Abstract
BackgroundCervical spondylosis adversely affects life quality for its heavy disease burden. The report on the community-based prevalence and associated factors of cervical spondylosis is rare, especially in Chinese population. Whether prevention is needed and how to prevent it is not clear. This study aims to explore its prevalence and related lifestyle factors and provide evidence on prevention of cervical spondylosis.MethodsA community-based multistage cross-sectional survey of six communities from the Chinese population was conducted. A face-to-face interview was conducted to obtain individual information, and prevalence was calculated. Single-factor analysis and multivariable logistic regressions were used to explore the associated factors in total and subgroup populations.ResultsA total of 3859 adults were analyzed. The prevalence of cervical spondylosis was 13.76%, although it differed significantly among the urban, suburban, and rural populations (13.07%, 15.97%, and 12.25%, respectively). Moreover, it was higher in females than in males (16.51% vs 10.49%). The prevalence among different age groups had an inverted U shape. The highest prevalence was in the age group from 45 to 60 years old. The associated factors differed by subgroups. There were positive associations between engaging in mental work, high housework intensity, and sleep duration of less than 7 h/day with cervical spondylosis. Going to work on foot was a negative factor of cervical spondylosis in the total population. For people aged less than 30 years, keeping the same work posture for 1–2.9 h/day was a special related factor. Exposure to vibration was an associated factor for females aged 45–60 years. Menopause was a special related factor for women.ConclusionsPrevalence of cervical spondylosis was high in Chinese population. People younger than 60 years were the focus of prevention for cervical spondylosis. Moreover, the characters between male and female and among different age groups were different and required targeted interventions.
Highlights
Cervical spondylosis adversely affects life quality for its heavy disease burden
According to the clinician judgment, radiography or/and computed tomography or/and magnetic resonance imaging were used for the imaging examinations, and they were mandatory for diagnosing cervical spondylosis
The females had a higher prevalence of cervical spondylosis compared with the males (P < 0.001; Fig. 3)
Summary
Cervical spondylosis adversely affects life quality for its heavy disease burden. The report on the community-based prevalence and associated factors of cervical spondylosis is rare, especially in Chinese population. Cervical spondylosis is a chronic degenerative process of the cervical spine It affects the vertebral bodies and intervertebral disks of the neck and leads to herniated intervertebral disks, osteophytes, and ligament hypertrophy. According to the global burden of disease study of 2013 [11], in 301 acute and chronic diseases and injuries in 188 countries, neck pain was one of the top 10 causes of years lived with disability. It ranked the fourth globally and the second in China, relatively.
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