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 and heterodox practitioners, detailed communication with local general practitioners, and the provision of a Medical Research Council (MRC) grant to cover payments to the chiropractors for work carried out in the course of the study. A total of 238 patients were considered, 197 of whom had initially presented to Northwick Park Hospital and the remaining 41 to the chiropractic clinic in Harrow. Only 6% of the patients presenting to the hospital refused to enter. The single most frequent reason for ineligibility in the hospital patients was freedom from pain at the time of the first hospital visit (23%). A variety of medical contraindications accounted for the exclusion of a further 24% of hospital patients. Patients presenting to the chiropractic group tended to have had shorter current episodes of back pain but to have had more NHS treatment in the past than those presenting to hospital. The commonest reason for exclusion among those presenting to the chiropractic clinic was refusal to enter (34%). Only 5% of the chiropractic patients were ineligible for medical reasons. Overall, 16% of those presenting to hospital and 44% of those presenting to the chiropractors were eligible and willing to enter the randomised treatment phase of the study. Of the 50 patients who entered the treatment phase, all but seven completed treatment and the six weekly self-completed assessments of progress. Patients whose current episodes had lasted less than a month progressed significantly more rapidly than those with longer current episodes. It is likely that sufficient numbers of patients with low back pain are prepared to take part in a formal randomized controlled trial. The organization and working methods for such a trial appear to be feasible. A full scale multicentre trial should aim to include about 2000 patients.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
doi
10.1136/jech.40.1.12subject
Has Abstractpub_date
1986-03-01 00:00:00pages
12-7issue
1eissn
0143-005Xissn
1470-2738journal_volume
40pub_type
临床试验,杂志文章,随机对照试验abstract:BACKGROUND:Active ageing is a key to healthy ageing; shopping behaviour is an economically relevant activity of the elderly. METHODS:Analysis was based on the NAHSIT 1999-2000 dataset. A total of 1841 representative free-living elderly Taiwanese people were selected and information included demographics, socioeconomic...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2010.126698
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:To assess the relative importance of perceived health and health related lifestyle in adolescence in the production of educational differences. DESIGN:A longitudinal study: survey data from 1981 and 1985 linked with Educational Registry data from 1993. SETTING:The whole of Finland. PARTICIPANTS:A represent...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.52.12.794
更新日期:1998-12-01 00:00:00
abstract:BACKGROUND:Several models have been proposed to explain the association between ethnicity and health. It was investigated whether the association between Roma ethnicity and health is fully mediated by socioeconomic status in Hungary. METHODS:Comparative health interview surveys were performed in 2003-04 on representat...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.079715
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:The death of a young child is so devastating that it can increase the risk of mortality in the grieving parent. Little is known about the impact of an adult child's death on the health of parents. METHODS:The authors conducted a follow-up study between 1980 and 2002 based on a linked-registers database that...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2011-200339
更新日期:2012-10-01 00:00:00
abstract::Between 1975 and 1 April 1986, public transport by bus in the metropolitan county of South Yorkshire, England, was increasingly subsidised. Trends in road traffic accident casualties between 1974 and 1983 in all the six provincial English metropolitan counties have been compared in order to examine the possible effect...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.41.1.50
更新日期:1987-03-01 00:00:00
abstract:INTRODUCTION:Health inequalities can be observed in early life as unfavourable birth outcomes. Evidence indicates that neighbourhood socioeconomic circumstances influence health. However, studies looking into temporal trends in inequalities in birth outcomes including neighbourhood socioeconomic conditions are scarce. ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2019-213162
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Although being employed during midlife is positively associated with cognitive function in later life, little is known with respect to cumulative trajectories or durations of time spent in different kinds of work. METHODS:We investigated the relationships between employment trajectory from ages 31 years to ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-211153
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:Although physical activity is associated with health-related quality of life (HRQL), the nature of the dose-response relationship remains unclear. OBJECTIVES:To examine the concurrent and prospective dose-response relationships between total physical activity (TPA) and (only) walking with HRQL in two age co...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2011-200850
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:There is concern about the health of populations living close to nuclear waste reprocessing plants. A comparative study was conducted on reproductive life events in the general population living near the nuclear waste reprocessing plant in Beaumont-Hague, France and a reference area in Brittany. DESIGN, SETT...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.061069
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Evidence of racial/ethnic inequalities in tobacco outlet density is limited by: (1) reliance on studies from single counties or states, (2) limited attention to spatial dependence, and (3) an unclear theory-based relationship between neighbourhood composition and tobacco outlet density. METHODS:In 97 counti...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2016-208475
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVE:To determine the relative admission rates of Asian and non-Asian patients to intensive therapy units (ITUs) in Coventry and to explore the implications of these rates for the transplantation of organs to Asian people. DESIGN:Examination of 1991 census data and a retrospective review of ITU admissions books. ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.50.4.447
更新日期:1996-08-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to identify any social class differences in health and care in the year before death emerging from a wider study of life before death. DESIGN AND SETTING:Data were collected at interviews, mainly of close relatives, with those who knew most about the people's lives in the year before they d...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.1.54
