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Spinal pain prevalence and associated determinants: A population‐based study using the National Survey for Wales

David C. Byfield Orcid Logo, Benjamin S. Stacey Orcid Logo, Hywel Evans Orcid Logo, Ian Farr, Leon Yandle Orcid Logo, Lora Roberts Orcid Logo, Teresa Filipponi Orcid Logo, Damian M. Bailey Orcid Logo

Physiological Reports, Volume: 12, Issue: 21, Start page: e70101

Swansea University Authors: Hywel Evans Orcid Logo, Ian Farr

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DOI (Published version): 10.14814/phy2.70101

Abstract

Spinal pain (SP) remains the leading cause of disability worldwide. The present study aimed to establish a current prevalence of SP and associated determinants in Wales by retrospectively analyzing data from the National Survey for Wales Dataset (NSWD). The NSWD is a large‐scale cross‐sectional, rep...

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Published in: Physiological Reports
ISSN: 2051-817X
Published: Wiley 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa68114
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2024-10-30T10:32:12.0924451</datestamp><bib-version>v2</bib-version><id>68114</id><entry>2024-10-30</entry><title>Spinal pain prevalence and associated determinants: A population&#x2010;based study using the National Survey for Wales</title><swanseaauthors><author><sid>73cc98a5b8e4122fdfcee5d88208b0b7</sid><ORCID>0000-0001-6745-4187</ORCID><firstname>Hywel</firstname><surname>Evans</surname><name>Hywel Evans</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>3c02e7e9c2b064ee3e96e83b9777dde4</sid><firstname>Ian</firstname><surname>Farr</surname><name>Ian Farr</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2024-10-30</date><deptcode>MEDS</deptcode><abstract>Spinal pain (SP) remains the leading cause of disability worldwide. The present study aimed to establish a current prevalence of SP and associated determinants in Wales by retrospectively analyzing data from the National Survey for Wales Dataset (NSWD). The NSWD is a large&#x2010;scale cross&#x2010;sectional, representative sample of adults across Wales, UK. A univariable and multivariable regression analysis was carried out on self&#x2010;reported answers to health and well&#x2010;being questions contained within the NSWD (2016&#x2013;2020) to determine the strength of association of various determinants and comorbidities related to spinal pain. A total population of 38,954 of adults were included in the analysis. The study population included interview responses of 21,735 females and 17,219 males. The prevalence of SP in Wales was 4.95% (95% CI: 4.74%&#x2013;5.15%) with a total of 847 males (4.92%, CI: 4.60%&#x2013;5.24%) and 1082 females (4.98%, CI: 4.69%&#x2013;5.27%) reporting spinal pain. The age group with the highest prevalence of SP was in the 70+ years age group for both males (5.44%, CI: 4.82%&#x2013;6.07%) and females (5.95%, CI: 5.37%&#x2013;6.54%). The strength of association between age and SP reaches its peak at 50&#x2013;59 years with an adjusted Odds Ratio (aOR) of 3.74 (p = &lt;0.001), that decreases slightly at 60&#x2013;69 years and 70+ years. For various comorbidities included in the NSWD, significant associations with SP were confirmed for: mental illness (aOR = 1.42, p = &lt;0.001), migraine (aOR = 2.73, p = &lt;0.001), nervous system issues (aOR = 1.61, p = &lt;0.001), arthritis (aOR = 1.30, p = &lt;0.001) and issues with bones/joints/muscles (aOR = 1.93, p = &lt;0.001). For lifestyle factors, associations were confirmed for current smokers (aOR = 1.41, p = &lt;0.001) and ex&#x2010;smokers (aOR = 1.23, p = 0.003). This study demonstrates a low prevalence of SP in Wales when compared to global estimates and strong associations to a variety of determinants. 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spelling 2024-10-30T10:32:12.0924451 v2 68114 2024-10-30 Spinal pain prevalence and associated determinants: A population‐based study using the National Survey for Wales 73cc98a5b8e4122fdfcee5d88208b0b7 0000-0001-6745-4187 Hywel Evans Hywel Evans true false 3c02e7e9c2b064ee3e96e83b9777dde4 Ian Farr Ian Farr true false 2024-10-30 MEDS Spinal pain (SP) remains the leading cause of disability worldwide. The present study aimed to establish a current prevalence of SP and associated determinants in Wales by retrospectively analyzing data from the National Survey for Wales Dataset (NSWD). The NSWD is a large‐scale cross‐sectional, representative sample of adults across Wales, UK. A univariable and multivariable regression analysis was carried out on self‐reported answers to health and well‐being questions contained within the NSWD (2016–2020) to determine the strength of association of various determinants and comorbidities related to spinal pain. A total population of 38,954 of adults were included in the analysis. The study population included interview responses of 21,735 females and 17,219 males. The prevalence of SP in Wales was 4.95% (95% CI: 4.74%–5.15%) with a total of 847 males (4.92%, CI: 4.60%–5.24%) and 1082 females (4.98%, CI: 4.69%–5.27%) reporting spinal pain. The age group with the highest prevalence of SP was in the 70+ years age group for both males (5.44%, CI: 4.82%–6.07%) and females (5.95%, CI: 5.37%–6.54%). The strength of association between age and SP reaches its peak at 50–59 years with an adjusted Odds Ratio (aOR) of 3.74 (p = <0.001), that decreases slightly at 60–69 years and 70+ years. For various comorbidities included in the NSWD, significant associations with SP were confirmed for: mental illness (aOR = 1.42, p = <0.001), migraine (aOR = 2.73, p = <0.001), nervous system