The epidemiology of neck pain
The epidemiology of neck pain
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DOI：
10.1016/j.berh.2011.01.019
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发表时间：
2010-12-01
影响因子：
5.2
通讯作者：
Buchbinder, R.
中科院分区：
文献类型：
--
作者：
Hoy, D. G.;Protani, M.;Buchbinder, R.
颈部疼痛在世界各地正变得越来越普遍。它对个人及其家庭、社区、卫生保健系统和企业都有相当大的影响。颈痛流行病学研究之间存在很大的异质性，这使得比较或汇集来自不同研究的数据变得困难。根据现有的研究，估计一年内颈部疼痛的发生率在10.4%到21.3%之间，其中办公室和计算机工作者的发生率更高。虽然一些研究报告称，33%至65%的人在1年内从颈部疼痛发作中恢复过来，但大多数病例在人的一生中经历了一个间歇性过程，因此，复发是常见的。一般人群的总体颈痛患病率介于0.4%至86.8%(平均：23.1%)；时点患病率介于0.4%至41.5%(平均：14.4%)；一年患病率介于4.8%至79.5%(平均：25.8%)。妇女的患病率普遍较高，高收入国家的患病率高于低收入和中等收入国家，城市地区的患病率高于农村地区。许多环境和个人因素影响颈部疼痛的发病和病程。大多数研究表明，在35-49岁年龄组之前，女性的颈部疼痛发生率较高，发生颈部疼痛的风险增加，之后风险开始下降。2005年全球疾病负担研究目前正在对与损伤和活动受限有关的全球颈部疼痛负担进行估计，结果将于2011年公布。(C)2011爱思唯尔有限公司。保留所有权利。
Neck pain is becoming increasingly common throughout the world. It has a considerable impact on individuals and their families, communities, health-care systems, and businesses. There is substantial heterogeneity between neck pain epidemiological studies, which makes it difficult to compare or pool data from different studies. The estimated 1 year incidence of neck pain from available studies ranges between 10.4% and 21.3% with a higher incidence noted in office and computer workers. While some studies report that between 33% and 65% of people have recovered from an episode of neck pain at 1 year, most cases run an episodic course over a person's lifetime and, thus, relapses are common. The overall prevalence of neck pain in the general population ranges between 0.4% and 86.8% (mean: 23.1%); point prevalence ranges from 0.4% to 41.5% (mean: 14.4%); and 1 year prevalence ranges from 4.8% to 79.5% (mean: 25.8%). Prevalence is generally higher in women, higher in high-income countries compared with low- and middle-income countries and higher in urban areas compared with rural areas. Many environmental and personal factors influence the onset and course of neck pain. Most studies indicate a higher incidence of neck pain among women and an increased risk of developing neck pain until the 35-49-year age group, after which the risk begins to decline. The Global Burden of Disease 2005 Study is currently making estimates of the global burden of neck pain in relation to impairment and activity limitation, and results will be available in 2011. (C) 2011 Elsevier Ltd. All rights reserved.