Ferreira Aryostennes Miquéias da Silva, Assis Sanderson José Costa de, Souza Clécio Gabriel de, Sanchis Geronimo José Bouzas, Nunes Rebeca Freitas de Oliveira, Guedes Marcello Barbosa Otoni Gonçalves, Lopes Johnnatas Mikael, Roncalli Angelo Giuseppe
Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz 59200-000, RN, Brazil.
Department of Dentistry, Federal University of Rio Grande do Norte, Natal 59078-900, RN, Brazil.
Int J Environ Res Public Health. 2025 May 31;22(6):879. doi: 10.3390/ijerph22060879.
The spine is the most affected region, which compromises functionality and generates absenteeism, increased health care costs, and disability retirement rates. Based on the biopsychosocial model, it is believed that chronic back problems are the result of a complex network of factors, both individual and contextual. A cross-sectional study was developed with data from the 2013 National Health Survey, the United Nations Development Programme, and the National Register of Health Establishments (state level) for the second and third levels of aggregation, respectively. Multilevel Poisson regression was performed at three levels. The prevalence of chronic back problems was 18.5% (95% CI 17.8; 19.1), with a higher prevalence in females (RP = 1.23; 95% CI 1.15; 1.30), those aged above 49 years (RP = 1.75; 95% CI 1.61; 1.90), those performing heavy activities at work (RP = 1.37; 95% CI 1.28; 1.46), those with depressive days (RP = 1.70; 95% CI 1.50; 1.94), those who were smokers (RP = 1.37; 95% CI 1.27; 1.48), and those in states with a higher coefficient of Family Health Support Team per 100,000 inhabitants (PR = 1.28; 95% CI 1.07; 1.54). Chronic spine problems were associated with biological and behavioral factors and were more strongly associated with the coefficient of Family Health Support Team in Brazilian municipalities.
脊柱是受影响最严重的部位，这会损害功能，并导致旷工、医疗保健成本增加以及残疾退休率上升。基于生物心理社会模型，人们认为慢性背部问题是由个体和环境等复杂因素网络导致的结果。本研究利用2013年国家健康调查、联合国开发计划署以及国家卫生机构登记册（州级）的数据分别进行了第二和第三层级的汇总，开展了一项横断面研究。在三个层面进行了多水平泊松回归分析。慢性背部问题的患病率为18.5%（95%置信区间17.8；19.1），女性患病率更高（相对风险=1.23；95%置信区间1.15；1.30），49岁以上人群（相对风险=1.75；95%置信区间1.61；1.90），工作中从事重体力活动的人群（相对风险=1.37；95%置信区间1.28；1.46），有抑郁症状的人群（相对风险=1.70；95%置信区间1.50；1.94），吸烟者（相对风险=1.37；95%置信区间1.27；1.48），以及每十万居民中家庭健康支持团队系数较高的州的人群（患病率比值=1.28；95%置信区间1.07；1.54）。慢性脊柱问题与生物和行为因素相关，并且在巴西各市镇中与家庭健康支持团队系数的关联更为紧密。
