Prevalence Status and Risk Factors for Back Pain among High School Students

서울시 일부지역 고등학생의 요통 유병 실태 및 관련요인에 관한 조사

  • 박혜숙 (이화여자대학교 의과대학 예방의학교실) ;
  • 정최경희 (이화여자대학교 의과대학 예방의학교) ;
  • 이보은 (이화여자대학교 의과대학 예방의학교실)
  • Published : 2002.03.01

Abstract

BACKGROUND: Back pain is a popular disease in general population as well as in workers. School students handle heavy bag and keep awkward postures during class long time. However, the prevalence of back pain among students and the risk factors associated with back pain are not well known. METHODS: In this study, we assess the frequency of risk factors for back pain among 2,717 high school students. From April 2001 to May 2001, using a self-reported questionnaire, we collected data on occurrence of back pain and potential risk factors for back pain. RESULTS: Fifteen percent of high school students reported having daily back pain for a week or more during the past 12 months. Female students had a higher prevalence of back pain than males(OR=2.22, 95% CI 1.69-2.91). Using a multiple logistic regression model, we found six factors associated with back pain for females; alcohol(OR=1.75, 95% CI 1.26-2.45), depression(OR=1.75, 95% CI 1.84-2.28), poor physical health(OR=2.57, 95% CI 1.84-8.58), obesity(OR=0.29, 95% CI 0.12-0.68), exercise(OR=l.50, 95% CI=1.07-2.16), and good performance(OR=l.50, 95% CI 1.05-2.18). Only alcohol, however, associated with back pain for males(OR=1.70, 95% CI 1.05-2.77) CONCLUSIONS: High school students had a relatively high prevalence of back pain. Students with alcohol consumption had the higher risk for back pain.

