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

Jonsdottir, Steinthora, Ahmed, Haroon, Tómasson, Kristinn and Carter, Ben 2019. Factors associated with chronic and acute back pain in Wales, a cross-sectional study. BMC Musculoskeletal Disorders 20 (1) , 215. 10.1186/s12891-019-2477-4

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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. Methods: 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. Results: We 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). Conclusion: Increased 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 in chronic cases.

Item Type: Article
Date Type: Published Online
Status: Published
Schools: Medicine
Publisher: BioMed Central
ISSN: 1471-2474
Date of First Compliant Deposit: 28 May 2019
Date of Acceptance: 25 February 2019
Last Modified: 28 May 2019 16:26

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