ISSN: 1309 - 3843 E-ISSN: 1307 - 7384
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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
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.
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.
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