Analyzing musculoskeletal neck pain, measured as present pain and periods of pain, with three different regression models: a cohort study.
Analyzing musculoskeletal neck pain, measured as present pain and periods of pain, with three different regression models: a cohort study.
复制标题
DOI：
10.1186/1471-2474-10-73
复制
发表时间：
2009-06-19
影响因子：
2.3
通讯作者：
Hagberg M
中科院分区：
文献类型：
--
作者：
Grimby-Ekman A;Andersson EM;Hagberg M
在文献中有关于结果的选择和需要更多的肌肉骨骼疾病的纵向研究的讨论。这项纵向研究的总体目的是分析一组年轻人的颈部肌肉骨骼疼痛。具体目的是确定心理社会因素，计算机使用，高工作/学习要求和生活方式是否是肌肉骨骼颈部疼痛的长期或短期因素，以及这些因素是否对发展或持续的肌肉骨骼颈部疼痛很重要。三个回归模型被用来分析不同的结果。目前的疼痛采用边际logistic模型进行分析，疼痛年数采用Poisson回归模型，发展中和持续性疼痛采用logistic模型。呈现的结果是比值比和比例比（逻辑模型）和率比（泊松模型）。该材料包括基于网络的问卷调查回答了1204瑞典大学生在2002年招募的前瞻性队列。感知压力是目前疼痛（PR = 1.6），发展疼痛（PR = 1.7）和疼痛年数（RR = 1.3）的危险因素。高工作/学习要求与目前疼痛相关（PR = 1.6）;当要求对家庭生活产生负面影响时，与疼痛年数相关（RR = 1.3）。计算机使用模式（每周计算机会话次数≥ 4小时，无中断）是发生疼痛的风险因素（PR = 1.7），但也与当前疼痛（PR = 1.4）和疼痛年数（RR = 1.2）相关。在生活方式因素中，目前发现吸烟（PR = 1.8）与疼痛有关。男性和女性之间的肌肉骨骼疼痛患病率的差异在这项研究中得到证实。与目前疼痛（PR = 2.4）和发展中疼痛（PR = 2.5）相比，持续疼痛（PR = 1.4）的结局最小。通过使用不同的回归模型，可以解决颈部疼痛模式的不同方面，并确定影响疼痛模式的危险因素。短期危险因素为压力感受、高工作/学习要求和电脑使用模式（休息模式）。这些也是长期的风险因素。疼痛的危险因素为压力感受和电脑使用模式。
In the literature there are discussions on the choice of outcome and the need for more longitudinal studies of musculoskeletal disorders. The general aim of this longitudinal study was to analyze musculoskeletal neck pain, in a group of young adults. Specific aims were to determine whether psychosocial factors, computer use, high work/study demands, and lifestyle are long-term or short-term factors for musculoskeletal neck pain, and whether these factors are important for developing or ongoing musculoskeletal neck pain. Three regression models were used to analyze the different outcomes. Pain at present was analyzed with a marginal logistic model, for number of years with pain a Poisson regression model was used and for developing and ongoing pain a logistic model was used. Presented results are odds ratios and proportion ratios (logistic models) and rate ratios (Poisson model). The material consisted of web-based questionnaires answered by 1204 Swedish university students from a prospective cohort recruited in 2002. Perceived stress was a risk factor for pain at present (PR = 1.6), for developing pain (PR = 1.7) and for number of years with pain (RR = 1.3). High work/study demands was associated with pain at present (PR = 1.6); and with number of years with pain when the demands negatively affect home life (RR = 1.3). Computer use pattern (number of times/week with a computer session ≥ 4 h, without break) was a risk factor for developing pain (PR = 1.7), but also associated with pain at present (PR = 1.4) and number of years with pain (RR = 1.2). Among life style factors smoking (PR = 1.8) was found to be associated to pain at present. The difference between men and women in prevalence of musculoskeletal pain was confirmed in this study. It was smallest for the outcome ongoing pain (PR = 1.4) compared to pain at present (PR = 2.4) and developing pain (PR = 2.5). By using different regression models different aspects of neck pain pattern could be addressed and the risk factors impact on pain pattern was identified. Short-term risk factors were perceived stress, high work/study demands and computer use pattern (break pattern). Those were also long-term risk factors. For developing pain perceived stress and computer use pattern were risk factors.
登录
查看更多内容
影响因子：
7.2
作者：
Localio, A. Russell;Margolis, David J.;Berlin, Jesse A.
通讯作者：
Berlin, Jesse A.
影响因子：
5
作者：
Hurwitz, EL;Morgenstern, H
通讯作者：
Morgenstern, H
影响因子：
6.3
作者：
Luime, JJ;Kuiper, JI;Burdorf, A
通讯作者：
Burdorf, A
影响因子：
6.3
作者：
Bostrom, Maria;Dellve, Lotta;Hagberg, Mats
通讯作者：
Hagberg, Mats
影响因子：
3
作者：
Guzman, Jaime;Hurwitz, Eric L.;Cassidy, J. David
通讯作者：
Cassidy, J. David