个人和背景因素与慢性脊柱问题的关联:来自国家健康调查的分析
Aryostennes Miquéias da Silva Ferreira1, Sanderson José Costa de Assis2, Clécio Gabriel de Souza1
1Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz 59200-000, RN, Brazil.
概括
慢性脊柱问题影响18.5%的成年人,特别是女性,老年人,以及那些生活方式因素. 巴西市政府的家庭健康支持团队密度较高也与患病率增加有关.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性脊柱问题是一个重要的公共卫生问题,导致功能限制,缺勤和医疗费用增加.
- 生物心理社会模型表明,这些情况源于个体和上下文因素的复杂相互作用.
- 了解慢性背部问题的多因素性质对于制定有效的预防和管理策略至关重要.
研究的目的:
- 为了确定巴西慢性背部问题的患病率.
- 识别与慢性背部问题相关的个人和背景因素.
- 探索慢性背部问题与家庭健康支持团队密度之间的关系.
主要方法:
- 这是一项采用2013年国家卫生调查,联合国开发计划署和国家卫生机构登记册数据的横截面研究.
- 多级波桑回归分析在三个聚合级别进行.
- 计算了流行率 (RP) 和置信区间 (CI) 来评估关联.
主要成果:
- 慢性背部疾病的总体患病率为18.5%.
- 在女性,49岁以上的个人,从事重型劳动活动的人,报告有抑郁日的人和吸烟者中观察到更高的患病率.
- 较高的患病率也与巴西市镇每10万居民的家庭健康支持团队密度增加有关.
结论:
- 巴西的慢性脊柱问题与生物学 (年龄,性别) 和行为 (工作活动,吸烟,抑郁) 因素的结合有关.
- 家庭健康支持团队的密度成为与慢性背部问题相关的重要背景因素.
- 这些发现强调了需要采用综合方法来解决慢性脊柱疾病管理的个人和社区层面的决定因素.
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