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Paper Details: Factors Associated With Lower Back Pain Among Adult Patients At Selected Health Institutions In Adama Town, Ethiopia

Volume 3 - Issue 11, November 2019 Edition
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Author(s)
Alem Deksisa, Sileshi Garoma, Worku Dugasa
Keywords
Adama town, Hospital, Lower back pain, Risk factors
Abstract
Background: Lower back pain is a very common health problem worldwide and a major cause of disability - affecting performance at work and general well-being. Lower back pain affects people of all ages, from children to the elderly, and is a very frequent reason for medical consultations. Studying the risk factors for the development of low back pain will help in reducing the occurrence of back pain. The aim of this study is to assess factors associated with lower back pain among clients from selected health institutions in Adama town, Oromia region, Ethiopia, from Feb to March 2018. Methods: A case-control study design was employed. This study was conducted in selected health institutions of Adama town. The sample size comprised 150 cases and 150 controls. Data were collected by trained data collectors using interview-administered questionnaire. The collected data was cleaned and entered into Epi- info version 7, exported and analyzed using SPSS version 20. In the analysis process, the frequency distribution of variables was calculated. Binary logistic regression analysis with odds ratio of 95 % confidence interval was used to assess the association between independent and dependent variables. Independent variables with P _value of <0.25 was considered a candidate for the multiple logistic regression model. Results: A total of 300 respondents were included in this study. The median age of cases was 30 years (Inter-quartile range of 21-39) and, for controls 30 years (Inter-quartile range of 21-38). Respondents categorized in the age group of 15-24 years old were 97% less likely to develop lower back pain (AOR 0.07: 95% CI, 0.01-0.87). The odds of presenting with LBP among patients with BMI score of 20-25 and walking at least 1 day per week for 60 minutes during 5 working days were preventive factors (AOR 0.21: 95% CI, 0.09-0.51) and (AOR 0.18: 95% CI, 0.06-0.59), respectively. Arthritis was a risk factor for Lower Back Pain (AOR 55.79: 95% CI, 21.87-142.31). Conclusions: age group of 15-24, normal BMI, walking at least one day per week for 60 minutes and having arthritis were the independent predictors of Lower Back Pain. The medical workforce and managers should give emphasis to one of the Non-Communicable Diseases, LBP.
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