Lower Back Pain Among Neurological and Neurosurgical Adult Patients at an Armed Forces Hospital Addis Ababa, Ethiopia

Shewalem Geremew Denboba; Alemayehu Worku

doi:doi:10.11648/j.ajim.20210903.14

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Lower Back Pain Among Neurological and Neurosurgical Adult Patients at an Armed Forces Hospital Addis Ababa, Ethiopia

Shewalem Geremew Denboba, Alemayehu Worku

Published in American Journal of Internal Medicine (Volume 9, Issue 3)

Received: 5 March 2021 Accepted: 21 May 2021 Published: 27 May 2021

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Abstract

Lower back pain differs in prevalence with respect to gender, time, occupation and nations and little is known about it on military professionals in Ethiopia who are exposed to more workload, psychological disorders and regular physical exercise hence we aimed in this study to assess the magnitude of lower back pain and its determinants among neurological and neurosurgical adult patients at Armed Forces Comprehensive Specialized Hospital Addis Ababa, Ethiopia from December 16, 2017 to March 23, 2018. For this aim a comparative crossectional study was carried out, and using single and two population proportion formulas, sample size of 585 was calculated. Every third participants aged more than or equal to 18 years were included in the study. Descriptive statics and bivariate and multivariable logistic regression was done for variables. The study results showed response rate of the study is 99.7% and the median age is 42 years with interquartile range of 14 years, 447 (76.7%) of them are male and 441 (75.6%) are military. The magnitude of low back pain is 65.9% with 95% Confidence Interval (62.1, 69.8); and previous recommended spinal surgery, tender point, comorbidities, and numbness and tingling sensation have significant association in multivariable logistic regression with adjusted odds ratio (95% Confidence Interval) 2.18 (1.06, 4.45), 4.36 (2.17, 8.77), 0.57 (0.35, 0.95), and 2.92 (1.71, 4.96); respectively. Finally, we concluded that the magnitude of lower back pain is high neurological and neurosurgical adult military patients at study settings and determinants are recommended spinal surgery, and numbness and tingling sensation, tender point and comorbidities; and strengthening neurological and neurosurgical services are recommended.

Published in	American Journal of Internal Medicine (Volume 9, Issue 3)
DOI	10.11648/j.ajim.20210903.14
Page(s)	127-137
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Lower Back Pain, Determinants, Military, Ethiopia

