Background
Aim
Methods
Over-indebted individuals (OI-survey)
German general population (German National Telephone Health Interview Survey 2003 - GNT-HIS)
Low back pain
Other variables
Combined data set
Statistical methods
Ethical approval
Results
Over-indebted participants of the OI-survey
German general population of the GNT-HIS
Back pain prevalence of over-indebted persons in comparison to the general population - potential factors of influence
OI-survey (n = 949) | GNT-HIS (n = 8318) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Total | Back pain | Unadjusted odds ratios | Total | Back pain | Unadjusted odds ratios | |||||||
n = 949 | % | n = 767 | % | OR | 95%CI | n = 8318 | % | N = 1849 | % | OR | 95%CI | |
Sex
| ||||||||||||
male
| 446 | 47.0 | 360 | 80.7 | 3872 | 46.5 | 663 | 17.1 | ||||
female
| 499 | 52.6 | 406 | 81.4 | 1.04 | 0.75-1.44 | 4446 | 53.5 | 1186 | 26.7 |
1.76
|
1.58-1.96
|
Age
| ||||||||||||
<= 30 years
| 199 | 21.0 | 139 | 69.8 | 1324 | 15.9 | 223 | 16.8 | ||||
31-40 years
| 244 | 25.7 | 204 | 83.6 |
2.20
|
1.40-3.47
| 1829 | 22.0 | 344 | 18.8 | 1.14 | 0.95-1.38 |
41-50 years
| 301 | 31.7 | 257 | 85.4 |
2.52
|
1.62-3.92
| 2027 | 24.4 | 443 | 21.9 |
1.38
|
1.16-1.65
|
>= 51 years
| 201 | 21.2 | 166 | 82.6 |
2.05
|
1.28-3.29
| 3138 | 37.7 | 839 | 26.7 |
1.80
|
1.53-2.12
|
OI-survey (n = 949) | GNT-HIS (n = 8318) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Total | Back pain | Unadjusted odds ratios | Total | Back pain | Unadjusted odds ratios | |||||||
n = 949 | % | n = 767 | % | OR | 95%CI | n = 8318 | % | N = 1849 | % | OR | 95%CI | |
Nationality
| ||||||||||||
German
| 904 | 95.3 | 735 | 81.3 | 8018 | 96.4 | 1784 | 22.2 | ||||
other
| 33 | 3.5 | 25 | 75.8 | 0.72 | 0.32-1.62 | 300 | 3.6 | 65 | 21.7 | 0.97 | 0.73-1.28 |
Family status
| ||||||||||||
married and living together
| 281 | 29.6 | 236 | 84.0 | 4639 | 55.8 | 1070 | 23.1 | ||||
married and living alone
| 71 | 7.5 | 59 | 83.1 | 0.94 | 0.47-1.88 | 203 | 2.4 | 51 | 25.1 | 1.12 | 0.81-1.55 |
single
| 297 | 31.3 | 222 | 74.7 |
0.56
|
0.37-0.85
| 2126 | 25.6 | 357 | 16.8 |
0.67
|
0.59-0.77
|
divorced
| 256 | 27.0 | 212 | 82.8 | 0.92 | 0.58-1.45 | 692 | 8.3 | 187 | 27.0 |
1.24
|
1.03-1.48
|
widowed
| 37 | 3.9 | 33 | 89.2 | 1.57 | 0.53-4.66 | 640 | 7.7 | 179 | 28.0 |
1.30
|
1.08-1.56
|
School education
| ||||||||||||
Hauptschule e. g. expanded primary school
| 461 | 48.6 | 378 | 82.0 | 2412 | 29.0 | 658 | 27.3 | ||||
no graduation
| 95 | 10.0 | 72 | 75.8 | 0.69 | 0.41-1.16 | 64 | 0.8 | 20 | 31.3 | 1.21 | 0.71-2.07 |
secondary school
| 256 | 27.0 | 212 | 82.8 | 1.06 | 0.71-1.58 | 2167 | 26.1 | 488 | 22.5 |
0.78
|
0.68-0.89
|
technical college orgrammar school
| 84 | 8.9 | 67 | 79.8 | 0.87 | 0.48-1.55 | 3383 | 40.7 | 625 | 18.5 |
0.60
|
0.53-0.68
|
Professional education
| ||||||||||||
apprentice-ship
| 462 | 48.7 | 380 | 82.3 | 2927 | 35.2 | 692 | 23.6 | ||||
no professional education
| 237 | 25.0 | 189 | 79.7 | 0.85 | 0.57-1.26 | 745 | 9.0 | 219 | 29.4 |
1.35
|
1.12-1.61
|
vocational school
| 82 | 8.6 | 65 | 79.3 | 0.83 | 0.46-1.48 | 1133 | 13.6 | 288 | 25.4 | 1.10 | 0.94-1.29 |
university
| 89 | 9.4 | 76 | 85.4 | 1.26 | 0.67-2.38 | 2735 | 32.9 | 518 | 18.9 |
0.76
|
0.66-0.86
|
Status of employment
