Epidemiology of chronic low back pain in US adults: The National Health and Nutrition Examination Survey 2009-2010
2016-05
Loading...
View/Download File
Persistent link to this item
Statistics
View StatisticsJournal Title
Journal ISSN
Volume Title
Title
Epidemiology of chronic low back pain in US adults: The National Health and Nutrition Examination Survey 2009-2010
Authors
Published Date
2016-05
Publisher
Type
Thesis or Dissertation
Abstract
Abstract Objective: To describe epidemiologic characteristics and associations with increased healthcare utilization in US adults with chronic low back pain (cLBP). Methods: NHANES back pain survey 2009-2010, administered to adults aged 20- 69 (N = 5103). cLBP was defined as pain in the area between the lower posterior margin of the rib cage and the horizontal gluteal fold, with a history of pain lasting almost every day for at least 3 months. Demographic and behavioral characteristics were compared between those with cLBP and without. Factors, associated with ≥10 healthcare visits/year were evaluated in the cLBP subgroup (N=700). Results: cLBP associations with adjusted odds ratios (aORs) ≥2 included age 50-69, education less than high school, annual household income <$20 000, income from disability, depression, sleep disturbances, and medical comorbidities. Subjects with cLBP were more likely to be covered by government-sponsored insurance plans: aOR 3.23 ([95% CI] 2.19-4.75) for Medicaid, aOR 2.25 (1.57-3.22) for Medicare (p < 0.0001), and visited healthcare providers more frequently: aOR 3.35 (2.40-4.67) for ≥10 healthcare visits in the past year (p < 0.0001). In the cLBP subgroup aORs ≥2 were found for associations between ≥10 visits per year and unemployment, income from disability, depression, and sleep disturbances. Conclusion: US adults with cLBP are socio-economically disadvantaged, make frequent healthcare visits and are often covered by government-sponsored health insurance. The clustering of behavioral, psychosocial, and medical issues should be considered in the care of Americans with cLBP.
Description
University of Minnesota M.S. thesis. May 2016. Major: Clinical Research. Advisor: Robert Foley. 1 computer file (PDF); v, 22 pages.
Related to
Replaces
License
Series/Report Number
Funding information
Isbn identifier
Doi identifier
Previously Published Citation
Suggested citation
Shmagel, Anna. (2016). Epidemiology of chronic low back pain in US adults: The National Health and Nutrition Examination Survey 2009-2010. Retrieved from the University Digital Conservancy, https://hdl.handle.net/11299/182103.
Content distributed via the University Digital Conservancy may be subject to additional license and use restrictions applied by the depositor. By using these files, users agree to the Terms of Use. Materials in the UDC may contain content that is disturbing and/or harmful. For more information, please see our statement on harmful content in digital repositories.