References

[1]	Allan H R, Robert H B. Adams & Victors’ Principles of Neurology, 8th Edition. 2005. 169-183 p.
[2]	Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet Lond Engl. 2016 Oct 8; 388 (10053): 1545–602.
[3]	Henok A, Bekele T. Prevalence of musculoskeletal pain and factors associated with kyphosis among pedestrian back-loading women in selected towns of Bench Maji zone, Southwest Ethiopia. Ethiop J Health Dev EJHD [Internet]. 2017 Jun 22; 31 (2). Available from: http://ejhd.org/index.php/ejhd/article/view/1222.
[4]	Coggon D, Ntani G, Palmer KT, Felli VE, Harari R, Barrero LH, et al. Disabling musculoskeletal pain in working populations: Is it the job, the person, or the culture? Pain. 2013 Jun; 154 (6): 856–63.
[5]	El-Sayed AM, Hadley C, Tessema F, Tegegn A, Cowan JA, Galea S. Back and neck pain and psychopathology in rural sub-Saharan Africa: Evidence from the Gilgel Gibe Growth and Development Study, Ethiopia. Spine. 2010 Mar 15; 35 (6): 684–9.
[6]	Liu X, Wang L, Stallones L, Wheeler KK, Zhao W, Smith GA, et al. Back Pain among Farmers in A Northern Area of China. Spine. 2012 Mar 15; 37 (6): 508–14.
[7]	Monica S. Identifying Episodes of Back Pain Using Medical Expenditures Panel Survey (MEPS) Data: Patient Experience, Use of Services, and Chronicity. J Manipulative Physiol Ther. 2010 Oct; 33 (8): 562–75.
[8]	Zele MYM and YT. Low Back Pain and Associated Factors among Teachers in Gondar Town, North Gondar, Amhara Region, Ethiopia. Occup Med Health Aff [Internet]. 2013 Aug 10; 2013. Available from: https://www.omicsonline.org/peer-reviewed/low-back-pain-and-associated-factors-among-teachers-in-gondar-town-north-gondar-amhara-region-ethiopia-16508.html.
[9]	Moradi V, Memari A-H, ShayestehFar M, Kordi R. Low Back Pain in Athletes Is Associated with General and Sport Specific Risk Factors: A Comprehensive Review of Longitudinal Studies. Rehabil Res Pract [Internet]. 2015 [cited 2017 Aug 11]; 2015. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4691487/.
[10]	Sikiru L, Shmaila H. Prevalence and risk factors of low back pain among nurses in Africa: Nigerian and Ethiopian specialized hospitals survey study. East Afr J Public Health. 2009 Apr; 6 (1): 22–5.
[11]	Stewart Williams J, Ng N, Peltzer K, Yawson A, Biritwum R, Maximova T, et al. Risk Factors and Disability Associated with Low Back Pain in Older Adults in Low- and Middle-Income Countries. Results from the WHO Study on Global AGEing and Adult Health (SAGE). PLoS ONE [Internet]. 2015 Jun 4 [cited 2017 Aug 11]; 10 (6). Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4456393/.
[12]	Alem Deksisa Abebe, Ephrem Mamo Gebrehiwot, Seblewengel Lema, Tilaye Workineh Abebe. Prevalence of Low Back Pain and Associated Risk Factors Among Adama Hospital Medical College Staff, Ethiopia. Eur J Prev Med. 2015; 3 (6): 188–92.
[13]	Kawaguchi M, Matsudaira K, Sawada T, Koga T, Ishizuka A, Isomura T, et al. Assessment of potential risk factors for new onset disabling low back pain in Japanese workers: findings from the CUPID (cultural and psychosocial influences on disability) study. BMC Musculoskelet Disord [Internet]. 2017 Aug 2 [cited 2017 Aug 11]; 18. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5541662/.
[14]	Fett D, Trompeter K, Platen P. Back pain in elite sports: A cross-sectional study on 1114 athletes. PLoS ONE [Internet]. 2017 Jun 29 [cited 2017 Aug 11]; 12 (6). Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5491135/.
[15]	Belay MM, Worku A, Gebrie SA, Wamisho BL. Epidemiology of Low Back Pain among Nurses Working in Public Hospitals of Addis Ababa, Ethiopia. COSECSAASEA Publ -East Cent Afr J Surg MarchApril 2016. Volume 21 (1).
[16]	Noll M, de Avelar IS, Lehnen GC, Vieira MF. Back Pain Prevalence and Its Associated Factors in Brazilian Athletes from Public High Schools: A Cross-Sectional Study. PLoS ONE [Internet]. 2016 Mar 3 [cited 2017 Aug 11]; 11 (3). Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4777545/.
[17]	Dunn KM. Extending conceptual frameworks: life course epidemiology for the study of back pain. BMC Musculoskelet Disord. 2010 Feb 2; 11: 23.
[18]	Wong AY, Karppinen J, Samartzis D. Low back pain in older adults: risk factors, management options and future directions. Scoliosis Spinal Disord [Internet]. 2017 Apr 18 [cited 2017 Aug 11]; 12. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5395891/.
