(1)背景:全球,哮喘,背痛,偏头痛是主要的公共卫生问题,因为它们的患病率很高,对生活质量的影响,和巨大的经济成本。有人提出哮喘与这些类型疼痛的风险增加有关;然而,迄今为止,尚未获得结论性结果。我们研究的目的是(1)描述和比较三种类型的疼痛局部化的患病率,即偏头痛或频繁头痛(MFH),慢性颈痛(CNP),和慢性腰背痛(CLBP),在2014年和2020年期间西班牙有哮喘和无哮喘的成人中,(2)确定哪些变量与成人哮喘患者中这些类型疼痛的存在相关.(2)方法:采用横断面研究和病例对照研究。2014年和2020年的西班牙欧洲健康访谈调查被用作数据来源。(3)结果:共有2463名个体接受了访谈,并有自我报告的哮喘。在这个群体中,疼痛的患病率很高,CLBP(30.9%)是最常见的,其次是CNP(26.7%)和MFH(13.3%)。从2014年到2020年,所有类型的疼痛保持稳定。在两项调查中,在所分析的所有类型的疼痛中,哮喘女性报告的患病率明显高于哮喘男性.按年龄和性别匹配后,哮喘患者所有疼痛类型的患病率均显著高于无哮喘患者的匹配个体.多变量校正显示哮喘使CNP的可能性增加1.45倍(OR1.45;95%CI1.19-1.76),CLBP的1.37倍(OR1.37;95%CI1.11-1.64),和MFH的1.19倍(OR1.19;95%CI1.02-1.51)。所分析的三种类型的疼痛与女性和自我评估的健康状况有关。(4)结论:男性和女性哮喘患者中,所有疼痛类型的患病率都很高,并且随着时间的推移保持稳定.与男性哮喘患者相比,女性哮喘患者的患病率更高,严重程度更高。哮喘患者的疼痛患病率明显高于性别年龄匹配的无哮喘患者。多变量分析表明,与哮喘患者三种疼痛类型报告相关的变量是女性,自我报告的健康状况更糟,和自我报告的精神疾病。
(1) Background: Worldwide, asthma, back pain, and migraine are major public health problems due to their high prevalence, effect on the quality of life, and huge economic costs. The association of asthma with an increased risk of these types of pain has been suggested; however, no conclusive results have been obtained to date. The aims of our study were (1) to describe and compare the prevalence of three types of pain localization, namely migraine or frequent headaches (MFH), chronic neck pain (CNP), and chronic low back pain (CLBP), in adults with and without asthma in Spain during the years 2014 and 2020 and (2) to identify which variables were associated with the presence of these types of pain in adults with asthma. (2) Methods: A cross-sectional study and a
case-control study were conducted. The 2014 and 2020 European Health Interview
Surveys for Spain were used as the data source. (3) Results: A total of 2463 individuals were interviewed and had self-reported asthma. In this group, the prevalence of pain was high, with CLBP (30.9%) being the most common, followed by CNP (26.7%) and MFH (13.3%). All types of pain remained stable from 2014 to 2020. In both
surveys, the women with asthma reported a remarkably higher prevalence of all the types of pain analyzed than the men with asthma. After matching by age and sex, the prevalence of all pain types was significantly higher in the patients with asthma than in the matched individuals without asthma. Multivariable adjustment showed that asthma increased the likelihood of CNP by 1.45 times (OR 1.45; 95% CI 1.19-1.76), that of CLBP by 1.37 times (OR 1.37; 95% CI 1.11-1.64), and that of MFH by 1.19 times (OR 1.19; 95% CI 1.02-1.51). The three types of pain analyzed were associated with the female sex and worse self-rated health. (4) Conclusions: Among the men and women with asthma, the prevalence of all the pain types was high and remained stable over time. The prevalence was higher and the severity was greater among the women with asthma than among the men with asthma. The prevalence of any pain was significantly higher in people with asthma than in the sex-age-matched individuals without asthma. Multivariable analysis showed that the variables associated with the reporting of the three types of pain in people with asthma were female sex, worse self-reported health, and self-reported mental illness.