的几率比男性高1.74倍[优势比：1.74（95%置信区间=1.45至2.09）]。我们的研究结果表明，尼泊尔四分之一的成年人受到腰痛的影响；女性和老年人更有可能经历腰痛。观点：本研究表明，尼泊尔四分之一的成年人受到腰痛的影响。在尼泊尔，女性和老年人更有可能经历背痛。
