Hurwitz E L, Morgenstern H
Department of Epidemiology, UCLA School of Public Health 90095-1772, USA.
J Clin Epidemiol. 1997 Jun;50(6):669-81. doi: 10.1016/s0895-4356(97)00018-8.
The purpose of this study is to identify correlates of back problems and back disability in the adult population of the United States. Cross-sectional analyses were performed using data from the 1989 National Health Interview Survey (NHIS). Weighted polytomous logistic regression modeling was performed to estimate odds ratios adjusted for the effects of covariates. The prevalence of a disabling back condition, vs. no back condition, was relatively higher among subjects aged 25-64 years, male, non-high-school graduates, unemployed, living in the West, with disabling non-back morbidities, and with body mass index and weight above the 50th percentile. Among workers, those in technical, sales, clerical, private household, service, precision production and repair, or transportation occupations were relatively more likely to report disabling back conditions, compared to workers in professional occupations. Among adults with back problems, age greater than 34 years, weight above the 50th percentile, and history of back trauma were associated with chronic back disability. Although the magnitudes of the associations are not large, they may have enormous public health implications because of the high prevalence of back problems and related disability.
本研究的目的是确定美国成年人群中背部问题和背部残疾的相关因素。使用1989年全国健康访谈调查（NHIS）的数据进行横断面分析。进行加权多分类逻辑回归建模以估计经协变量效应调整后的比值比。与无背部疾病相比，在25 - 64岁、男性、非高中毕业生、失业、居住在西部、患有非背部致残性疾病以及体重指数和体重高于第50百分位数的人群中，致残性背部疾病的患病率相对较高。在工人中，与从事专业职业的工人相比，从事技术、销售、文职、私人家庭服务、精密生产与修理或运输职业的工人报告致残性背部疾病的可能性相对更高。在有背部问题的成年人中，年龄大于34岁、体重高于第50百分位数以及有背部创伤史与慢性背部残疾相关。尽管这些关联的程度不大，但由于背部问题和相关残疾的高患病率，它们可能对公共卫生有巨大影响。
