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Predictors of low back pain onset in a prospective British study

Author

Listed:
  • Power, C.
  • Frank, J.
  • Hertzman, C.
  • Schierhout, G.
  • Li, L.

Abstract

Objectives. This study examined predictors of low back pain onset in a British birth cohort. Methods. Univariate and multivariate analyses focused on individuals who experienced onset of low back pain at 32 to 33 years of age (n=571) and individuals who were pain free (n=5210). Participants were members of the 1958 British birth cohort. Results. Incident pain was elevated among those with psychological distress at 23 years of age (adjusted odds ratio [OR]=2.52, 95% confidence interval [CI]=1.65, 3.86) and among persistent moderate or heavy smokers (adjusted OR=1.63, 95% CI=1.23, 2.17). Significant univariate associations involving other factors (e.g., social class, childhood emotional status, body mass index, job satisfaction) did not persist in multivariate analyses. Conclusions. This prospectively studied cohort provides evidence that psychological distress more than doubles later risk of low back pain, with smoking having a modest independent effect. Other prospective studies are needed to confirm these findings before implications for low back pain prevention can be assessed.

Suggested Citation

  • Power, C. & Frank, J. & Hertzman, C. & Schierhout, G. & Li, L., 2001. "Predictors of low back pain onset in a prospective British study," American Journal of Public Health, American Public Health Association, vol. 91(10), pages 1671-1678.
    • Handle: RePEc:aph:ajpbhl:2001:91:10:1671-1678_7
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    Cited by:

    1. Kimiko Tomioka & Teruyo Kitahara & Midori Shima & Keigo Saeki, 2021. "Fraction and Number of Unemployed Associated with Self-Reported Low Back Pain: A Nation-Wide Cross-Sectional Study in Japan," IJERPH, MDPI, vol. 18(20), pages 1-12, October.
    2. Rehana Rehman & Rakhshaan Khan & Ambreen Surti & Hira Khan, 2013. "An Ounce of Discretion Is Worth a Pound of Wit — Ergonomics Is a Healthy Choice," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-5, October.
    3. Steven Z George & John D Childs & Deydre S Teyhen & Samuel S Wu & Alison C Wright & Jessica L Dugan & Michael E Robinson, 2012. "Predictors of Occurrence and Severity of First Time Low Back Pain Episodes: Findings from a Military Inception Cohort," PLOS ONE, Public Library of Science, vol. 7(2), pages 1-9, February.
    4. Hongmei Tong & Yu Lung & Shen (Lamson) Lin & Karen M Kobayashi & Karen M Davison & Senyo Agbeyaka & Esme Fuller-Thomson, 2021. "Refugee status is associated with double the odds of psychological distress in mid-to-late life: Findings from the Canadian Longitudinal Study on Aging," International Journal of Social Psychiatry, , vol. 67(6), pages 747-760, September.

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