الفهرس 
Epidemiology and risk factors of neck painOnly 14 pages are availabe for public view
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Abstract
Neck pain is a very common health problem worldwide and a major cause of disability affecting performance at work and general well-being, neck pain can be acute or chronic.
Though several risk factors have been identified (including occupational posture, depressive moods, body height and age), the causes of the onset of neck pain remain obscure and diagnosis difficult to make.
This study aimed to assess the prevalence of non-specific neck pain among patients attend FHU, determine the risk factors for developing non-specific neck pain.
It was a cross sectional study that was conducted in primary FHU in El-Mehalla El-Kobra, Gharbia governorate.
All patients aged >20 years old (male and female) attend FHU in El - Mehalla El- Kobra complaining of non-specific neck pain.
An interview questionnaire was used to collect the necessary data which include the following: Socio economic status questionnaire, disability assessment (Oswestry neck disability index questionnaire), work productivity and activity impairment questionnaire, quality of life scale and questionnaire for detecting risk factors for developing neck pain.
The history taking followed by general and local examination that to confirm diagnosis and to assess BMI and possible risk factors.
Results :
The study stated that prevalence of neck pain among patients was 50.9% of total participants, about 60% of patients had neck pain lasted for less than 3 months . It was found that age was ranged between 25–76 years with a mean value of 36.31 ± 14.67 years. Males represented about half of the participants. About 34% of the participants were farmers or manual workers, about 28% were professional and semiprofessional, 21% of the participants were housewives and about 17% were drivers, students and housekeepers. Using computer sometimes was detected in 43% of studied group, while 39% used it lot of time and about 18% never used it. More than half of the participants (59%) were of medium socioeconomic score .
Regarding history of patients with neck pain about 35.3% of patients had family history of neck pain, about 72.5% had co-existing back pain, about 74.5% had mental stress, about 76.5% had depressed mood and about 72.5% of patients were using computer at work or study.
Regarding socio economic, work related and psychological predictors of neck pain it was found that there was highly statistically significant differences among studied group as regard their occupation, about 31% of patients with neck pain were among farmer or manual workers. Computer use was statistically significant higher among patient with neck pain about 41.2%. There is statistically significant differences as regarding socioeconomic stander, most of patients with neck pain were from medium class (62.4%). As regard smoking about 76.5% of patients with neck pain were smokers which was significantly higher than other group, regarding work there was statistically significant differences among the patients as regards using computer at work and/or study, about 72.5% of patients with neck pain were using computer, about 64.7% of them didn’t take 10m break while using computer. About 90.2% of patients with neck pain didn’t have sufficient light at work. About 66.7% of patients with neck pain has prolonged sitting hours at work for more than 30 minutes. About 56.9% of patients with neck pain didn’t use comfortable chair at work. About 90.2 % of patients with neck pain didn’t have proper neck support during work About 61.2% of patients with neck pain did inappropriate neck flexion or rotation at work. About 92.2 % of patients with neck pain didn’t perform exercise at break time, regarding psychological effect there was highly statistically significant differences among the participants as regards stress about 74.5% of patients with neck pain had stress. About 76.5% of patients with neck pain had depressed mood.
It was found that the most significant predictors of neck pain by logistic regression were using computers at work or study, having stress, prolonged sitting hours without changing posture and inappropriate neck flexion or rotation (OR 2.746, 2.561, 2.054, 1.763 respectively). The most significant protective factors were having ten minutes break from using computer every work hour frequently, using comfortable chair, proper neck support during work and perform exercises at break times (OR 0.24, 0.36, 0.35, 0.55 respectively).