[19]	Brady SRE, Hussain SM, Brown WJ, Heritier S, Billah B, Wang Y, et al. Relationships Between Weight, Physical Activity, and Back Pain in Young Adult Women. Medicine (Baltimore) [Internet]. 2016 May 13 [cited 2017 Aug 11]; 95 (19). Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4902476/.
[20]	Koyanagi A, Stickley A, Garin N, Miret M, Ayuso-Mateos JL, Leonardi M, et al. The association between obesity and back pain in nine countries: a cross-sectional study. BMC Public Health [Internet]. 2015 Feb 11 [cited 2017 Aug 11]; 15. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4331391/.
[21]	Yitayeh A. Annual Prevalence of Self-Reported Work Related Musculoskeletal Disorders and Associated Factors among Nurses Working at Gondar Town Governmental Health Institutions, Northwest Ethiopia. Emerg Med Los Angel 2015 51. (1).
[22]	Gordon R, Bloxham S. A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain. Healthcare [Internet]. 2016 Apr 25 [cited 2017 Aug 11]; 4 (2). Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4934575/.
[23]	Budhrani-Shani P, Berry DL, Arcari P, Langevin H, Wayne PM. Mind-Body Exercises for Nurses with Chronic Low Back Pain: An Evidence-Based Review. Nurs Res Pract [Internet]. 2016 [cited 2017 Aug 11]; 2016. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4947504/.
[24]	Chercos DH, Berhanu D. Work related injury among Saudi Star Agro Industry workers in Gambella region, Ethiopia; a cross-sectional study. J Occup Med Toxicol Lond Engl [Internet]. 2017 Mar 16 [cited 2017 Aug 11]; 12. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5356299/.
[25]	Misganaw A, Melaku YA, Tessema GA, Deribew A, Deribe K, Abera SF, et al. National disability-adjusted life years (DALYs) for 257 diseases and injuries in Ethiopia, 1990–2015: findings from the global burden of disease study 2015. Popul Health Metr. 2017 Jul 21; 15: 28.
[26]	Tadesse S, Bezabih K, Destaw B, Assefa Y. Awareness of occupational hazards and associated factors among welders in Lideta Sub-City, Addis Ababa, Ethiopia. J Occup Med Toxicol. 2016 Apr 5; 11: 15.
[27]	Wainwright E, Wainwright D, Keogh E, Eccleston C. Return to work with chronic pain: employers’ and employees’ views. Occup Med. 2013 Oct 1; 63 (7): 501–6.
[28]	Mark DV. LOWER BACK PAIN Questionnaire.
[29]	Casser H-R, Seddigh S, Rauschmann M. Acute Lumbar Back Pain. Dtsch Ärztebl Int. 2016 Apr; 113 (13): 223–34.
[30]	Defining Adult Overweight and Obesity \| Overweight & Obesity \| CDC [Internet]. [cited 2017 Sep 20]. Available from: https://www.cdc.gov/obesity/adult/defining.html.
[31]	Choobineh A, Daneshmandi H, Saraj Zadeh Fard SK, Tabatabaee SH. Prevalence of Work-related Musculoskeletal Symptoms among Iranian Workforce and Job Groups. Int J Prev Med [Internet]. 2016 Dec 15 [cited 2017 Aug 11]; 7. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5200977/.
[32]	Abdulmonem A, Hanan A, Elaf A, Haneen T, Jenan A. The prevalence of musculoskeletal pain & its associated factors among female Saudi school teachers. Pak J Med Sci. 2014; 30 (6): 1191–6.
[33]	Chiwaridzo M, Naidoo N. Prevalence and associated characteristics of recurrent non-specific low back pain in Zimbabwean adolescents: a cross-sectional study. BMC Musculoskelet Disord [Internet]. 2014 Nov 19 [cited 2017 Aug 11]; 15. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4246475/.
[34]	Morris L, Daniels K, Louw Q. The prevalence of low back pain in Africa. Man Ther. 2016 Sep 1; 25: e122–3.
[35]	Louw QA, Morris LD, Grimmer-Somers K. The Prevalence of low back pain in Africa: a systematic review. BMC Musculoskelet Disord. 2007 Nov 1; 8: 105.
[36]	Triki M, Koubaa A, Masmoudi L, Fellmann N, Tabka Z. Prevalence and risk factors of low back pain among undergraduate students of a sports and physical education institute in Tunisia. Libyan J Med [Internet]. 2015 Mar 9 [cited 2017 Aug 11]; 10. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4355506/.
[37]	Erick PN, Smith DR. Low back pain among school teachers in Botswana, prevalence and risk factors. BMC Musculoskelet Disord [Internet]. 2014 Oct 30 [cited 2017 Aug 11]; 15. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230345/.
[38]	Coggon D, Ntani G, Palmer KT, Felli VE, Harari R, Barrero LH, et al. Patterns of multisite pain and associations with risk factors. Pain. 2013 Sep; 154 (9): 1769–77.
[39]	Vancampfort D, Koyanagi A, Ward PB, Rosenbaum S, Schuch FB, Mugisha J, et al. Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries. Int J Behav Nutr Phys Act [Internet]. 2017 Jan 18 [cited 2017 Aug 11]; 14. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241915/.

