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Großschädl, F; Stolz, E; Mayerl, H; Rásky, É; Freidl, W; Stronegger, WJ.
Rising prevalence of back pain in Austria: considering regional disparities.
Wien Klin Wochenschr. 2016; 128(1-2):6-13 [OPEN ACCESS]
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Autor/innen der Med Uni Graz:
Freidl Wolfgang
Großschädl Franziska
Mayerl Hannes
Rásky Éva
Stolz Erwin
Stronegger Willibald

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Back pain is the most common form of musculoskeletal conditions and leads to high health care costs. Information about geographic variations in highly prevalent diseases/disorders represents important implications for public health planning to face structural challenges. The present study aims to investigate regional trends in the prevalence of back pain and the role of obesity and social inequalities among Austrian adults. A secondary data analysis based on five nationally representative cross-sectional surveys (1973-2007) was carried out (N = 178,818). Back pain was measured as self-reported presence. Obesity (BMI ≥ 30 kg/m²) was adjusted for self-report bias. For the regional analyses, Austria was divided into Western, Central and Eastern Austria. A relative index of inequality (RII) was computed to quantify the extent of social inequality. A continuous rise in back pain prevalence was observed in the three regions and among all investigated subgroups. In 2007 the age-standardised prevalence was similar in Central (36.9 %), Western (35.2 %) and Eastern Austria (34.3 %). The absolute change in back pain prevalence was highest among obese subjects in Central Austria (women: + 29.8 %, men: + 32.5 %). RIIs were unstable during the study period and in 2007 highest in Eastern Austria. Variation and trends in back pain are not attributable to geographic variation in Austria: an assumed East-West gradient in Austria has not been confirmed. Nevertheless our study confirms that back pain dramatically increased in all Austrian regions and investigated subgroups. This worrying trend should be further monitored and public health interventions should be implemented increasingly, especially among obese women and men.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Age Distribution -
Aged -
Aged, 80 and over -
Austria - epidemiology
Back Pain - diagnosis
Back Pain - epidemiology
Back Pain - therapy
Comorbidity -
Female -
Health Care Rationing - statistics & numerical data
Health Services Accessibility - statistics & numerical data
Healthcare Disparities - statistics & numerical data
Humans -
Incidence -
Male -
Middle Aged -
Obesity - epidemiology
Risk Factors -
Sex Distribution -
Social Class -
Socioeconomic Factors -
Young Adult -

Find related publications in this database (Keywords)
Back pain
Geographic variation
Longterm trend
Social inequality
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