尼泊尔腰部疼痛的流行情况:来自全国代表性WHO STEPS调查的结果
Sweekriti Sharma1, Adrian C Traeger1, Chris G Maher1
1Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia; Institute for Musculoskeletal Health, Sydney Local Health District, New South Wales, Australia; Sydney Musculoskeletal Research Flagship Centre, The University of Sydney, New South Wales, Australia; Centre for Pain IMPACT, Neuroscience Research Australia, Sydney, Australia.
The journal of pain
|February 26, 2025
概括
腰部疼痛影响尼泊尔四分之一的成年人,女性和老年人患病率更高. 这项研究提供了有关低收入国家腰部疼痛的关键数据.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 腰部疼痛是一个重要的全球健康问题,是全球残疾的主要原因.
- 现有的流行数据主要来自高收入国家,为尼泊尔等低收入和中等收入国家留下了解的差距.
- 解决这种数据缺陷对于有针对性的公共卫生干预和资源分配至关重要.
研究的目的:
- 用全国代表性样本估计尼泊尔腰部疼痛的一个月的患病率.
- 分析尼泊尔各个社会人口群体中腰部疼痛的患病率.
- 为在现有研究有限的地区提供关于腰部疼痛的基本流行病学数据.
主要方法:
- 利用了来自世界卫生组织 (WHO) 在尼泊尔 (2019年2月-5月) 进行的非传染性疾病风险因素监测 (STEPS) 调查的逐步方法.
- 包括5593名年龄在15至69岁之间的全国代表性样本,响应率为86.4%.
- 采用了年龄标准化流行率计算和单变量/多变量逻辑回归来确定与社会人口统计因素的关联.
主要成果:
- 在尼泊尔,活动限制性腰部疼痛的年龄标准化患病率为23.2% (95%CI:21.9%至24.5%).
- 年长的成年人 (55-69岁) 与年轻的成年人 (15-24岁) 相比,出现腰部疼痛的几率高出四倍以上 (OR:4.06).
- 女性报告腰部疼痛的几率比男性高1.74倍 (OR: 1.74).
结论:
- 尼泊尔大约四分之一的成年人经历了限制活动的腰部疼痛.
- 在女性和老年人群中,患病率显著更高,突出了特定的人口脆弱性.
- 这些发现强调了尼泊尔的腰部疼痛的巨大负担,并告知了针对性预防和管理策略的需要.
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