Factors associated with chronic and acute back pain in Wales, a cross-sectional study

TY - JOUR

T1 - Factors associated with chronic and acute back pain in Wales, a cross-sectional study

AU - Jondottir, Steinthora

AU - Ahmed, Haroon

AU - Tomasson, Kristinn

AU - Carter, Benjamin Richard

PY - 2019/5/15

Y1 - 2019/5/15

N2 - Background Back pain is one of the most common causes for disability in the working population. Some risk factors for back pain are well known, however little is known about factors uniquely associated with acute or chronic back pain.This study aimed to elucidate patterns uniquely associated with acute or chronic back pain. Method This study performed secondary analysis of data from the Welsh Health Survey 2012, a nationwide cross-sectional survey. A multivariable analysis was carried out for risk factors found to be significantly associated with acute and chronic back pain.ResultsWe found that increased BMI (aOR 1.20, 95% Cis 1.08, 1.33; BMI >30), mental health score below average (aOR 1.59, 95%CIs 1.47, 1.72), having a degree (aOR 1.28, 95% CIs 1.12, 1.47) and being older than 24 years (P<0.001) were associated with increased prevalence of acute back pain. Higher prevalence of chronic back pain was seen in individuals characterised by increased deprivation (WIMD) (aOR 1.61, 95% CIs 1.32, 1.96); increased age (aOR 7.34, 95% CIs 5.25, 10.26; for 65+); being female (aOR=1.43, 95% CIs 1.27, 1.61); lower educational attainment (aOR 0.44, 95% CIs 0.36, 0.55) higher BMI (aOR=1.60 95% CIs 1.38, 1.85; BMI > 30); poorer mental health score (aOR=3.11 95% CIs 2.76, 3.51), and a sedentary lifestyle (aOR=0.58, 95% CIs 0.49, 0.69; 3-5 days of light exercise).ConclusionIncreased deprivation, female gender, and little exercise were uniquely associated with chronic back pain. These characteristics may help clinicians to intervene to prevent acute backpain resulting into chronic cases.

AB - Background Back pain is one of the most common causes for disability in the working population. Some risk factors for back pain are well known, however little is known about factors uniquely associated with acute or chronic back pain.This study aimed to elucidate patterns uniquely associated with acute or chronic back pain. Method This study performed secondary analysis of data from the Welsh Health Survey 2012, a nationwide cross-sectional survey. A multivariable analysis was carried out for risk factors found to be significantly associated with acute and chronic back pain.ResultsWe found that increased BMI (aOR 1.20, 95% Cis 1.08, 1.33; BMI >30), mental health score below average (aOR 1.59, 95%CIs 1.47, 1.72), having a degree (aOR 1.28, 95% CIs 1.12, 1.47) and being older than 24 years (P<0.001) were associated with increased prevalence of acute back pain. Higher prevalence of chronic back pain was seen in individuals characterised by increased deprivation (WIMD) (aOR 1.61, 95% CIs 1.32, 1.96); increased age (aOR 7.34, 95% CIs 5.25, 10.26; for 65+); being female (aOR=1.43, 95% CIs 1.27, 1.61); lower educational attainment (aOR 0.44, 95% CIs 0.36, 0.55) higher BMI (aOR=1.60 95% CIs 1.38, 1.85; BMI > 30); poorer mental health score (aOR=3.11 95% CIs 2.76, 3.51), and a sedentary lifestyle (aOR=0.58, 95% CIs 0.49, 0.69; 3-5 days of light exercise).ConclusionIncreased deprivation, female gender, and little exercise were uniquely associated with chronic back pain. These characteristics may help clinicians to intervene to prevent acute backpain resulting into chronic cases.

KW - Acute back pain

KW - Chronic Back pain

KW - Physical activity

KW - Prevention

KW - Risk factors

UR - http://www.scopus.com/inward/record.url?scp=85066054624&partnerID=8YFLogxK

U2 - 10.1186/s12891-019-2477-4

DO - 10.1186/s12891-019-2477-4

M3 - Article

SN - 1471-2474

VL - 20

JO - BMC MUSCULOSKELETAL DISORDERS

JF - BMC MUSCULOSKELETAL DISORDERS

IS - 1

M1 - 215

ER -