Analyzing musculoskeletal neck pain, measured as present pain and periods of pain, with three different regression models: a cohort study

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Fältnamn	Indikatorer	Metadata
000		05179naa a2200637 4500
001		oai:gup.ub.gu.se/109903
003		SwePub
008		240528s2009 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://gup.ub.gu.se/publication/1099032 URI
024	7	a https://doi.org/10.1186/1471-2474-10-732 DOI
040		a (SwePub)gu
041		a eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Grimby-Ekman, Anna,d 1967u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine4 aut0 (Swepub:gu)xekman
245	1 0	a Analyzing musculoskeletal neck pain, measured as present pain and periods of pain, with three different regression models: a cohort study
264		c 2009-06-19
264	1	b Springer Science and Business Media LLC,c 2009
520		a BACKGROUND: In the literature there are discussions on the choice of outcome and the need for more longitudinal studies of musculoskeletal disorders. The general aim of this longitudinal study was to analyze musculoskeletal neck pain, in a group of young adults. Specific aims were to determine whether psychosocial factors, computer use, high work/study demands, and lifestyle are long-term or short-term factors for musculoskeletal neck pain, and whether these factors are important for developing or ongoing musculoskeletal neck pain. METHODS: Three regression models were used to analyze the different outcomes. Pain at present was analyzed with a marginal logistic model, for number of years with pain a Poisson regression model was used and for developing and ongoing pain a logistic model was used. Presented results are odds ratios and proportion ratios (logistic models) and rate ratios (Poisson model). The material consisted of web-based questionnaires answered by 1204 Swedish university students from a prospective cohort recruited in 2002. RESULTS: Perceived stress was a risk factor for pain at present (PR = 1.6), for developing pain (PR = 1.7) and for number of years with pain (RR = 1.3). High work/study demands was associated with pain at present (PR = 1.6); and with number of years with pain when the demands negatively affect home life (RR = 1.3). Computer use pattern (number of times/week with a computer session > or = 4 h, without break) was a risk factor for developing pain (PR = 1.7), but also associated with pain at present (PR = 1.4) and number of years with pain (RR = 1.2). Among life style factors smoking (PR = 1.8) was found to be associated to pain at present. The difference between men and women in prevalence of musculoskeletal pain was confirmed in this study. It was smallest for the outcome ongoing pain (PR = 1.4) compared to pain at present (PR = 2.4) and developing pain (PR = 2.5). CONCLUSION: By using different regression models different aspects of neck pain pattern could be addressed and the risk factors impact on pain pattern was identified. Short-term risk factors were perceived stress, high work/study demands and computer use pattern (break pattern). Those were also long-term risk factors. For developing pain perceived stress and computer use pattern were risk factors.
653		a Adolescent
653		a Adult
653		a Cohort Studies
653		a Computers
653		a Female
653		a Humans
653		a Life Style
653		a Logistic Models
653		a Longitudinal Studies
653		a Male
653		a Musculoskeletal Diseases/diagnosis/*etiology/psychology
653		a Neck Pain/diagnosis/*etiology/psychology
653		a Occupational Diseases/diagnosis/*etiology/psychology
653		a Odds Ratio
653		a Pain Measurement
653		a Poisson Distribution
653		a Predictive Value of Tests
653		a Questionnaires
653		a Risk Assessment
653		a Risk Factors
653		a Sex Factors
653		a Smoking/adverse effects
653		a Stress
653		a Psychological/complications
653		a Students
653		a Sweden
653		a Time Factors
653		a Workload
653		a Young Adult
700	1	a Hagberg, Mats,d 1951u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine4 aut0 (Swepub:gu)xhagma
700	1	a Andersson, Eva M.,d 1968u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine4 aut0 (Swepub:gu)xaevaq
710	2	a Göteborgs universitetb Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa4 org
773	0	t BMC Musculoskelet Disordd : Springer Science and Business Media LLCg 10:73q 10:73x 1471-2474
856	4	u https://bmcmusculoskeletdisord.biomedcentral.com/track/pdf/10.1186/1471-2474-10-73
856	4 8	u https://gup.ub.gu.se/publication/109903
856	4 8	u https://doi.org/10.1186/1471-2474-10-73

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