Keywords

References

  1. 고효정, 권영숙, 김명애, 박경민, 박정숙 외 2명. 중년기 여성의 건강문제 실태조사. 한국모자보건학회지 2000; 3(2): 257-288
  2. 김영수. 일부 고등학교의 lowback pain 발병요인분석. 경동전문대학 논문집 1990; 16: 201-213
  3. 권영숙, 김태희. 고등학생의 요통경험실태에 관한 연구. 계명간호과학 2000; 4(1): 11-22
  4. 권이종. 청소년학 개론. 신세대의 이해와 지도. 교육과학사, 1996
  5. 문재호, 박준수, 박동식, 이수현, 박병권. 요통학교가 만성요통의 치료에 미치는 영향에 대한연구. 대한재활의학회지 1900; 14(2): 324-328
  6. 문재호, 백선경, 김성원, 박주혜. 요통과 경통의 악화 요인의 최근 경향 및 환자교육의 중요성에 대한 연구. 대한재활의학회지 1996; 20(2):339-346
  7. 장영미. 청소년이 지각한 학교환경과 신체적.정신적 건강과의 관련요인 분석. 보건교육.건강증진학회지 2000; 17(2): 35-56
  8. 조두영. 청소년 심리, 정신신체 의학 1998; 6(2):97-103
  9. 한국청소년개발원. 청소년 심리학. 서원, 1996
  10. Andersson GBJ Epidemiological aspects of low back industry. Spine 1981; 6: 53-60 https://doi.org/10.1097/00007632-198101000-00013
  11. Biering-Sorenson F, Thomsen C. Medical, social and occupational history as risk indicators for low-back trouble in a general population. Spine 1986; 11: 720-725 https://doi.org/10.1097/00007632-198609000-00011
  12. Bigos SJ 외 7명. A prospective study of work perceptions and psychosocial factors affecting the report of back injury. Spine 1991; 16(1): 1-6 https://doi.org/10.1097/00007632-199101000-00001
  13. Bongers PM, de Winter CR, Kompier MAJ, Hildebrandt VH. Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health 1993; 19: 297-312 https://doi.org/10.5271/sjweh.1470
  14. Burdorf A, Naaktgeboren, de Groot HCWM Occupational risk factors for low back pain among sedentary workers. J Occup Med 1993; 35: 1213-1220
  15. Burdorf A, Sorock G. Positive and negative evidence of risk factors for back disorders. Scan J Work Environ Health 1997; 23: 243-56 https://doi.org/10.5271/sjweh.217
  16. Cho MJ, Kim KH. Use of the Center for Epidemiologic Studies Depression(CES-D) Scale in Korea. Journal of Nervous & Mental Disease 1998; 186(5): 304-310 https://doi.org/10.1097/00005053-199805000-00007
  17. Cho MJ. Nam JJ Suh GH. Prevalence of symptoms of depression in nationwide sample of Korean adults. Psychiatric Research 1998; 81(3): 341-352 https://doi.org/10.1016/S0165-1781(98)00122-X
  18. Dempsey PG, Burdorf A, Webster BS. The influence of personal variables on work related low-back disorders and implications for future research. J Occup Environ Med 1997; 39(8): 748-759 https://doi.org/10.1097/00043764-199708000-00010
  19. Deyo RA, and Bass JE. Lifestyle and low-back pain: the influence of smoking and obesity. Spine 1989; 14: 501-506 https://doi.org/10.1097/00007632-198905000-00005
  20. Feyer AM, williamson A, Mandryk J, de Silva I, Healy S. Role of psychosocial risk factors in work-related low-back pain. Scand J Work Environ Health 1992; 18: 368-375 https://doi.org/10.5271/sjweh.1560
  21. Goldberg EL, Van Natta P, Comstock GW. Depressive symptoms, social networks and social support of elderly women. am J Epiderniol 1985; 21: 448-456
  22. Guo HR, Tanaka S, Halperin WE, Cameron LL. Back pain prevalence in US Industry and estimates of lost workdays. Am J Public Health 1999: 89(7): 1029-1035 https://doi.org/10.2105/AJPH.89.7.1029
  23. Higgins JE, Koch GG. Variable selection and generalized chi-square analysis of categorical data applied to a large cross-sectional occupational health survey. Int Stat Rev 1977; 45: 51-62
  24. Houtman ILD, Bongers PM, Smulders PGW Kompier MAJ. Psychosocial stressors at work and musculoskeletal problems. Scand J Work Environ Health 1994; 20; 139-145 https://doi.org/10.5271/sjweh.1419
  25. Kelsy JL; An epidemiological study of relationship between occupations and acute herniated lumbar intervertebral discs. Int J Epidemiol 1975; 4: 197 https://doi.org/10.1093/ije/4.3.197
  26. Kelsy JL and Golden AL. Occupational and workplace factors associated with low back pain. Occupational Medicine 1988; 31(1): 7-15
  27. Liira JP, Shannon HS, Chambers LW, Haines TA Long-term back problems and physical work exposures in the 1990 Ontario Health Survey. Am J Public Health 1996;86:382-387 https://doi.org/10.2105/AJPH.86.3.382
  28. Nuwayhid IA, Stewart W, Johnson JV. Work activities and the onset of first-time low back pain among New York City fire fighters. Am J Epidemiol 1993; 137: 539-548 https://doi.org/10.1093/oxfordjournals.aje.a116707
  29. Park HS, Sprince NL, Whitten PS, Burmeister LF, Zwerling C. Farm-related dermatoses in Iowa male fanners and wives of farmers: a cross-sectional analysis of the Iowa Farm Family Health and Hazard Surveillance Project J Occup Environ Med 2001: 43(4): 364-369 https://doi.org/10.1097/00043764-200104000-00014
  30. Radloff LS. The CES-D scale: A self-reported depression scale for research in the general population. Appl Psychol Meas 1997; 1: 385-401 https://doi.org/10.1177/014662167700100306
  31. Reisborg LS, Greenland S. Factors associated with self-reported back-pain prevalence: a population-based study. J Chron Dis 1985; 38: 691-702 https://doi.org/10.1016/0021-9681(85)90023-2
  32. Riihimaki H, Tola S, Viderman T, Hanninen K Low-back paim and occupation: a cross-sectional questionnaire study of men in machine operating, dynamic physical work, and sedentary work. Spine 1989; 14: 204-209 https://doi.org/10.1097/00007632-198902000-00010
  33. Roeser RW, Eccles JS. Adolescents' perceptions of middle school: Relation to longitudinal changes in academic and psychological adjustment Journal of Research on Adolescence 1998; 8: 123-158 https://doi.org/10.1207/s15327795jra0801_6
  34. Sandstrom J, Andersson GB, Wallerstedt S. The role of alcohol abuse in working disability in patients with low back pain. Scand J Rehab Med 1984; 16: 147-149
  35. Seferlis T, Nemeth G, Carlsson AM, Gillstrom P. Acute low-back pain patients exhibit a fourfold increase in sick leave for other disorders: a case-control study. Journal of Spinal Disorders. 1999; 12(4): 280-286
  36. Skovron ML, Szpalski M, Nordin M, Melot C, Cukier D. Sociocultural factor and back pain: a population-based study in Belgian adults. spine. 1994; 19: 129-137 https://doi.org/10.1097/00007632-199401001-00002
  37. Stailones L, Leff M, Garrett C, Criswell L, Gillan T. Depressive symptoms among Colorado farmers. J Agric Saf Health 1995; 1: 37-43 https://doi.org/10.13031/2013.19454
  38. van der Weide WE, Verbeek JHAM, van Tulder MW. Vocational outcome of intervention for low back pain. Scand J Work Environ Health 1997; 23: 165-178 https://doi.org/10.5271/sjweh.195
  39. Walsh K, Varnes N, Osmond C, Styles R, Coggon D. Occupational causes of low back pain. Scan J Work Environ Health. 1989; 15: 54-59 https://doi.org/10.5271/sjweh.1891
  40. WHO. The health of young people: A challenge and a promise. WHO, 1993
  41. Xiang H, Stailones L, Keefe TJ, Back pain and agricultural work among farmers: An analysis of the Colorado Farm Family Health and Hazard Surveillance Survey. Am J Ind Med 1999; 35: 310-316 https://doi.org/10.1002/(SICI)1097-0274(199903)35:3<310::AID-AJIM12>3.0.CO;2-D
  42. U.S. Department of Health and Human Services. Vital and Health Statistics. Health conditions among the current employed: United States, 1988. Series 10. Data from the National Health Interview Survey. No. 186., 1993