Szpalski M, Nordin M, Skovron M L, Melot C, Cukier D
Centre Hospitalier Molière, Longchamp, Brussels, Belgium.
Spine (Phila Pa 1976). 1995 Feb 15;20(4):431-42. doi: 10.1097/00007632-199502001-00005.
A population-based survey was undertaken.
To describe health care utilization for low back pain (LBP) in a culturally diverse society with universal access to health care; to describe how LBP chronicity influences health care utilization; and to describe how sociocultural and demographic factors and health beliefs influence health care utilization.
A probability sample of approximately 5,000 Belgian adults stratified by gender, age, social class, and habitat was surveyed by trained interviewers. Information on demographics, health beliefs, frequency of LBP, and health care utilization was elicited. Statistical analysis was conducted by means of univariate and multivariate logistic regression. Analysis was restricted to 2,660 respondents with history of LBP.
Of subjects with LBP, 38% reported daily LBP. Sixty-three percent had seen a health professional for the most recent episode; 11% had been on bed rest. Forty-four percent had at sometime undergone radiography; three and a half percent had ever undergone spinal surgery. Eighty-six percent considered themselves in good health. Controlling for LBP frequency, all forms of health care utilization examined were associated with health beliefs.
LBP frequency, health beliefs, and sociocultural factors influence health care behaviors and utilization among adults with a history of LBP in a society with universal access to health care. The association of history of spinal surgery with reports of daily LBP suggests that spinal surgery has failed, at least partly, to relieve LBP.
开展了一项基于人群的调查。
描述在一个全民享有医疗保健服务且文化多元的社会中，下背痛（LBP）的医疗保健利用情况；描述LBP的慢性程度如何影响医疗保健利用；以及描述社会文化和人口统计学因素及健康观念如何影响医疗保健利用。
由经过培训的访谈员对按性别、年龄、社会阶层和居住地区分层的约5000名比利时成年人进行概率抽样调查。收集了有关人口统计学、健康观念、LBP发生频率和医疗保健利用情况的信息。采用单变量和多变量逻辑回归进行统计分析。分析仅限于2660名有LBP病史的受访者。
在患有LBP的受试者中，38%报告每天都有LBP。63%的人因最近一次发作看过医疗专业人员；11%的人曾卧床休息。44%的人曾在某个时候接受过X光检查；3.5%的人曾接受过脊柱手术。86%的人认为自己健康状况良好。在控制LBP发生频率后，所检查的所有形式的医疗保健利用都与健康观念有关。
在一个全民享有医疗保健服务的社会中，LBP发生频率、健康观念和社会文化因素会影响有LBP病史成年人的医疗保健行为和利用情况。脊柱手术史与每天LBP报告之间的关联表明，脊柱手术至少在一定程度上未能缓解LBP。
