Abstract:
STUDY OBJECTIVE:The aim was to assess the risk of back symptoms in people admitted to hospital because of traffic accidents and falls. DESIGN:The study was a cross sectional survey with information collected by postal questionnaire. Main outcome measures were associations between hospital admission for a traffic accident or fall and reported first onset of back symptoms at the same age and at later ages. SETTING:General practices in seven towns and one rural district. SUBJECTS:1172 men and 1495 women aged 20-59 years were selected from the age-sex registers of 136 general practitioners in the study areas. MAIN RESULTS:Low back pain was reported by 1556 subjects and hospital admission for a traffic accident or fall by 362. The incidence of low back pain was unusually high during the year of age at which subjects were first admitted to hospital for trauma (RR = 5.5, 95% CI 3.8-7.8). The risk of first developing symptoms in subsequent years was lower, but still significantly increased (RR = 1.3, 95% CI 1.1-1.6). Low back pain which started at the age of an accident tended to last longer than that occurring in other circumstances, and was more often ascribed to injury (56% of cases). However, this proportion was smaller than the calculated attributable proportion for traffic accidents and falls (82%). CONCLUSIONS:The data suggest that a person under age 60 years who is admitted to hospital for a traffic accident or fall has a 7% chance of developing low back pain as result of the injury. However, the link between the injury and subsequent symptoms is often not obvious to the patient.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Walsh K,Cruddas M,Coggon Ddoi
10.1136/jech.46.3.231keywords:
subject
Has Abstractpub_date
1992-06-01 00:00:00pages
231-3issue
3eissn
0143-005Xissn
1470-2738journal_volume
46pub_type
杂志文章abstract:STUDY OBJECTIVE:Understanding causes of variation in birth weight has been limited by lack of sufficient sets of data that include paternal birth weight. The objective was to estimate risks of low birth weight dependent on parental birth weights and to estimate father-mother-offspring correlations for birth weight to e...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.55.12.873
更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:Injuries have been recognised as important public health concerns, particularly among adolescents and young adults. Few studies have examined injuries using a multilevel perspective that addresses individual socioeconomic status (SES) and health behaviours and local socioeconomic conditions in early adolesce...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-210259
更新日期:2018-06-01 00:00:00
abstract::More than 30 years ago, the older of us published a paper with the proposal that all scientific papers should start with a statement along the lines of: "These are the opinions on which I base my facts". Why pretend? To take a topical example, if you are on the nature side of the nature/nurture debates, is it likely t...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.081695
更新日期:2008-12-01 00:00:00
abstract:STUDY OBJECTIVE:There is little information on the potential benefit of immunising all patients with chronic lung disease in the community against influenza. The clinical effectiveness and economic benefit was established of the influenza vaccination programme in a general practice based cohort of adult patients with c...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.52.2.120
更新日期:1998-02-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to compare the Office of Population Censuses and Surveys (OPCS) notification system for congenital malformation surveillance and the Liverpool Congenital Malformations Registry (LCMR) with respect to efficiency and uniformity of ascertainment, diagnostic accuracy, and overreporting of minor ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.45.4.294
更新日期:1991-12-01 00:00:00
abstract:BACKGROUND:The aim of this study was to explore the impact of mid-life income and old-age pensions on the risk of mortality in later life. Furthermore, the study explored whether income inequalities in old-age mortality can be explained by differences in early childhood development, social class during childhood, educa...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2010.131177
更新日期:2012-07-01 00:00:00
abstract:STUDY OBJECTIVE:To determine how likely parents would be to contribute to strategies to reduce pedestrian injury risks and how much they valued such interventions. DESIGN:A single referendum willingness to pay survey. Each parent was randomised to respond to one of five requested contributions towards each of the foll...
journal_title:Journal of epidemiology and community health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1136/jech.57.12.951
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND:People living in highly walkable neighbourhoods tend to be more physically active and less likely to be obese. Whether walkable urban design reduces the future risk of diabetes is less clear. METHODS:We used inverse probability of treatment weighting to compare 10-year diabetes incidence between residents l...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-210510
更新日期:2019-04-01 00:00:00
abstract::An ecological perspective on health emphasises both individual and contextual systems and the interdependent relations between the two. Origins of this approach have emanated from multiple disciplines over the past century or more. This article provides a glossary of perspectives, processes, and settings that pertain ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.018044
更新日期:2005-01-01 00:00:00
abstract:STUDY OBJECTIVE:To assess the completeness and accuracy of notification of cancers by the National Health Service Central Register (NHSCR) for England and Wales. DESIGN:Comparison of 720 cancer registrations ascertained from NHSCR up to May 1999 with those ascertained for the same cohort from six other sources and a p...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.55.6.414
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVES:To describe the situation of the influenza in Portugal through the estimates of the incidence rates and the identification of the viral strains implicated on it during the period 1990-1996. DESIGN:The integrated clinical and laboratory surveillance system for influenza in Portugal is based on the Portuguese...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00
abstract:STUDY OBJECTIVES:To assess the incidence of seroconversion and seroreversion in IgG antibodies to Helicobacter pylori within a 11 year observation period using these events as markers for acquisition and loss of the infection, respectively. DESIGN:Population based prospective cohort study. SETTING:Northern part of Co...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.54.6.444
更新日期:2000-06-01 00:00:00
abstract::One of the findings of this study is that regional variations in the infant mortality rates of Sri Lanka are large, ranging from 26 per 1000 live births in Jaffna to 91 per 1000 in Nuwara Eliya, a tea estate district. These differences are more strongly associated with regional variations in environmental determinants...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.34.2.76