issues (aOR = 1.61, p = <0.001), arthritis (aOR = 1.30, p = <0.001) and issues with bones/joints/muscles (aOR = 1.93, p = <0.001). For lifestyle factors, associations were confirmed for current smokers (aOR = 1.41, p = <0.001) and ex‐smokers (aOR = 1.23, p = 0.003). This study demonstrates a low prevalence of SP in Wales when compared to global estimates and strong associations to a variety of determinants. This still represents a significant societal burden and these findings may help inform public health initiatives to encourage prevention and evidence‐based interventional strategies and ultimately, improve the quality of life for those suffering with SP in Wales. Journal Article Physiological Reports 12 21 e70101 Wiley 2051-817X Comorbidities, deprivation, physical inactivity, prevalence, socioeconomics, spinal pain 29 10 2024 2024-10-29 10.14814/phy2.70101 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee This study was funded by the Royal College of Chiropractors and the European Council on Chiropractic Research Excellence (ECCRE). Damian M. Bailey is supported by a Royal Society Wolfson Research Fellowship (WM170007). 2024-10-30T10:32:12.0924451 2024-10-30T10:11:50.0228896 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science David C. Byfield 0000-0003-0898-5337 1 Benjamin S. Stacey 0000-0003-1005-7038 2 Hywel Evans 0000-0001-6745-4187 3 Ian Farr 4 Leon Yandle 0009-0005-8160-8775 5 Lora Roberts 0000-0003-3084-3423 6 Teresa Filipponi 0000-0002-5022-0015 7 Damian M. Bailey 0000-0003-0498-7095 8 68114__32790__401894853b50439c95b29380243a745c.pdf phy2.70101.pdf 2024-10-30T10:11:50.0025592 Output 2513585 application/pdf Version of Record true © 2024 The Author(s). This is an open access article under the terms of the Creative Commons Attribution License (CC BY 4.0). true eng http://creativecommons.org/licenses/by/4.0/
title Spinal pain prevalence and associated determinants: A population‐based study using the National Survey for Wales
spellingShingle Spinal pain prevalence and associated determinants: A population‐based study using the National Survey for Wales
Hywel Evans
Ian Farr
title_short Spinal pain prevalence and associated determinants: A population‐based study using the National Survey for Wales
title_full Spinal pain prevalence and associated determinants: A population‐based study using the National Survey for Wales
title_fullStr Spinal pain prevalence and associated determinants: A population‐based study using the National Survey for Wales
title_full_unstemmed Spinal pain prevalence and associated determinants: A population‐based study using the National Survey for Wales
title_sort Spinal pain prevalence and associated determinants: A population‐based study using the National Survey for Wales
author_id_str_mv 73cc98a5b8e4122fdfcee5d88208b0b7
3c02e7e9c2b064ee3e96e83b9777dde4
author_id_fullname_str_mv 73cc98a5b8e4122fdfcee5d88208b0b7_***_Hywel Evans
3c02e7e9c2b064ee3e96e83b9777dde4_***_Ian Farr
author Hywel Evans
Ian Farr
author2 David C. Byfield
Benjamin S. Stacey
Hywel Evans
Ian Farr
Leon Yandle
Lora Roberts
Teresa Filipponi
Damian M. Bailey
format Journal article
container_title Physiological Reports
container_volume 12
container_issue 21
container_start_page e70101
publishDate 2024
institution Swansea University
issn 2051-817X
doi_str_mv 10.14814/phy2.70101
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
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description Spinal pain (SP) remains the leading cause of disability worldwide. The present study aimed to establish a current prevalence of SP and associated determinants in Wales by retrospectively analyzing data from the National Survey for Wales Dataset (NSWD). The NSWD is a large‐scale cross‐sectional, representative sample of adults across Wales, UK. A univariable and multivariable regression analysis was carried out on self‐reported answers to health and well‐being questions contained within the NSWD (2016–2020) to determine the strength of association of various determinants and comorbidities related to spinal pain. A total population of 38,954 of adults were included in the analysis. The study population included interview responses of 21,735 females and 17,219 males. The prevalence of SP in Wales was 4.95% (95% CI: 4.74%–5.15%) with a total of 847 males (4.92%, CI: 4.60%–5.24%) and 1082 females (4.98%, CI: 4.69%–5.27%) reporting spinal pain. The age group with the highest prevalence of SP was in the 70+ years age group for both males (5.44%, CI: 4.82%–6.07%) and females (5.95%, CI: 5.37%–6.54%). The strength of association between age and SP reaches its peak at 50–59 years with an adjusted Odds Ratio (aOR) of 3.74 (p = <0.001), that decreases slightly at 60–69 years and 70+ years. For various comorbidities included in the NSWD, significant associations with SP were confirmed for: mental illness (aOR = 1.42, p = <0.001), migraine (aOR = 2.73, p = <0.001), nervous system issues (aOR = 1.61, p = <0.001), arthritis (aOR = 1.30, p = <0.001) and issues with bones/joints/muscles (aOR = 1.93, p = <0.001). For lifestyle factors, associations were confirmed for current smokers (aOR = 1.41, p = <0.001) and ex‐smokers (aOR = 1.23, p = 0.003). This study demonstrates a low prevalence of SP in Wales when compared to global estimates and strong associations to a variety of determinants. This still represents a significant societal burden and these findings may help inform public health initiatives to encourage prevention and evidence‐based interventional strategies and ultimately, improve the quality of life for those suffering with SP in Wales.
published_date 2024-10-29T03:02:06Z
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