Theory and methods
Individual and occupational determinants of low back pain
according to various definitions of low back pain
Anna Ozguler, Annette Leclerc, Marie-France Landre, Françoise Pietri-Taleb, Isabelle Niedhammer
INSERM U88,
Hôpital National de Saint-Maurice, 14 rue du Val d'Osne, F-94415
Saint-Maurice Cedex, France
Correspondence to: Dr A Ozguler
Accepted for publication 24 May 1999
OBJECTIVES
To test
associations between non-specific low back pain and several risk
factors when definitions of low back pain vary.
DESIGN/SETTING/PARTICIPANTSA cross
sectional study was set up in 1991, 725 workers from four occupational
sectors answered a self administrated questionnaire including the
Nordic questionnaire and questions about intensity of pain and
individual and occupational factors.
MAIN
RESULTSPrevalence of low back pain varied from
8% to 45% according to the definition used. Psychosomatic problems,
bending or carrying loads were often associated to low back pain,
whereas other risk factors were related to some specific dimensions of
the disorder.
CONCLUSIONSRisk
factors of low back pain vary with the definition. This could explain
inconsistencies found in literature reviews. To be able to compare
data, it seems important to be precise what definition is used and to
use comparable questionnaires.
Keywords: epidemiology; low back pain; definition; risk factors
© 2000 by Journal of Epidemiology and Community Health
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