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APA Style

Shewalem Geremew Denboba, Alemayehu Worku. (2021). Lower Back Pain Among Neurological and Neurosurgical Adult Patients at an Armed Forces Hospital Addis Ababa, Ethiopia. American Journal of Internal Medicine, 9(3), 127-137. https://doi.org/10.11648/j.ajim.20210903.14

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ACS Style

Shewalem Geremew Denboba; Alemayehu Worku. Lower Back Pain Among Neurological and Neurosurgical Adult Patients at an Armed Forces Hospital Addis Ababa, Ethiopia. Am. J. Intern. Med. 2021, 9(3), 127-137. doi: 10.11648/j.ajim.20210903.14

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AMA Style

Shewalem Geremew Denboba, Alemayehu Worku. Lower Back Pain Among Neurological and Neurosurgical Adult Patients at an Armed Forces Hospital Addis Ababa, Ethiopia. Am J Intern Med. 2021;9(3):127-137. doi: 10.11648/j.ajim.20210903.14

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@article{10.11648/j.ajim.20210903.14,
  author = {Shewalem Geremew Denboba and Alemayehu Worku},
  title = {Lower Back Pain Among Neurological and Neurosurgical Adult Patients at an Armed Forces Hospital Addis Ababa, Ethiopia},
  journal = {American Journal of Internal Medicine},
  volume = {9},
  number = {3},
  pages = {127-137},
  doi = {10.11648/j.ajim.20210903.14},
  url = {https://doi.org/10.11648/j.ajim.20210903.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20210903.14},
  abstract = {Lower back pain differs in prevalence with respect to gender, time, occupation and nations and little is known about it on military professionals in Ethiopia who are exposed to more workload, psychological disorders and regular physical exercise hence we aimed in this study to assess the magnitude of lower back pain and its determinants among neurological and neurosurgical adult patients at Armed Forces Comprehensive Specialized Hospital Addis Ababa, Ethiopia from December 16, 2017 to March 23, 2018. For this aim a comparative crossectional study was carried out, and using single and two population proportion formulas, sample size of 585 was calculated. Every third participants aged more than or equal to 18 years were included in the study. Descriptive statics and bivariate and multivariable logistic regression was done for variables. The study results showed response rate of the study is 99.7% and the median age is 42 years with interquartile range of 14 years, 447 (76.7%) of them are male and 441 (75.6%) are military. The magnitude of low back pain is 65.9% with 95% Confidence Interval (62.1, 69.8); and previous recommended spinal surgery, tender point, comorbidities, and numbness and tingling sensation have significant association in multivariable logistic regression with adjusted odds ratio (95% Confidence Interval) 2.18 (1.06, 4.45), 4.36 (2.17, 8.77), 0.57 (0.35, 0.95), and 2.92 (1.71, 4.96); respectively. Finally, we concluded that the magnitude of lower back pain is high neurological and neurosurgical adult military patients at study settings and determinants are recommended spinal surgery, and numbness and tingling sensation, tender point and comorbidities; and strengthening neurological and neurosurgical services are recommended.},
 year = {2021}
}

