Stress Perception and Social Indicators for Low Back, Shoulder and Joint Pains in Japan: National Surveys in 1995 and 2001

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  • Takeuchi Takeaki
    Department of Psychosomatic Medicine, Teikyo University Hospital
  • Nakao Mutsuhiro
    Department of Psychosomatic Medicine, Teikyo University Hospital Research Center for Evidence Based Medicine, Teikyo University School of Medicine
  • Nishikitani Mariko
    Department of Hygiene and Public Health, Teikyo University School of Medicine
  • Yano Eiji
    Research Center for Evidence Based Medicine, Teikyo University School of Medicine

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This study aims to clarify the effects of stress perception and related social indicators on three major musculoskeletal symptoms: low back, shoulder, and joint pains in a Japanese population. Twenty health-related variables (stress perception and 19 social indicators) and the three symptoms were obtained from the following Japanese national surveys: the Comprehensive Survey of Living Condition of the People on Health and Welfare, the System of Social and Demographic Statistics of Japan, and the Statistical Report on Health Administration Services. The results were compared among 46 Japanese prefectures in 1995 and 2001. By factor analysis, the 19 indicators were classified into three factors of urbanization, aging and life-regularity, and individualization. The prevalence of stress perception was significantly correlated to the 8 indicators of urbanization factor. Although simple correlation analysis revealed a significant relationship of stress perception only to shoulder pain (in both years) and low back pain (in 2001), the results of multiple regression analysis showed that stress perception and some urbanization factors were significantly associated with all the three symptoms in both years exclusive of joint pain in 1995. Taking the effects of urbanization into consideration, stress perception seems to be closely related to the complaints of musculoskeletal symptoms in Japan.

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