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Is the occurrence of back pain in Germany decreasing? Two regional postal surveys a decade apart

, : Is the occurrence of back pain in Germany decreasing? Two regional postal surveys a decade apart. European Journal of Public Health 17(3): 318-322

Back pain is often perceived as an epidemic disorder with an ever-increasing prevalence. The objective of this paper is to estimate and compare point and period prevalence rates of back pain from two highly comparable postal surveys, a decade apart within a single regional population in the north of Germany. In 1991/1992 and 2003 two systematic random samples of German residents of Lübeck aged 25-74 years were independently drawn from the municipal population registry. They received a short postal questionnaire with maximally two reminders. All data were directly standardised on the age, sex, and educational distribution of the merged samples. A sharp decrease in response rates from 81% in the early 1990s to 60% in 2003 required complex considerations of non-response bias. Both the overall and gender-specific point and 1 year prevalence rates of back pain remained fairly stable as well as the rate of severe disabling back pain. The overall prevalence (adjusted for age, sex, and education) of 'back pain today' was 39.2% (1991/92) and 38.2% (2003), the 1 year prevalence was 75.3% (1991/92) and 73.8% (2003), and the prevalence of severe pain was 9.9% (1991/92) and 10.2% (2003). The data do not support the widespread public notion of a growing epidemic of back pain in Germany.


PMID: 16998207

DOI: 10.1093/eurpub/ckl231

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D.S.yza, A.G.; Franco, A.C.; Virginia, R.A.; Reynolds, J.F.; Whitford, W.G., 1993: Effects of field-induced summer drought on two desert shrubs Larrea tridentata a xerophyte and Prosopis glandulosa, a phreatophyte. American Journal of Botany 80(6 SUPPL ): 97

Karnitz, L.M.; Burns, L.A.; Sutor, S.L.; Blenis, J.; Abraham, R.T., 1995: Interleukin-2 triggers a novel phosphatidylinositol 3-kinase-dependent MEK activation pathway. Phosphatidylinositol 3-kinase (PI3-K) has been implicated as a signal-transducing component in interleukin-2 (IL-2)-induced mitogenesis. However, the function of this lipid kinase in regulating IL-2-triggered downstream events has remained obscure...

Williams R.N.; Paterson C.A., 1986: A protective role for ascorbic acid during inflammatory episodes in the eye. During an experimentally induced inflammatory response in the rabbit eye, the decrease in the ascorbic acid concentration within the aqueous humor corresponded, in large part, to the infiltration of leukocytes into this ocular fluid. Additional in...

Ray, R.H.; Doetsch, G.S., 1990: Coding of stimulus location and intensity in populations of mechanosensitive nerve fibers of the raccoon: II. Across-fiber response patterns. The major aim of this study was to determine whether information about stimulus location and intensity can be precisely encoded in the population response profiles of mechanosensitive nerve fibers. Across-fiber patterns (AFPs) were reconstructed u...

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Henk, M.C.; Larkin, J.; Corbett, J., 1993: Ultrastructure of Beggiatoa from hydrocarbon seeps in the Gulf of Mexico. Abstracts of the General Meeting of the American Society for Microbiology 93(0): 259

Richmond, J.R.; Koufogianis, V.; Benjamin, A.; Warner, M.N., 2003: A case of thrombotic thrombocytopenic purpura and neonatal alloimmune thrombocytopenia in the same pregnancy. Bjog 110(5): 533-536

Angela Schoklitsch; Urs Baumann, 2012: Generativity and aging A promising future research topic?. Erikson already emphasized the importance of staying generative in old age. The concept of generativity as an important element in human development, significantly impacting on one's ability to age successfully, was discussed later by other a...

Gates, Charles M., 1950: A mosaic and little leaf disease of Crotalaria spectabilis in south Florida. First published record of disease in Florida. No insect vectors are known.

Schroll, H.; Feurstein, V., 1969: Experiences with warmed blood in massive blood transfusions. Der Anaesthesist 18(8): 272-273