ABSTRACT
Background
Previous studies have only investigated how symptom presentation and socio‐demographic factors influence care‐seeking for low back pain (LBP). However, the influence of health and lifestyle factors remains unclear, and the potential confounding effects of aggregated familial factors (including genetics and the early shared environment) has not been considered extensively.
Methods
A cross‐sectional analysis was performed on 1605 twins enrolled in the Murcia Twin Registry (Spain). The outcome was seeking medical care for LBP and various self‐reported demographic, health, and lifestyle factors were considered predictors. All variables except sleep quality and diabetes were collected in 2013, which were cross‐referenced from 2009/2010. A multivariate logistic regression model was performed on the total sample, followed by a co‐twin case‐control analysis.
Results
The only significant factor found to increase the odds of seeking medical care for LBP without being affected by familial factors was poor sleep quality (total sample OR=1.58, 95%CI 1.24‐2.01; case‐control OR=1.75, 95%CI 1.14‐2.69). The factors that were associated with reduced odds of seeking medical care for LBP and not confounded by familial factors were male sex (case‐control OR=0.55, 95%CI 0.33‐0.93), alcohol intake (case‐control OR=0.90, 95%CI 0.82‐0.99) and a history of diabetes (case‐control OR=0.50, 95%CI 0.25‐0.97). No other factors significantly influenced medical care‐seeking for LBP.
Conclusions
People reporting poor sleep quality are more likely to seek medical care for LBP in the long term, with this relationship being independent from aggregated familial factors. Conversely, males, people reporting higher alcohol intake, and people with a history of diabetes are less likely to seek medical care for LBP.
from Wiley: European Journal of Pain: Table of Contents https://ift.tt/3p1vnux
via IFTTT
No comments:
Post a Comment