Back pain in the German adult population - Prevalence, severity, and sociodemographic correlates in a multiregional survey
Back pain in the German adult population - Prevalence, severity, and sociodemographic correlates in a multiregional survey
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DOI：
10.1097/brs.0b013e318133fad8
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发表时间：
2007-08-15
期刊：
影响因子：
3
通讯作者：
Kohlmann, Thomas
中科院分区：
文献类型：
--
作者：
Schmidt, Carsten Oliver;Raspe, Heiner;Kohlmann, Thomas
研究设计。一项以人口为基础的跨地区邮政调查。目标。为德国成年人背痛的患病率和严重程度提供描述性流行病学，并分析区域内和跨区域致残性背痛的社会人口学相关性。背景资料摘要。在德国，背痛是一个主要的健康问题。然而，在这个国家，关于背痛严重程度的全面的基于人群的证据仍然是零碎的。尽管早期的研究结果表明，各地区之间的患病率存在巨大差异，但仍需确定系统的解释。方法。在德国5个城市和地区收集9263名调查对象的问卷数据（基于人口的随机抽样，邮寄问卷）。使用直接问题评估点、1年和终生患病率，并使用分级慢性疼痛量表确定背痛分级。后分层应用于调整跨地区的社会人口差异。结果。点患病率为37.1%，1年患病率为76.0%，终生患病率为85.5%。少数患者有严重（II级，8.0%）或致残性背痛（III-IV级，11.2%）。受教育程度低的受试者报告了更多的致残性背痛。该变量是背痛负担跨地区差异的重要预测因子。结论。背痛在德国是一种非常普遍的疾病。在这个国家，致残的背痛可能被视为社会劣势综合症的一部分。在将来跨地区比较背痛时，教育水平应受到更多的关注。
Study Design. A population-based cross-sectional multiregion postal survey. Objective. To provide a descriptive epidemiology of the prevalence and severity of back pain in German adults and to analyze sociodemographic correlates for disabling back pain within and across regions. Summary of Background Data. Back pain is a leading health problem in Germany. However, comprehensive population-based evidence on the severity of back pain is still fragmentary for this country. Despite earlier findings concerning large prevalence differences across regions, systematic explanations remain to be ascertained. Methods. Questionnaire data were collected for 9263 subjects in 5 German cities and regions (population-based random samples, postal questionnaire). Point, 1-year, and lifetime prevalence were assessed using direct questions, and graded back pain was determined using the Graded Chronic Pain Scale. Poststratification was applied to adjust for cross-regional sociodemographic differences. Results. Point-prevalence was 37.1%, 1-year prevalence 76.0%, and lifetime prevalence 85.5%. A substantial minority had severe ( Grade II, 8.0%) or disabling back pain ( Grade III-IV, 11.2%). Subjects with a low educational level reported substantially more disabling back pain. This variable was an important predictor for large cross-regional differences in the burden of back pain. Conclusion. Back pain is a highly prevalent condition in Germany. Disabling back pain in this country may be regarded as part of a social disadvantage syndrome. Educational level should receive greater attention in future cross-regional comparisons of back pain.