社区人群非特异性下腰痛的危险因素研究

目的分析社区人群非特异性下腰痛的危险因素。方法采用病例-对照研究方法，以问卷调查的方式进行评价，项目包括
年龄、性别、体质量、婚姻、教育程度、收入、职业、劳动强度、吸烟、饮酒和社会心理等，以人员中出现下腰痛的为病例组，无下腰
痛的为对照组。数据用Logistic回归模型进行分析。结果共调查社区人群1747例，398人为病例组，1126人为对照组。下腰
痛的危险因素中性别的危险性最高（OR=3.5522），其次是教育程度（OR=1.958）、劳动强度（OR=1.956）、婚姻（OR=1.612）、是否
接触振动源（OR=1.491）、BMI（OR=1.127）、年龄（OR=1.060）。结论人群的性别、教育程度、劳动强度、婚姻、接触振动源、BMI
为下腰痛发生的常见危险因素，业余运动以及心理状况可能有一定保护作用。

Analysis of risk factors of nonspecific low back pain in a community population:a case-con-trol study

Objective To analyze the risk factors of nonspecific low back pain in community populations. Methods Two
community populations were investigated using questionnaires in this case-control study. The questionnaire was designed to
collect data including age, gender, body weight, marriage, education, income, occupation, labor intensity, smoking, alcohol
drinking and social mental status. The subjects with low back pain constituted the case group and those without low back pain
served as the control group, and the data was analyzed by a Logistic regression model. Results A total of 1747 community
residents participated in this survey, among whom 398 subjects had low back pain and 1126 subjects without low back pain
were selected as the control group. Of all the latent risk factors of low back pain in Logistic regression model, gender was the
most relevant factor (OR=3.5522) followed by education (OR=1.958), labor intensity (OR=1.956), marital status (OR=1.612),
vibration source exposure (OR=1.491), BMI (OR=1.127) and age (OR=1.060). Conclusion Gender, education, labor intensity,
marriage, vibration source exposure and BMI are risk factors of nonspecific low back pain in community populations, and
exercises and mental status can be protective factors against low back pain.