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

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‐secti...

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Main Authors: David C. Byfield, Benjamin S. Stacey, Hywel T. Evans, Ian W. Farr, Leon Yandle, Lora Roberts, Teresa Filipponi, Damian M. Bailey
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Physiological Reports
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Online Access:https://doi.org/10.14814/phy2.70101
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author David C. Byfield
Benjamin S. Stacey
Hywel T. Evans
Ian W. Farr
Leon Yandle
Lora Roberts
Teresa Filipponi
Damian M. Bailey
author_facet David C. Byfield
Benjamin S. Stacey
Hywel T. Evans
Ian W. Farr
Leon Yandle
Lora Roberts
Teresa Filipponi
Damian M. Bailey
author_sort David C. Byfield
collection DOAJ
description 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, 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.
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spelling doaj-art-b3b4f5dfeac14e94832b1a9e417efebf2025-01-25T06:41:00ZengWileyPhysiological Reports2051-817X2024-11-011221n/an/a10.14814/phy2.70101Spinal pain prevalence and associated determinants: A population‐based study using the National Survey for WalesDavid C. Byfield0Benjamin S. Stacey1Hywel T. Evans2Ian W. Farr3Leon Yandle4Lora Roberts5Teresa Filipponi6Damian M. Bailey7Neurovascular Research Laboratory, Faculty of Life Sciences and Education University of South Wales Pontypridd UKNeurovascular Research Laboratory, Faculty of Life Sciences and Education University of South Wales Pontypridd UKSAIL Databank, Population Data Science Swansea University Medical School Swansea Wales UKSAIL Databank, Population Data Science Swansea University Medical School Swansea Wales UKNeurovascular Research Laboratory, Faculty of Life Sciences and Education University of South Wales Pontypridd UKNeurovascular Research Laboratory, Faculty of Life Sciences and Education University of South Wales Pontypridd UKNeurovascular Research Laboratory, Faculty of Life Sciences and Education University of South Wales Pontypridd UKNeurovascular Research Laboratory, Faculty of Life Sciences and Education University of South Wales Pontypridd UKAbstract 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.https://doi.org/10.14814/phy2.70101comorbiditiesdeprivationphysical inactivityprevalencesocioeconomicsspinal pain
spellingShingle David C. Byfield
Benjamin S. Stacey
Hywel T. Evans
Ian W. Farr
Leon Yandle
Lora Roberts
Teresa Filipponi
Damian M. Bailey
Spinal pain prevalence and associated determinants: A population‐based study using the National Survey for Wales
Physiological Reports
comorbidities
deprivation
physical inactivity
prevalence
socioeconomics
spinal pain
title 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_short 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
topic comorbidities
deprivation
physical inactivity
prevalence
socioeconomics
spinal pain
url https://doi.org/10.14814/phy2.70101
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