更新日期:1992-02-01 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:OBJECTIVES:The fall in the prevalence of left handedness with age has been attributed to either premature mortality or a cohort effect of forced dextrality. Evidence for forced dextrality was sought to differentiate between these competing theories. DESIGN:6097 Edinburgh handedness inventories were used to calculate l...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.52.1.41
更新日期:1998-01-01 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:STUDY OBJECTIVE:This paper addresses the environmental justice implications of children's health by exploring racial/ethnic disparities in potential exposure to air pollution, based on both school and home locations of children and three different types of pollution sources, in Orange County, Florida, USA. METHODS:Usi...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2006.054130
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:Ambient air pollution may affect the health related quality of life (HRQOL) of people, as assessed by the vitality (VT) and mental health (MH) domains of the SF-36 health survey (SF-36). METHODS:In a nationwide survey, 4500 people aged 20 years and older were selected from the entire population of Japan by ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.039560
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:A large proportion of the population of England live in substandard housing. Previous research has suggested that poor-quality housing, particularly in terms of cold temperatures, mould, and damp, poses a health risk, particularly for older people. The present study aimed to examine the association between h...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201458
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:The aims of this study are to generalise the concept of gap length between partners and to estimate the duration of four types of measures for heterosexual partnerships, called status lengths: (1) time spent as single before becoming monogamous (S-M, positive gap), (2) duration of concurrency before monogamy...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.085936
更新日期:2010-08-01 00:00:00
abstract::Socioeconomic differentials in the uptake of medical care in men were investigated using data from the General Household Survey (1974-76 and 1979-80). Hospitalisation, attendance at out patient clinics, and consultation with doctors were higher in local authority tenants than in owner occupiers. Men belonging to the m...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.41.3.196
更新日期:1987-09-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to report on the extent to which death certificates which specify that death occurred in hospital can be matched and linked with routine hospital inpatient information systems. DESIGN:The study involved linkage of hospital records which specified that death occurred in hospital to correspon...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.3.297
更新日期:1992-06-01 00:00:00
abstract::The Office of Population Censuses and Surveys Longitudinal Study provides reliable mortality data by a much wider range of characteristics than are available for other national sources. Although it is based on only a 1% sample of the population, it broadens the scope of mortality analysis and permits study of changes ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.36.2.69
更新日期:1982-06-01 00:00:00
abstract:BACKGROUND:Despite the implementation of policy interventions to address open drug consumption, public injecting continues to occur in many urban settings. This study sought to examine public injecting among a community-recruited cohort of injecting drug users (IDUs) in Vancouver. METHODS:The prevalence and correlates...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.069013
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Data from primary care records could potentially provide more comprehensive population-level information on smoking prevalence at lower cost and in a more timely fashion than commissioned national surveys. Therefore, we compared smoking prevalence calculated from a database of primary care electronic medical...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2010.120154
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:The aetiology of age-related sarcopenia is not known. OBJECTIVES:To investigate if risk of developing sarcopenia differs by gender and to identify gender-specific risk factors of incident sarcopenia in a large population-based cohort of older English adults. METHODS:The sample (n=3404; age 63.4 (SD 7.7) ye...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-211258
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:School systems are increasingly typified by diversity of provision, parental choice and publication of performance data. Schools shape their students' lifestyles and health, but the effects of 'marketisation' are under-researched. The authors use qualitative data to develop a logic model regarding such effec...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2011.137539
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:Limited research has shown a possible association between exposure to physical or sexual abuse prior to age 18 and the risk of developing hypertension as an adult. The factors mediating this relationship are unknown. METHODS:Questionnaire data from 68 505 female participants in the Nurses' Health Study II w...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.095109
更新日期:2010-05-01 00:00:00
abstract:STUDY OBJECTIVE:To explore the relationship between self reported environmental tobacco smoke exposure (or passive smoking), the serum cotinine concentration, and evidence of respiratory or coronary disease in men and women who have never smoked. DESIGN:Cross sectional random population survey identifying disease mark...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.49.2.139
更新日期:1995-04-01 00:00:00
abstract::A random sample of 617 primiparas was identified from birth notifications over a 12 month period and 534 of these were interviewed four weeks after confinement. Those breast feeding at the time of interview were contacted again at four months and those still breast feeding then were contacted at six and a half months....
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.37.2.89
更新日期:1983-06-01 00:00:00
abstract::Social position is known to play a role in the quality of ageing, notably through the stimulation/dysregulation of key physiological systems in response to external stresses. Using data from one wave of Understanding Society including 9088 participants, we defined, as an extension of the allostatic load, a synthetic B...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-212010
更新日期:2019-08-01 00:00:00