Does socioeconomic status in adolescence predict low back pain in adulthood? A repeated cross-sectional study of 4,771 Danish adolescents
Does socioeconomic status in adolescence predict low back pain in adulthood? A repeated cross-sectional study of 4,771 Danish adolescents
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DOI：
10.1007/s00586-008-0796-5
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发表时间：
2008-12-01
影响因子：
2.8
通讯作者：
Kyvik, Kirsten Ohm
中科院分区：
文献类型：
--
作者：
Hestbaek, Lise;Korsholm, Lars;Kyvik, Kirsten Ohm
社会和经济上的不利地位与普遍的身体健康不良有关。这种关系已经被认识了几个世纪，但尚不清楚社会经济因素是否对腰痛（LBP）有特定的影响。此外，尚不清楚青年的社会和经济不利条件如何影响成年人的健康。因此，本研究的具体目标是探索（1）社会经济地位（SES）和LBP在青春期之间的横截面关联和（2）青春期SES和LBP在成年早期之间的纵向关联。一个包含4,771对双胞胎LBP数据的数据库与丹麦统计局提供的父母的社会和经济数据合并。腰痛数据-“任何腰痛”和“持续性腰痛（超过30天）”是在1994年收集的，当时受试者年龄为12-18岁，8年后再次收集。1994年收集了父母的社会经济数据（父母双方的教育、收入、社会阶层和长期疾病）。Logistic回归分析被用来估计每个参数的父母SES在青春期和LBP在基线以及在随访之间的关联。最后，确定了一个结合不同社会经济参数的变量的影响。所有估计值均控制了基线时的吸烟、饮酒和体重指数。在逻辑回归模型中，32个估计值中只有3个具有统计学意义。当将社会经济变量合并到综合评分中时，结果表明，良好的社会背景对持续性LBP具有保护作用，而与任何LBP无关。然而，这种影响的统计学意义尚不清楚。在基线和随访时，我们没有发现或发现很弱的迹象表明青春期社会因素与LBP之间可能存在关系。
Social and economic disadvantage is associated with general poor physical health. This relationship has been recognised for centuries, but it is unknown whether socioeconomic factors have a specific influence on low back pain (LBP). Furthermore, it is unknown how social and economic disadvantages in youth affect adult health. Therefore, the specific objectives of this study are to explore (1) the cross-sectional association between socioeconomic status (SES) and LBP in adolescence and (2) the longitudinal association between SES in adolescence and LBP in early adulthood. A database containing LBP data from 4,771 twins was merged with their parents' social and economic data, available from Statistics Denmark. Low back pain data ['any low back pain' and 'persistent low back pain (more than 30 days)'] were collected in 1994, when the subjects were 12-18 years of age, and collected again eight years later. Socioeconomic data of the parents (education, income, social class and long-term illness, all for both mother and father) were collected in 1994. Logistic regression analyses were used to estimate the associations between each parameter of parental SES in adolescence and LBP at baseline as well as at follow-up. Finally, the influence of a variable combining the different socioeconomic parameters was established. All estimates were controlled for smoking, alcohol consumption and body mass index at baseline. In the logistic regression models, only three of the 32 estimates were statistically significant. When merging the socioeconomic variables into a combined score, the results indicated that a good social background had a protective effect against the persistent LBP, while there was no association with any LBP. However, the statistical significance of this effect was unclear. We found no or very weak indications of possible relationships between social factors in adolescence and LBP at baseline and at follow-up.