RT journal article
T1 Differences in physical and psychological health in patients with chronic low back pain: A national survey in general Spanish population
A1 Dueñas Rodríguez, María Ángeles
A1 Moral Muñoz, José Antonio
A1 Palomo Osuna, Jenifer
A1 Salazar Couso, Alejandro
A1 Sola Perea, Helena de
A1 Failde Martínez, Inmaculada
A2 BiomedicinaBiotecnología y Salud Pública
A2 Enfermería y Fisioterapia
A2 Estadística e Investigación Operativa
K1 Low back pain · Mental health · Chronic pain · Stress · Social support
AB Purpose To estimate the prevalence of diagnosed and undiagnosed chronic low back pain (CLBP-D and CLBP-UD, respec tively) in the general adult population in Spain and to compare the characteristics of these two groups with subjects without CLBP symptoms (No-CLBP). To establish CLBP-D patient sub-groups according to their self-perceived health status, mental health, level of pain and the impact of their pain on daily activities.Methods Data were obtained from the National Health Survey of Spain 2017 with a sample of 23,089 adults. Three groups were defned: CLBP-D, CLBP-UD and No-CLBP. In the CLBP-D group, a cluster analysis was performed to identify sub groups. A multinomial regression model was constructed to determine the factors associated with each of the sub-groups identifed.Results The prevalence of CLBP-D was 22% (95% CI 21.5–22.5) and that of CLBP-UD was 1.4% (95% CI 1.2–1.5). CLBP-D was more common in middle-aged females with a low educational level. They have a worse perceived health status, report more comorbidities, have worse mental health and more limitations in comparison with the populations without CLBP and with CLBP-UD. Three sub-groups of CLBP-D subjects were identifed. Women and older subjects with a lower educational level, more occupational stress, less social support and with more physical limitations were the most likely subjects to be included in the group worst-afected.Conclusions There is a high prevalence of CLBP among the adult population in Spain. Occupational stress and a lack of social support are common factors among subjects’ worst-afected of CLBP-D and identifying the subjects with these risks is therefore a recommended strategy for improving the healthcare provided to CLBP patients.
PB Springer Science and Business Media Deutschland GmbH
SN 1573-2649
YR 2020
FD 2020
LK http://hdl.handle.net/10498/30658
UL http://hdl.handle.net/10498/30658
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 06-nov-2026