Lau E M, Sham A, Wong K C
Department of Community and Family Medicine, Chinese University of Hong Kong, Hong Kong.
J Public Health Med. 1996 Dec;18(4):396-9. doi: 10.1093/oxfordjournals.pubmed.a024536.
Neck pain has been found to be a prevalent musculoskeletal complaint among Caucasians living in Europe and North America. The prevalence of and risk factors for this condition have not been studied among Chinese living in urbanised cities. The objective of this study was to describe the prevalence of and risk factors for neck pain in Hong Kong Chinese.
A household survey was conducted in two housing blocks, one being government-subvented housing and the other being private housing. Eight hundred men and women who were 30 years and older were interviewed on the occurrence and characteristics of neck pain, occupations and recreational activities. The life-time and one-year prevalence of neck pain were calculated, and the odds ratio (OR) and 95 per cent confidence intervals (95 per cent CI) for various risk factors were derived by logistic regression.
The one-year prevalence of neck pain was 15 per cent and 17 per cent in men and women, respectively. The OR was 1.6 (95 per cent CI = 1.2-2.4) for living in private housing and 2.1 (95 per cent CI = 1.1-4.0) for working as managers and professionals. Subjects with neck pain spent more time reading and a history of trauma to the neck was a significant risk factor for subsequent pain (OR = 5.6, 95 per cent CI = 3.3-9.4).
Neck pain is a prevalent problem in Hong Kong Chinese, particularly among subjects of a high socioeconomic status. There was little association between life-style and neck pain, although subjects with neck pain spent more time in reading.
在生活于欧洲和北美的白种人中，颈部疼痛是一种常见的肌肉骨骼疾病。在居住于城市化城市的中国人中，尚未对这种疾病的患病率及风险因素进行研究。本研究的目的是描述香港华人颈部疼痛的患病率及风险因素。
在两个住宅区进行了一项家庭调查，一个是政府资助住房区，另一个是私人住宅区。对800名年龄在30岁及以上的男性和女性进行了访谈，内容涉及颈部疼痛的发生情况、特征、职业和娱乐活动。计算了颈部疼痛的终生患病率和一年患病率，并通过逻辑回归得出各种风险因素的比值比（OR）和95%置信区间（95%CI）。
男性和女性颈部疼痛的一年患病率分别为15%和17%。居住在私人住宅中的OR为1.6（95%CI = 1.2 - 2.4），担任经理和专业人员的OR为2.1（95%CI = 1.1 - 4.0）。颈部疼痛的受试者阅读时间更长，颈部有创伤史是后续疼痛的一个重要风险因素（OR = 5.6，95%CI = 3.3 - 9.4）。
颈部疼痛在香港华人中是一个普遍问题，尤其是在社会经济地位较高的人群中。生活方式与颈部疼痛之间几乎没有关联，尽管颈部疼痛的受试者阅读时间更长。