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TY  - JOUR
T1  - Lower Back Pain Among Neurological and Neurosurgical Adult Patients at an Armed Forces Hospital Addis Ababa, Ethiopia
AU  - Shewalem Geremew Denboba
AU  - Alemayehu Worku
Y1  - 2021/05/27
PY  - 2021
N1  - https://doi.org/10.11648/j.ajim.20210903.14
DO  - 10.11648/j.ajim.20210903.14
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 127
EP  - 137
PB  - Science Publishing Group
SN  - 2330-4324
UR  - https://doi.org/10.11648/j.ajim.20210903.14
AB  - Lower back pain differs in prevalence with respect to gender, time, occupation and nations and little is known about it on military professionals in Ethiopia who are exposed to more workload, psychological disorders and regular physical exercise hence we aimed in this study to assess the magnitude of lower back pain and its determinants among neurological and neurosurgical adult patients at Armed Forces Comprehensive Specialized Hospital Addis Ababa, Ethiopia from December 16, 2017 to March 23, 2018. For this aim a comparative crossectional study was carried out, and using single and two population proportion formulas, sample size of 585 was calculated. Every third participants aged more than or equal to 18 years were included in the study. Descriptive statics and bivariate and multivariable logistic regression was done for variables. The study results showed response rate of the study is 99.7% and the median age is 42 years with interquartile range of 14 years, 447 (76.7%) of them are male and 441 (75.6%) are military. The magnitude of low back pain is 65.9% with 95% Confidence Interval (62.1, 69.8); and previous recommended spinal surgery, tender point, comorbidities, and numbness and tingling sensation have significant association in multivariable logistic regression with adjusted odds ratio (95% Confidence Interval) 2.18 (1.06, 4.45), 4.36 (2.17, 8.77), 0.57 (0.35, 0.95), and 2.92 (1.71, 4.96); respectively. Finally, we concluded that the magnitude of lower back pain is high neurological and neurosurgical adult military patients at study settings and determinants are recommended spinal surgery, and numbness and tingling sensation, tender point and comorbidities; and strengthening neurological and neurosurgical services are recommended.
VL  - 9
IS  - 3
ER  -

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Author Information

Shewalem Geremew Denboba

Department of Internal Medicine, Zewditu Memorial Hospital, Addis Ababa, Ethiopia
Alemayehu Worku

Department of Biostatics, Schools of Public Health, Addis Ababa Universities and Addis Continental Institute of Public Health, Addis Ababa, Ethiopia

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APA Style

Shewalem Geremew Denboba, Alemayehu Worku. (2021). Lower Back Pain Among Neurological and Neurosurgical Adult Patients at an Armed Forces Hospital Addis Ababa, Ethiopia. American Journal of Internal Medicine, 9(3), 127-137. https://doi.org/10.11648/j.ajim.20210903.14

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ACS Style

Shewalem Geremew Denboba; Alemayehu Worku. Lower Back Pain Among Neurological and Neurosurgical Adult Patients at an Armed Forces Hospital Addis Ababa, Ethiopia. Am. J. Intern. Med. 2021, 9(3), 127-137. doi: 10.11648/j.ajim.20210903.14

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AMA Style

Shewalem Geremew Denboba, Alemayehu Worku. Lower Back Pain Among Neurological and Neurosurgical Adult Patients at an Armed Forces Hospital Addis Ababa, Ethiopia. Am J Intern Med. 2021;9(3):127-137. doi: 10.11648/j.ajim.20210903.14

