Sociodemographic and work-related predictors of chronic lower back pain in the United States: the 2018 National Health Interview Survey data

Kesiena, Onoriode; Ajayi, Kobi V.; René, Antônio; Benden, Mark E.

doi:10.1016/j.puhe.2021.06.015

Cited by 3 publications

(4 citation statements)

References 27 publications

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“…The risk factors for lower back pain may differ depending on the societal structure, income level, and living conditions [ 5 , 6 ]. Epidemiological studies have found that an individual’s socioeconomic and occupational status, as well as personal traits such as exercise, alcohol use, and age, are crucial determinants of lower back pain [ 7 – 9 ]. Research conducted worldwide has indicated that depression and anxiety [ 10 , 11 ], sedentary lifestyles, and obesity [ 12 , 13 ] are some of the most common individual-level risk factors associated with lower back pain.…”

Section: Introductionmentioning

confidence: 99%

The mediating role of depressive symptoms among Turkish population related to gender and low back pain: evidence from a national health survey

Yıldız,

Aydin,

Sambo

et al. 2024

BMC Public Health

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Background Low back pain (LBP), though non-life-threatening, burdens healthcare with treatment expenses and work hours lost. Globally, 70–84% experience it, with risk factors tied to societal structure, income, and living conditions, making it a leading cause of disability. Methods This study utilized data from the 2019 Türkiye Health Survey, which consisted of 17,084 individuals aged 15 and above. Our study focused on investigating the factors related to low back pain through a cross-sectional analysis. To analyze these factors, we employed binary multivariate logistic regression. Additionally, we conducted post-hoc analyses to assess the potential mediating effect of depressive symptoms on the relationship between low back pain and gender. Results We found that 31.9% of the population experienced low back pain, with women being 58% more likely [aOR = 1.58; 95% CI (1.45–1.73)] than men to report symptoms. Individuals aged 55 + years old had a 90% [aOR = 1.90; 95% CI (1.61–2.23)] chance of experiencing low back pain, indicating an age-related increase. In the general population, having depressive symptoms was 2.49 [95% CI (2.23–2.78)] times more likely associated with low back pain. Our mediation analysis showed that gender (i.e., women vs. men), indicated by direct effects with β-estimates e = 0.78, predicted the likelihood of low back pain. Additionally, the relationship between gender and low back pain, mediated through a history of depressive symptoms, had a significant total indirect effect (i.e., β-estimate given as e = 0.49). Specifically, a history of depressive symptoms accounted for 17.86% [95% CI (9.67–20.10)] of the association between women having a higher likelihood of low back pain compared to men. Conclusion We observed that a higher likelihood of low back pain associated with gender and aging. Additionally, BMI served as a significant predictor, particularly in adults. Depression mediated the association between gender and low back pain. Acknowledging these associations may help identify and address contributing factors to LBP, potentially increasing awareness and alleviating the burden. Policymakers and healthcare professionals may consider these findings when developing prevention and treatment programs for low back pain.

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Section: Introductionmentioning

confidence: 99%

The mediating role of depressive symptoms among Turkish population related to gender and low back pain: evidence from a national health survey

Yıldız,

Aydin,

Sambo

et al. 2024

BMC Public Health

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“…[ 4 ] Occupation is a strong predictor of LBP. [ 5 ] Few epidemiological studies suggest about high point prevalence of LBP among medical students ranging from 10% to 32.5%. [ 6 7 8 ] A certain percentage of LBP gets converted into chronic LBP leading to disability.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of acute low back pain with risk of long-term disability and its correlates among medical students: A cross-sectional study