| ||||||||||||
full-time
| 210 | 22.1 | 173 | 82.4 | 3809 | 45.8 | 698 | 18.3 | ||||
apprentice-ship
| 18 | 1.9 | 15 | 83.3 | 1.067 | 0.30-3.88 | 245 | 2.9 | 30 | 12.2 |
0.62
|
0.42-0.92
|
(early) retirement
| 101 | 10.6 | 86 | 85.1 | 1.23 | 0.64-2.36 | 1713 | 20.6 | 474 | 27.7 |
1.71
|
1.49-1.95
|
unemployed
| 290 | 30.6 | 232 | 80.0 | 0.86 | 0.54-1.35 | 323 | 3.9 | 102 | 31.6 |
2.06
|
1.60-2.64
|
homemaker
| 148 | 15.6 | 114 | 77.0 | 0.72 | 0.43-1.21 | 685 | 8.2 | 188 | 27.4 |
1.69
|
1.40-2.03
|
part-time
| 107 | 11.3 | 88 | 82.2 | 0.99 | 0.54-1.82 | 1535 | 18.5 | 357 | 23.3 |
1.35
|
1.17-1.56
|
OI-survey (n = 949) | GNT-HIS (n = 8318) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Total | Back pain | Unadjusted odds ratios | Total | Back pain | Unadjusted odds ratios | |||||||
n = 949 | % | n = 767 | % | OR | 95%CI | n = 8318 | % | N = 1849 | % | OR | 95%CI | |
Smoking behaviour
| ||||||||||||
daily
| 537 | 56.6 | 431 | 80.3 | 2216 | 26.6 | 491 | 22.2 | ||||
sometimes
| 61 | 6.4 | 51 | 83.6 | 1.25 | 0.62-2.55 | 602 | 7.2 | 135 | 22.4 | 1.02 | 0.82-1.26 |
ex-smoker
| 168 | 17.7 | 141 | 83.9 | 1.28 | 0.81-2.04 | 2238 | 26.9 | 509 | 22.7 | 1.03 | 0.90-1.19 |
non-smoker
| 174 | 18.3 | 138 | 79.3 | 0.94 | 0.62-1.44 | 3260 | 39.2 | 713 | 21.9 | 0.98 | 0.87-1.12 |
Sports/work-out
| ||||||||||||
no sports
| 520 | 54.8 | 423 | 81.3 | 3027 | 36.4 | 760 | 25.1 | ||||
<1 hour/week
| 266 | 28.0 | 229 | 86.1 | 1.42 | 0.94-2.14 | 828 | 10.0 | 206 | 24.9 | 0.99 | 0.83-1.18 |
1-2 hours/week
| 78 | 8.2 | 65 | 83.3 | 1.15 | 0.61-2.16 | 1292 | 15.5 | 277 | 21.4 |
0.81
|
0.70-0.95
|
>2 hrs/week
| 67 | 7.1 | 40 | 59.7 |
0.34
|
0.20-0.58
| 3134 | 37.7 | 597 | 19.0 |
0.70
|
0.62-0.79
|
BMI
| ||||||||||||
underweight and normal weight
| 401 | 42.3 | 324 | 80.8 | 4378 | 52.6 | 887 | 20.3 | ||||
over-weight
| 306 | 32.2 | 234 | 76.7 | 0.79 | 0.55-1.13 | 2830 | 34.0 | 627 | 22.3 |
1.14
|
1.02-1.28
|
obesity
| 238 | 25.1 | 206 | 86.6 | 1.53 | 0.98-2.39 | 938 | 11.3 | 286 | 30.5 |
1.73
|
1.48-2.02
|
4Mental illness (e. g. depression)
| ||||||||||||
no
| 580 | 61.1 | 449 | 77.4 | 7529 | 90.5 | 1528 | 20.3 | ||||
yes
| 369 | 38.9 | 318 | 86.2 |
1.82
|
1.28-2.59
| 783 | 9.4 | 319 | 40.7 |
2.70
|
2.32-3.15
|
Influence of the factor "over-indebtedness" on the point prevalence of back pain
Combined data set (OI-survey and GNT-HIS) (n = 9267) | ||||
---|---|---|---|---|
adjusted odds ratios | ||||
aOR | 95%CI | |||
Biometric variables
|
sex
| male | - | - |
female | 1.60 | 1.42-1.80 | ||
Age
| <= 30 years | - | - | |
>= 51 years | 1.38 | 1.11-1.72 | ||
Socioeconomic factors
|
school education
| "Hauptschule", expanded primary school | - | - |
technical college or grammar school | 0.77 | 0.67-0.90 | ||
family status
| married and living together | - | - | |
single | 0.83 | 0.71-0.97 | ||
status of employment
| full-time | - | - | |
unemployed | 1.29 | 1.03-1.62 | ||
Lifestyle/medical factors
|
mental illness (e. g. depression)
| no | - | - |
yes | 2.36 | 2.04-2.74 | ||
physical activity
| no sports | - | - | |
>2 hrs/week | 0.81 | 0.71-0.91 | ||
BMI
| underweight and normal weight | - | - | |
obesity | 1.51 | 1.29-1.77 | ||
Financial strain
|
over-indebtedness
| no | - | - |
yes | 10.92 | 8.96-13.46 |