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American Journal of Epidemiology Vol. 134, No. 11: 1356-1367
Copyright © 1991 by The Johns Hopkins University School of Hygiene and Public Health


research-article

Prevalence, Determinants, and Consequences of Chronic Neck Pain in Finland

Matti Mäkela1,, Markku Heliövaara1, Kai Sievers1, Olli Impivaara2, Paul Knekt1 and Arpo Aromaa1

1The Research Institute for Social Security of The Social Insurance Institution Helsinki, Finland
2The Rehabilitation Research Centre of the Social Insurance Institution Turku, Finland

Reprint requests to Matti Mäkelä, Jaavantie 14, 00560 Helsinki, Finland

Chronic neck pain is a relatively mild musculoskeletal condition, but common enough to be a possible public health problem. The distribution, determinants, and consequences of chronic neck pain have hitherto been described inadequately. In the Mini-Finland Health Survey, a representative population sample of 8,000 Finns aged ≥30 years was invited to participate in a comprehensive health examination comprising an interview and a clinical examination; 90.2% complied. Predetermined criteria were used to diagnose major cardiovascular, musculoskeletal, respiratory, mental, and other disorders, regardless of other simultaneous disorders. Chronic neck syndrome was diagnosed in 9.5% of the men and 13.5% of the women. When adjusted for age and sex, the prevalence of the neck syndrome was associated with a history of injury to the back, neck, or shoulder and with mental and physical stress at work. Among those aged 30 to 64 years, overweight and parity were also significant determinants. Other musculoskeletaj and mental disorders were associated with neck syndrome, and the association persisted after working conditions, injuries, overweight, and parity were adjusted for. There was some independent association between neck syndrome and disabilities, use of physician services, and use of pain killers.

comorbidity; neck; pain; risk factors; work


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