[1]冯江涛,王奇,胡永成,等.中国中老年人群腰背痛患病率及相关危险因素的队列研究[J].中华老年骨科与康复电子杂志,2024,(02):70-79.[doi:10.3877/cma.j.issn.2096-0263.2024.02.002]
　Feng Jiangtao,Wang Qi,Hu Yongcheng,et al.Prevalence and risk factors of low back pain in China: The China Health and Retirement ongitudinal Study (CHARLS)[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2024,(02):70-79.[doi:10.3877/cma.j.issn.2096-0263.2024.02.002]
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中国中老年人群腰背痛患病率及相关危险因素的队列研究()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2024年02期
页码:
70-79
栏目:
老年骨科流行病学
出版日期:
2024-04-05

文章信息/Info

Title:
Prevalence and risk factors of low back pain in China: The China Health and Retirement ongitudinal Study (CHARLS)
作者:
冯江涛1; 王奇1; 胡永成2; 张树泉1
300100天津市中西医结合医院（天津市南开医院）骨科；300211天津市天津医院骨与软组织肿瘤科
Author(s):
Feng Jiangtao1;  Wang Qi1;  Hu Yongcheng2;  Zhang Shuquan1
1Department of Orthopedics, Tianjin NanKai Hospital, Tianjin 300100, China; 2Department of Bone and Soft tissue oncology, Tianjin Hospital, Tianjin300211, China
关键词:
腰背痛;  发生率;  危险因素;  纵向研究
Keywords:
Low back pain;  prevalence;  risk factors;  longitudinal Study
DOI:
10.3877/cma.j.issn.2096-0263.2024.02.002
文献标志码:
A
摘要:
目的 腰背痛（LBP）可导致活动功能障碍，是中老年人群活动能力丧失的主要原因。然而，关于腰背痛在中国的流行病学研究尚缺乏。本研究旨在调查中国中老年人腰背痛的流行病学特征。方法 基于2011-2018年开展的全国性纵向队列研究，中国健康与退休纵向研究（CHARLS），其中2018年的横断面调查有19752名受访者，2011-2018年的队列研究有9708名参与者。我们根据社会人口学、生活方式、健康状况和地理因素估计了腰背痛的患病率，Cox比例风险回归模型用于探究腰背痛相关的危险因素。结果 在CHARLS 2018年全国横断面调查中，腰背痛患病率为41.4%。腰背痛在女性中更为常见（48.58%）。另外，低教育水平、生活在农村地区、心脏病、关节炎、酗酒史和睡眠质量差与腰痛风险增加相关，HRs范围为1.16～1.51。东部地区腰背痛患病率最低（32.77%），西南部地区最高（48.54%）。地区差异中，与北方地区相比，东部、东北、中南部、西北和西南地区腰背痛的HRs （95% CI）分别为0.74（0.66，0.83）、1.16（0.99，1.35）、0.89（0.79，1.00）、1.14（0.98，1.32）和1.11（0.98，1.26）。结论 腰背痛在中国发病率较高，且患病率因社会人口学、生活方式、健康状况和地理因素而异。女性、文化程度低、农村地区、心脏病、关节炎、饮酒史、睡眠质量差、西部地理位置是发生腰背痛的主要危险因素。
Abstract:
Objective Low back pain (LBP), the leading cause of disability, has been an emergent global health crisis. However, studies regarding the epidemiology and prevalence of LBP in China are lacking. Therefore, we aimed to investigate the prevalence and risk factors of LBP. Methods Data collected from the China Health and Retirement Longitudinal Study (CHARLS), a population-based longitudinal cohort study conducted between 2011 to 2018. There were 19752 participants involved in 2018 survey, and 9708 participants involved in 2011 to 2018 survey of CHARLS. We estimated the prevalence of LBP according to sociodemographic, lifestyle, health status, and geographic factors. Cox proportional hazards regression models were applied to estimate the hazard ratios (HRs) and 95% CIs of LBP in relation to baseline risk factors. Results The prevalence of LBP was 41.4% in the CHARLS 2018 national survey. LBP was more common in women (48.58%) than in men (HR, 1.45; 95% CI: 1.28, 1.64). Low education level, live in rural areas, heart disease, arthritis, former drinkers, and poor sleep quality were associated with increased risk of LBP, with HRs range from 1.16 to 1.51. The East regions had the lowest prevalence of LBP (32.77%), while the South-West had the highest prevalence (48.54%). Compared to the North region, the HRs (95% CI) of LBP for the East, North-East, South-Central, North-West, and South-West regions were 0.74 (0.66, 0.83), 1.16 (0.99, 1.35), 0.89 (0.79, 1.00), 1.14 (0.98, 1.32), and 1.11 (0.98, 1.26), respectively. Conclusions LBP in China was prevalent, and the prevalence varied according to sociodemographic, lifestyle, health status, and geographic factors. Women, low education level, rural areas, heart disease, arthritis, previous drinkers, poor sleep quality, and West region of geographic location were risk factors for LBP.

备注/Memo

备注/Memo:
基金项目：天津市自然科学基金（多元投入青年项目：21JCQNJC01040）
更新日期/Last Update: 2024-08-01