Soziale Ungleichheit und chronische Rückenschmerzen bei Erwachsenen in Deutschland
Open accessAbstract
Background Back pain is a common cause for health care utilization and inability to work and associated with corresponding costs. The aim of the study was to investigate socioeconomic inequalities in chronic back pain in the adult general population.Methods The analyses were based on pooled data of three waves (2009, 2010, 2012) of the nationwide German Health Update (GEDA) study carried out by the Robert Koch Institute (n = 62,606 aged 18 years and older). Self-reported back pain symptoms persisting at least three months were used to determine lifetime and 12-month prevalence. For analyzing socioeconomic differences in the prevalence of chronic back pain, a multidimensional SES index and its three individual components - educational level, occupational status and income - were used.Results About every sixth man (17.1%) and every fourth woman (24.4%) reported chronic back pain in the past twelve months. With decreasing SES, the 12-month prevalence of chronic back pain increased (Relative Index of Inequality (RII) [95% CI], men = 2.29 [2.04-2,56], women=1.92 [1.76-2.09]). Similar results were observed for lifetime prevalence. For both men and women, educational level, occupational status and income each had independent effects on chronic back pain prevalence.Conclusion In Germany, back pain is widely prevalent. Our finding that different aspects of SES are independently associated with chronic back pain prevalence is a challenge but also a chance for treatment and preventive strategies combining behavioral and setting-oriented measures.
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CBP is one of the leading causes of medical costs, disability, and absenteeism.
“and are one of the leading causes of medical costs, disability, and absenteeism [3, 6].”
From EFFects of Exposure and Cognitive behavioral Therapy for chronic BACK pain (“EFFECT-BACK”): study protocol for a randomized controlled trial (2024) · cites this paper as [6]
The Einleitung says back pain is a leading cause of healthcare use and inability to work, and reports substantial costs from treatment and work absences. The Fazit links chronic back pain to costs, but the leading-cause statements concern back pain generally, not chronic back pain specifically; the paper also does not rank it as a leading cause of medical costs. (LLM, conf=0.86)
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References 46 · Cited by 37
Research works printed but not linked: 1
- Damm O, Bowles D, Greiner W (2016) Gesundheits- ökonomische Aspekte von Rückenschmerzen. In: Casser H-R, Hasenbring M, Becker A, Baron R (Hrsg) Rückenschmerzen und Nackenschmerzen: Interdisziplinäre Diagnostik und Therapie, Versor- gungspfade, Patientenedukation, Begutachtung, Langzeitbetreuung. Springer, Berlin Heidelberg, S 617-629
- Authors
- Kuntz, B., Hoebel, J., Fuchs, J., Neuhauser, H., & Lampert, T.
- Affiliations
- Robert Koch Institute (DE)
- Corresponding author
- Kuntz, Benjamin
- Venue
- Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
- Published
- 2017-05-17
- Volume
- 60
- Issue
- 7
- Pages
- 783-791
- ISSN
- 0007-5914 (ISSN-L)
- 1436-9990
- 1437-1588
- OpenAlex
- W2615822015
- Cited by
- 37
- References
- 46
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 6 · 2023: 1 · 2022: 4 · 2021: 9 · 2020: 4 · 2019: 3 · 2018: 3
- FWCI
- 1.91
- Type
- journal article
- Language
- de
- Open access
- green
- edoc.rki.de
- Locations
- Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz (publishedVersion)
- PubMed (publishedVersion)
- Publication server of the Robert Koch Institute (Robert Kock Institute) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Health › Public Health and Social Inequalities
- Keywords
- chronic back pain, socioeconomic disparities, socioeconomic status, educational attainment, occupational status, income, prevalence, sex differences
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Back Pain, Disability Evaluation, Female, Germany, Health Surveys, Humans, Male, Middle Aged, Sex Factors, Social Class, Healthcare Disparities, Young Adult, Chronic Pain
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