Copy | Download

@article{10.11648/j.ajim.20210903.14,
  author = {Shewalem Geremew Denboba and Alemayehu Worku},
  title = {Lower Back Pain Among Neurological and Neurosurgical Adult Patients at an Armed Forces Hospital Addis Ababa, Ethiopia},
  journal = {American Journal of Internal Medicine},
  volume = {9},
  number = {3},
  pages = {127-137},
  doi = {10.11648/j.ajim.20210903.14},
  url = {https://doi.org/10.11648/j.ajim.20210903.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20210903.14},
  abstract = {Lower back pain differs in prevalence with respect to gender, time, occupation and nations and little is known about it on military professionals in Ethiopia who are exposed to more workload, psychological disorders and regular physical exercise hence we aimed in this study to assess the magnitude of lower back pain and its determinants among neurological and neurosurgical adult patients at Armed Forces Comprehensive Specialized Hospital Addis Ababa, Ethiopia from December 16, 2017 to March 23, 2018. For this aim a comparative crossectional study was carried out, and using single and two population proportion formulas, sample size of 585 was calculated. Every third participants aged more than or equal to 18 years were included in the study. Descriptive statics and bivariate and multivariable logistic regression was done for variables. The study results showed response rate of the study is 99.7% and the median age is 42 years with interquartile range of 14 years, 447 (76.7%) of them are male and 441 (75.6%) are military. The magnitude of low back pain is 65.9% with 95% Confidence Interval (62.1, 69.8); and previous recommended spinal surgery, tender point, comorbidities, and numbness and tingling sensation have significant association in multivariable logistic regression with adjusted odds ratio (95% Confidence Interval) 2.18 (1.06, 4.45), 4.36 (2.17, 8.77), 0.57 (0.35, 0.95), and 2.92 (1.71, 4.96); respectively. Finally, we concluded that the magnitude of lower back pain is high neurological and neurosurgical adult military patients at study settings and determinants are recommended spinal surgery, and numbness and tingling sensation, tender point and comorbidities; and strengthening neurological and neurosurgical services are recommended.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Lower Back Pain Among Neurological and Neurosurgical Adult Patients at an Armed Forces Hospital Addis Ababa, Ethiopia
AU  - Shewalem Geremew Denboba
AU  - Alemayehu Worku
Y1  - 2021/05/27
PY  - 2021
N1  - https://doi.org/10.11648/j.ajim.20210903.14
DO  - 10.11648/j.ajim.20210903.14
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 127
EP  - 137
PB  - Science Publishing Group
SN  - 2330-4324
UR  - https://doi.org/10.11648/j.ajim.20210903.14
AB  - Lower back pain differs in prevalence with respect to gender, time, occupation and nations and little is known about it on military professionals in Ethiopia who are exposed to more workload, psychological disorders and regular physical exercise hence we aimed in this study to assess the magnitude of lower back pain and its determinants among neurological and neurosurgical adult patients at Armed Forces Comprehensive Specialized Hospital Addis Ababa, Ethiopia from December 16, 2017 to March 23, 2018. For this aim a comparative crossectional study was carried out, and using single and two population proportion formulas, sample size of 585 was calculated. Every third participants aged more than or equal to 18 years were included in the study. Descriptive statics and bivariate and multivariable logistic regression was done for variables. The study results showed response rate of the study is 99.7% and the median age is 42 years with interquartile range of 14 years, 447 (76.7%) of them are male and 441 (75.6%) are military. The magnitude of low back pain is 65.9% with 95% Confidence Interval (62.1, 69.8); and previous recommended spinal surgery, tender point, comorbidities, and numbness and tingling sensation have significant association in multivariable logistic regression with adjusted odds ratio (95% Confidence Interval) 2.18 (1.06, 4.45), 4.36 (2.17, 8.77), 0.57 (0.35, 0.95), and 2.92 (1.71, 4.96); respectively. Finally, we concluded that the magnitude of lower back pain is high neurological and neurosurgical adult military patients at study settings and determinants are recommended spinal surgery, and numbness and tingling sensation, tender point and comorbidities; and strengthening neurological and neurosurgical services are recommended.
VL  - 9
IS  - 3
ER  -

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