Prevalence of chronic head, neck and low back pain and associated factors in women residing in the autonomous region of Madrid (Spain)
Open accessAbstract
To compare the prevalence of chronic headache (CH), chronic neck pain (CNP) and chronic low back pain (CLBP) in the autonomous region of Madrid by analyzing gender differences and to determine the factors associated with each pain location in women in 2007. We analyzed data obtained from adults aged 16 years or older (n = 12,190) who participated in the 2007 Madrid Regional Health Survey. This survey includes data from personal interviews conducted in a representative population residing in family dwellings in Madrid. The presence CH, CNP, and CLBP was analyzed. Sociodemographic features, self-perceived health status, lifestyle habits, psychological distress, drug consumption, use of healthcare services, the search for alternative solutions, and comorbid diseases were analyzed by using logistic regression models. The prevalence of CH, CNP and CLBP was significantly higher (P<0.001) in women (7.3%, 8.4%, 14.1%, respectively) than in men (2.2%, 3.2%, 7.8%, respectively). In women, CH, CNP and CBLP were significantly associated with having ≥3 chronic diseases (OR 7.1, 8.5, 5.8, respectively), and with the use of analgesics and drugs for inflammation (OR: 3.5, 1.95, 2.5, respectively). In the bivariate analysis, the factors associated with pain in distinct body locations differed between men and women. This study found that CH, CNP and CLBP are a major public health problem in women in central Spain. Women have a higher overall prevalence of chronic pain than men. Chronic pain was associated with a higher use of analgesics and healthcare services. Comparar la prevalencia de dolor crónico de cabeza, cervical y lumbar en la Comunidad de Madrid analizando diferencias de sexo, y estudiar factores asociados con la presencia de cada uno de estos dolores en las mujeres. Se analizaron los datos de los sujetos de 16 años o más de edad (n = 12,190) que participaron en la Encuesta Regional de Salud de Madrid en el año 2007. La encuesta incluye los datos recogidos de una población representativa de la región de Madrid que vive en su domicilio. Se analizó la presencia de dolor crónico de cabeza (DC), cervical (DCv) y lumbar (DL). Se investigaron características sociodemográficas, percepción de salud, hábitos de vida, estrés psicológico, consumo de fármacos, uso de servicios sanitarios, uso de terapias alternativas y patologías crónicas asociadas mediante análisis multivariado. La prevalencia de DC, DCv y DL fue significativamente mayor (p <0,001) en las mujeres (7,3%, 8,4%, 14,1%, respectivamente) que en los hombres (2,2%, 3,2%, 7,8%, respectivamente). En las mujeres, el dolor en todas las regiones estuvo asociado con padecer al menos tres afecciones (odds ratio [OR]: 7,1, 8,5, 5,8, respectivamente) y con el uso de analgésicos y antiinflamatorios (OR: 3,5, 1,95, 2,5, respectivamente). El dolor en cada una de las regiones mostró diferentes factores asociados en hombres y en mujeres en el análisis bivariado. Este estudio encontró que el dolor crónico de cabeza, cervical y lumbar es un problema de salud en las mujeres, ya que presentan mayor prevalencia de dolor que los hombres. El dolor se asocia a un mayor consumo de fármacos y de recursos sanitarios.
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Chronic headache commonly coexists with other chronic painful disorders such as low back pain.
“chronic headache commonly coexists with other chronic painful disorders such as low back pain.38–41”
From Usual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: A randomised controlled trial protocol (CHESS) (2020) · cites this paper as [39]
The Chronic headache section reports an association with having three or more chronic diseases, but does not identify low back pain as one of them. The paper reports headache and low-back-pain prevalence separately; searches for overlap or co-occurrence found no passage showing that the two commonly coexist. (LLM, conf=0.73)
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- Authors
- Jiménez-Sánchez, S., Fernández-de-las-Peñas, C., Carrasco-Garrido, P., Hernández-Barrera, V., Alonso-Blanco, C., Palacios-Ceña, D., & Jiménez-García, R.
- Affiliations
- Universidad Rey Juan Carlos (ES)
- Venue
- Gaceta Sanitaria
- Publisher
- Elsevier BV
- Published
- 2012-11
- Volume
- 26
- Issue
- 6
- Pages
- 534-540
- ISSN
- 0213-9111 (ISSN-L)
- OpenAlex
- W2142445707
- Cited by
- 59
- References
- 40
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 9 · 2021: 5 · 2020: 9 · 2019: 2 · 2018: 3 · 2017: 5 · 2016: 4 · 2015: 4 · 2014: 2 · 2013: 3
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Gaceta Sanitaria (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Scientific Electronic library online (Sciences Carlos III Health Institute) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- chronic headache, chronic neck pain, chronic low back pain, sex differences, women, comorbid chronic disease, analgesic use, health care utilization, Comunidad de Madrid
- MeSH terms
- Adolescent, Adult, Aged, Complementary Therapies, Analgesics, Anti-Inflammatory Agents, Educational Status, Female, Headache, Health Resources, Humans, Life Style, Male, Middle Aged, Surveys and Questionnaires, Socioeconomic Factors, Spain, Stress, Psychological, Urban Population, Comorbidity, Prevalence, Low Back Pain, Marital Status, Sex Distribution, Neck Pain, Mobility Limitation, Young Adult, Chronic Pain
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