ORIJINAL ARAŞTIRMA
Türkiye’de Bel ve Boyun Ağrısının Birlikte Görülmesiyle İlişkili Risk Faktörlerinin Cinsiyete Göre Belirlenmesi
Determination of the Risk Factors Related to Co-Occurrence of Low Back and Neck Pain Based on Gender in Türkiye
Received Date : 28 May 2024
Accepted Date : 05 Nov 2024
Available Online : 26 Nov 2024
Fatih BAYGUTALPa, Faruk URAKb, Abdulbaki BİLGİÇc, Ayhan KULa
aAtatürk University Faculty of Medicine, Department of Physical Therapy and Rehabilitation, Erzurum, Türkiye
bAtatürk University Faculty of Agriculture, Department of Agricultural Economics, Erzurum, Türkiye
cUludağ University, Faculty of Agriculture, Department of Agricultural Economics, Bursa, Türkiye
Doi: 10.31609/jpmrs.2024-104141 - Makale Dili: EN
Turkiye Klinikleri Journal of Physical Medicine and Rehabilitation Sciences. 2025;28(1):38-47
ÖZET
Amaç: Bu çalışmada, bel ağrısı ve boyun ağrısının birlikte görülmesinde
etkili olan risk faktörlerinin cinsiyete göre belirlenmesi
amaçlandı. Gereç ve Yöntemler: Türkiye İstatistik Kurumunun yüz
yüze anket uygulanması, 2019 yılında 18 yaş ve üzeri 16.253 kişiden
oluşan 8.163 aileyi kapsamaktadır. Bağımlı değişken, rastgele etkiler sıralı
probit modelinde son 12 ay içinde bel ağrısı ve boyun ağrısının her
ikisini de geçirmek olarak belirlenmiştir. Bulgular: 2019 yılında Türk
toplumunda bel ağrısı ve/veya boyun ağrısının 1 yıllık toplam yaygınlığı
%39,42 idi. Her iki hastalığın birlikte görülmesi kadınlarda erkeklere
göre 2,34 kat daha fazlaydı. İleri yaş, evli olmak, düşük eğitim
düzeyi, obezite, günde bir saatten az yürümek, sigara içmek, günde bir
porsiyondan az meyve tüketmek ve depresyon öyküsü her iki cinsiyette
de dual ağrı için risk faktörleri olarak belirlendi. Kadınlarda ayrıca aktif
çalışma, düşük gelire sahip olma, 0-6 yaş arası çocuk sayısının az olması,
Batı Marmara ve Orta Anadolu bölgelerinde yaşamanın dual ağrı
için risk faktörleri olduğu belirlendi. Sonuç: Değiştirilebilir risk faktörlerinin
belirlenmesi ve iyileştirilmesiyle hastalık prevalansı azaltılabilir.
Bel ağrısı ve boyun ağrısında etkili olan diğer kişisel faktörler ve
cinsiyet farklılıklarına ilişkin ayrımların belirlenmesi, ağrı ve disabilitenin
önlenmesine yönelik hasta planlamasında da daha faydalı olabilir.
Anahtar Kelimeler: Cinsiyet; bel ağrısı; boyun ağrısı; probit modeli; risk faktörleri
ABSTRACT
Objective: This study aimed to determine the risk factors
affecting the co-occurrence of low back pain and neck pain according
to gender. Material and Methods: The face-to-face survey of Turkish
Statistical Institute (TSI) covers 8,163 families with 16,253 individuals
aged ≥18 in year 2019. The dependent variable consisted of those who
had both low back pain and neck pain within the last 12 months using
the random-effects ordered probit model. Results: The 1-year total
prevalence of low back pain and neck pain in the Turkish population in
2019 was 39.49%. The dual burden of the two diseases was 2.34 times
higher in women than in men. Increasing age, being married, low education
level, obesity, walking for less than an hour a day, smoking, consuming
less than one serving of fruit per day, and a history of
depression are risk factors for dual disease in both genders. Additionally
in women, active working, having a low income, a low number of
children aged 0-6, and living in the western Marmara and Central Anatolian
regions were determined as risk factors for dual pain in women.
Conclusion: Disease prevalence might be decreased by identifying and
improving the modifiable risk factors. Identifying distinctions regarding
other personal factors and gender differences in low back pain and
neck pain may also be more beneficial in patient planning to prevent
pain and disability.
Keywords: Gender; low back pain; neck pain; probit model; risk factors
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