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Childhood and adult socio‐economic position and social mobility as determinants of low back pain outcomes
Author(s) -
Lallukka T.,
ViikariJuntura E.,
Raitakari O.T.,
Kähönen M.,
Lehtimäki T.,
Viikari J.,
Solovieva S.
Publication year - 2014
Publication title -
european journal of pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.305
H-Index - 109
eISSN - 1532-2149
pISSN - 1090-3801
DOI - 10.1002/j.1532-2149.2013.00351.x
Subject(s) - sciatica , position (finance) , social mobility , social position , social class , medicine , low back pain , socioeconomic status , affect (linguistics) , demographic economics , psychology , demography , physical therapy , social relation , economics , social psychology , political science , sociology , environmental health , population , alternative medicine , market economy , communication , finance , pathology , law
Background Low back pain ( LBP ) is a prevalent problem and tends to be socio‐economically patterned. Relatively little is known about life‐course socio‐economic circumstances as determinants of different types of LBP . Our aim was to examine whether childhood and adult socio‐economic position and social mobility are associated with radiating and non‐specific LBP and sciatica. Method Data were derived from the Y oung F inns S tudy ( n = 2231). Childhood socio‐economic position was based on parental education, occupational class and family income at baseline in 1980. Data on own education and LBP outcomes were collected at the end of follow‐up in 2007. Social mobility was based on parental and own education. Covariates were composed of age, parental body mass index and smoking. Results Both childhood and own socio‐economic position remained associated with radiating LBP and sciatica after adjustments. However, the associations varied by socio‐economic indicator and gender. Stable lower socio‐economic position and downward mobility were associated with radiating LBP . Conclusion Childhood socio‐economic circumstances affect the risk of radiating LBP and sciatica in adulthood. To prevent low back disorders, early socio‐economic circumstances need to be considered alongside own socio‐economic position.