更新日期:1980-06-01 00:00:00
abstract:BACKGROUND:In the UK, overall stroke mortality has declined. A similar trend has been seen in coronary heart disease, although recent reports suggest this decline might be levelling off in middle-aged adults. AIM:To investigate recent trends in stroke mortality among those aged 40-69 years in England. METHODS:The aut...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.086785
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Asylum seekers are assumed to be a vulnerable group with respect to sexual and reproductive health. The objective of this study was to quantify induced abortion and teenage birth indicators for this group. METHODS:The population comprised all female asylum seekers aged 15-49 in The Netherlands between Septe...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.079368
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Dimensions of the individual socioeconomic position-education, social class, social status and income-are associated with mortality. Inequalities in death also related to the social position of the household. It is, however, less clear how the socioeconomic position of one marital/cohabiting partner influenc...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.089623
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:With the exception of key 'proven successes' in global health, the current regime of global health governance can be understood as transnational and national actors pursuing their own interests under a rational actor model of international cooperation, which fails to provide sufficient justification for an o...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.101097
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:Obesity implies costs not only for the individual but also for society. The authors explore the opinions of stakeholders on the potential of taxes or subsidies, as measures for tackling obesity in Europe. METHODS:Structured interviews were conducted using Multicriteria Mapping, a computer-based, decision-su...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.079228
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To investigate whether people with more positive attitudes to ageing are biologically younger as defined by leucocyte telomere length, accelerated DNA methylation GrimAge (AgeAccelGrim) and brain-predicted age difference, and whether these biomarkers explain relationships between attitudes to ageing and morta...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2019-213462
更新日期:2020-04-01 00:00:00
abstract:STUDY OBJECTIVE:In many countries, cancer registries cover only a small part of the national population. Cancer incidence for the rest of the country has therefore to be estimated. This can be done from mortality data using the relation between incidence and mortality observed in the cancer registry areas. Such an appr...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.53.9.558
更新日期:1999-09-01 00:00:00
abstract::One thousand school boys aged 8 to 16 were examined for their somatotype, physical growth, sexual maturation, and smoking habits. Fifty-two boys were found to be smokers, of whom 30 were regularly smoking between two and 20 bidis or cigarettes a day for a mean duration of 2.5 years. The mean height and weight of the s...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.34.4.295
更新日期:1980-12-01 00:00:00
abstract::It has been claimed that the aggregation of information from several areas of life into a small set of global measures has certain advantages for describing disability. Global measures of disability were constructed from a modified version of an existing health survey instrument and the sickness impact profile (SIP) a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.37.4.296
更新日期:1983-12-01 00:00:00
abstract::This is the report of a feasibility study of a randomised controlled trial of chiropractic and hospital outpatient management for low back pain of mechanical origin. Preparations for the study included an approach to the General Medical Council for guidance about the intended collaboration between medically qualified ...
journal_title:Journal of epidemiology and community health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1136/jech.40.1.12
更新日期:1986-03-01 00:00:00
abstract:BACKGROUND:It is important to understand the local burden of non-communicable diseases including within-country heterogeneity. The aim of this study was to characterise hypertension and type-2 diabetes profiles across different Peruvian geographical settings emphasising the assessment of modifiable risk factors. METHO...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2015-205988
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:All residents of England aged 60 years and older became entitled to free travel on local buses on 1 April 2006. This study examines the impact of this policy on public transport use, a mode of active transport and levels of obesity. METHODS:Logistic regression analyses using three waves of data (2004, 2006 ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2011.133165
更新日期:2012-02-01 00:00:00
abstract::Factors affecting the attendance at primary health care clinics in Lagos were studied at Oguntolu Clinic and Randle Road Health Centre among 120 Nigerian children. The level of immunisation was a measure of the frequency (regularity) of attendance at the clinics. Certain socioeconomic, psychological, and demographic f...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.36.4.310
更新日期:1982-12-01 00:00:00
abstract::A study of 150 hotel prostitutes in Lagos was undertaken to determine their socioeconomic identity and, through an assessment of their health knowledge, attitude, and practice, their probable impact on public health. The subjects were selected from 15 hotels, representing 20% of the estimated hotel universe in Lagos a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.34.4.312
更新日期:1980-12-01 00:00:00
abstract:STUDY OBJECTIVE:The aim of this paper is to systematically review and analyse the validity and reliability of Antonovsky's life orientation questionnaire/sense of coherence scale (SOC). DESIGN:The study is descriptive and analytical with a systematic integration of the contemporary knowledge base on the salutogenic re...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech.2003.018085
更新日期:2005-06-01 00:00:00
abstract::Fertility and contraceptive practice were examined by interview with parents of 100 Down's syndrome patients. Before the birth of the affected child, fertility was low by comparison with that in married women in the general population, and to this the socioeconomic class bias in the sample is thought to be contributor...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.40.2.154
更新日期:1986-06-01 00:00:00
abstract:BACKGROUND:While various measures of common mental disorders (CMD) have been found to be associated with mortality, a comparison of how different measures predict mortality may improve our understanding of the association. This paper compares how the Hospital Anxiety and Depression Scale (HADS) and the 30-item General ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201927
更新日期:2013-07-01 00:00:00