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Related Experiment Videos

When back pain becomes disabling: a regional analysis.

Ernest Volinn1, Daniel Lai, Steven McKinney

  • 1Department of Neurological Surgery, University of Washington, Seattle, WA 98195 U.S.A. Multidisciplinary Pain Center, University of Washington, Seattle, WA 98195 U.S.A. Department of Biostatistics, University of Washington, Seattle, WA 98195 U.S.A.

Pain
|April 1, 1988
PubMed
Summary
This summary is machine-generated.

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Disabling back pain is linked to socioeconomic factors like unemployment. Economic insecurity increases the likelihood of back pain becoming a disability, impacting healthcare and work.

Area of Science:

  • Public Health
  • Occupational Health
  • Sociology

Background:

  • Back pain is common, but disabling back pain with high healthcare utilization and work absence has unclear origins.
  • Previous research has narrowly focused on the causes of disabling back pain.
  • Understanding the socioeconomic determinants of disabling back pain is crucial for public health interventions.

Purpose of the Study:

  • To investigate the influence of socioeconomic factors on disabling back pain.
  • To identify the relationship between industrial insurance claim rates for back sprain and socioeconomic indicators.

Main Methods:

  • Utilized industrial insurance claim rates for back sprain as an indicator of disabling back pain across 39 counties in Washington State.
  • Controlled for labor force size and occupational risk factors for back sprain.

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  • Analyzed the impact of unemployment rate, food stamp recipients, and per capita income on claim rates over three years.

    • Main Results:

    • Socioeconomic factors explained approximately one-third of the variance in disabling back pain claim rates in two of the three study years.
    • The unemployment rate showed a significant positive association with back pain claim rates across all three years, even among employed claimants.
    • Higher economic and job insecurity correlated with increased rates of disabling back pain.

    Conclusions:

    • Disabling back pain can be viewed as a symptom of broader socioeconomic distress.
    • Job and economic insecurity are significant contributors to the incidence of disabling back pain.
    • Public health strategies addressing socioeconomic factors may mitigate the burden of disabling back pain.