Quantifying the association between psychological distress and low back pain in urban Europe: a secondary analysis of a large cross-sectional study

Ugwu, Chukwuebuka Immanuel and Pope, Daniel ORCID: 0000-0003-2694-5478 (2023) Quantifying the association between psychological distress and low back pain in urban Europe: a secondary analysis of a large cross-sectional study. BMJ OPEN, 13 (2). e047103-.

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Official URL: http://dx.doi.org/10.1136/bmjopen-2020-047103

Abstract

<h4>Objectives</h4>This study aims to estimate the prevalence of low back pain (LBP) in Europe and to quantify its associated mental and physical health burdens among adults in European urban areas.<h4>Design</h4>This research is a secondary analysis of data from a large multicountry population survey.<h4>Setting</h4>The population survey on which this analysis is based was conducted in 32 European urban areas across 11 countries.<h4>Participants</h4>The dataset for this study was collected during the European Urban Health Indicators System 2 survey. There were a total of 19 441 adult respondents but data from 18 028, 50.2% female (9 050) and 49.8% male (8 978), were included in these analyses.<h4>Primary and secondary outcome measures</h4>Being a survey, data on the exposure (LBP) and outcomes were collected simultaneously. The primary outcomes for this study are psychological distress and poor physical health.<h4>Results</h4>The overall European prevalence of LBP was 44.6% (43.9-45.3) widely ranging from 33.4% in Norway to 67.7% in Lithuania. After accounting for sex, age, socioeconomic status and formal education, adults in urban Europe suffering LBP had higher odds of psychological distress aOR 1.44 (1.32-1.58) and poor self-rated health aOR 3.54 (3.31-3.80). These associations varied widely between participating countries and cities.<h4>Conclusion</h4>Prevalence of LBP, and its associations with poor physical and mental health, varies across European urban areas.

Item Type:	Article
Uncontrolled Keywords:	EPIDEMIOLOGY, PUBLIC HEALTH, MENTAL HEALTH
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health
Depositing User:	Symplectic Admin
Date Deposited:	03 Mar 2023 14:41
Last Modified:	22 Mar 2023 23:20
DOI:	10.1136/bmjopen-2020-047103
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3168740