The Saskatchewan Health and Back Pain Survey -: The prevalence of neck pain and related disability in Saskatchewan adults

The Saskatchewan Health and Back Pain Survey -: The prevalence of neck pain and related disability in Saskatchewan adults
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DOI:
10.1097/00007632-199808010-00015
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发表时间:
1998-08-01
期刊:
影响因子:
3
通讯作者:
Carroll, L
Carroll, L
中科院分区:
医学2区
文献类型:
--
作者:
Côté, P;Cassidy, JD;Carroll, L

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研究设计.人口为基础,横截面邮寄调查。确定萨斯喀彻温省成年人颈部疼痛及其相关残疾的终生、时期和时点患病率,并调查无应答偏倚的存在和强度。在欧洲,颈部疼痛的终生患病率和时点患病率几乎与腰痛的患病率一样高。同样,慢性颈部疼痛也非常普遍,是工作年龄人口残疾的常见原因。然而:没有研究专门记录了颈部疼痛及其相关残疾的患病率在北美。方法,萨斯喀彻温省健康和背部疼痛调查邮寄给2184随机选择的萨斯喀彻温省成年人,年龄在20-69岁。55%的研究人群参与了研究。通过logistic回归和波形分析研究无应答偏倚的存在。采用慢性疼痛问卷对慢性颈部疼痛的严重程度进行分类。颈部疼痛的年龄标准化终生患病率为66.7%(95%置信区间,63.8-69.5),点患病率为22.2%(95%置信区间19.7-24.7)。低强度和低残疾颈部疼痛的年龄标准化6个月患病率为39.7%(95%置信区间,36.7-42.7),而高强度和低残疾颈部疼痛的患病率为10.1%(95%置信区间,8.2-11.9),严重残疾颈部疼痛的患病率为4.6%(95%置信区间,3.3-5.8)。低强度和低残疾颈部疼痛的患病率随着年龄的增长而下降。更多的女性经历高残疾颈部疼痛比男性。波形分析显示,本次调查高估了高强度低失能颈痛的时点患病率和6个月患病率。这项横断面研究表明,颈部疼痛是非常普遍的萨斯喀彻温省,它显着禁用4.6%(95%置信区间; 3.3-5.8)的成年人口。
Study Design. Population-based, cross-sectional mailed survey.Objective. To determine the lifetime, period, and point prevalence of neck pain and its related disability among Saskatchewan adults and investigate the presence and strength of nonresponse bias.Summary of Background Data. In Europe, the lifetime and point prevalence of neck pain is almost as high as the prevalence of low back pain. Similarly, chronic neck pain is highly prevalent and a common source of disability in the working-age population. However: no studies specifically have documented the prevalence of neck pain and its related disability in North America.Methods, The Saskatchewan Health and Back Pain Survey was mailed to 2184 random ly selected Saskatchewan adults aged 20-69 years. Fifty-five percent of the study population participated. The presence of nonresponse bias was investigated through logistic regression and wave analysis. The Chronic Pain Questionnaire was used to classify the severity of chronic neck pain.Results. The age-standardized lifetime prevalence of neck pain is 66.7% (95% confidence interval, 63.8-69.5), and the point prevalence is 22.2% (95% confidence interval 19.7-24.7). The age-standardized 6-month prevalence of low-intensity and low-disability neck pain is 39.7% (95% confidence interval, 36.7-42.7), whereas it is 10.1% (95% confidence interval, 8.2-11.9) for high-intensity and low-disability neck pain and 4.6% (95% confidence interval, 3.3-5.8) for significantly disabling neck pain. The prevalence of low-intensity and low-disability neck pain decreases with age. More women experience high-disability neck pain than men. Wave analysis suggests that the point prevalence and 6-month prevalence of high-intensity and low-disability neck pain are overestimated in this survey.Conclusion. This cross-sectional study shows that neck pain is highly prevalent in Saskatchewan and that it significantly disables 4.6% (95% confidence interval; 3.3-5.8) of the adult population.