Shekhar¹,

Rao

Nirala

et al. 2023

Journal of Education and Health Promotion

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BACKGROUND: Low back pain (LBP) is responsible for the highest number of years lived with disability globally. There is a paucity of data regarding the same among medical students. So, this study was planned to estimate the prevalence of acute LBP having a high propensity to develop into chronic one as well as to determine associated correlates among medical students. MATERIALS AND METHODS: This cross-sectional study was conducted among 300 medical students at a tertiary hospital using an Acute Low Back Pain Screening Questionnaire (ALBPSQ) to identify individuals with LBP and having a high risk of developing a long-term disability. ALBPSQ is a 21-question-based biopsychosocial screening instrument for identifying patients at risk of chronicity. ALBPSQ scores have been found to be significantly associated with pain and functional disability. Descriptive statistics, bivariate analysis, and multiple binary logistic regression have been performed through SPSS-22 software. RESULTS: The prevalence of LBP having the propensity to develop into a long-term disability was found to be 14.3% (95% CI: 10.6–18.8). In bivariate analysis, higher age, no exercise, higher screen time, mental stress, studying in bed, abnormal posture, alcohol intake, tobacco use, positive family history, greater screen time per day, and more time spent in a sitting posture are significant with LBP. Stress ((adjusted odds ratio) AOR: 4.37, 95% CI: 1.79–10.68)), abnormally bent standing posture (AOR: 3.6, 95% CI: 1.3–10.6), and positive family of LBP (AOR: 3.6, 95% CI: 1.3–10.1) were found to be independent predictors of LBP among medical students. CONCLUSION: Among medical students, every 15 out of 100 have a low back problem with chances of long-term disability. These students require early intervention to avoid long-term disability. Abnormal stooping posture, psychological stress, and positive family history of low pain might independently lead to LBP.

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“…In 2018, the prevalence of chronic low back pain (CLBP) was 31% among United States (US) adults [ 1 ]. It is a major contributor to physical morbidity [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is a major contributor to physical morbidity [ 2 ]. CLBP is more common in individuals who are older, obese, or have poor manual material handling skills [ 1 , 3 , 4 ]. Regardless of the approach to therapy, other factors are important in the care of patients with CLBP.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Relationship Between Health Information Technology Use and Self-Rated Health Among Adults with Chronic Low Back Pain in the United States

Okobi,

Odoma,

Ogochukwu

et al. 2023

Cureus

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Objective: To assess the use of health information technology (HIT) among adults with chronic low back pain (CLBP) in the United States and to evaluate the relationship between HIT use and self-rated health. Methods: The independent variable was the use of the internet to (1) fill prescriptions, (2) communicate with a healthcare provider, (3) look up health information, and (4) schedule a medical appointment. Respondents rated their health in the last 12 months as worse, about the same, or better. A Chi-square analysis was used to assess the use of HIT among those with CLBP; a logistic regression was used to determine predictors of HIT use; and an ordinal logistic regression was used to assess the relationship between HIT and self-rated health.Results: As compared to those without CLBP, those with CLBP are more likely to use the internet to look up health information (58.9 vs. 53.8%, p-value<.001), refill prescriptions (13.9% vs. 10.5%, p-value<.001), and communicate with a healthcare provider (19.8% vs.15.3%, p-value<.001). Being employed and having a higher level of education were positive predictors of HIT use. As compared to other uses of the internet, using the internet to communicate with a healthcare provider was associated with higher odds of rating health as better compared to worse or about the same within the last 12 months. Conclusion: Among adults with CLBP, a more affluent social status is associated with the use of HIT. Also, HIT is associated with a better health rating as compared to not using it at all. Further studies should assess the longitudinal relationship between HIT use and how adults with CLBP rate their health.

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Sociodemographic and work-related predictors of chronic lower back pain in the United States: the 2018 National Health Interview Survey data

Cited by 3 publications

References 27 publications

The mediating role of depressive symptoms among Turkish population related to gender and low back pain: evidence from a national health survey

The mediating role of depressive symptoms among Turkish population related to gender and low back pain: evidence from a national health survey

Prevalence of acute low back pain with risk of long-term disability and its correlates among medical students: A cross-sectional study

Assessing the Relationship Between Health Information Technology Use and Self-Rated Health Among Adults with Chronic Low Back Pain in the United States

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