Childhood and adult socio-economic position and social mobility as determinants of low back pain outcomes†
Version of Record online: 30 JUN 2013
© 2013 European Pain Federation - EFIC®
European Journal of Pain
Volume 18, Issue 1, pages 128–138, January 2014
How to Cite
Lallukka, T., Viikari-Juntura, E., Raitakari, O.T., Kähönen, M., Lehtimäki, T., Viikari, J. and Solovieva, S. (2014), Childhood and adult socio-economic position and social mobility as determinants of low back pain outcomes. European Journal of Pain, 18: 128–138. doi: 10.1002/j.1532-2149.2013.00351.x
This work was supported by the Academy of Finland (Grant No. 129364). Additionally, the Young Finns Study has been financially supported by the Academy of Finland (Grant Nos. 126925, 121584, 124282, 129378, 117797 and 41071); the Social Insurance Institution of Finland; Kuopio, Tampere and Turku University Hospital Medical Funds; Juho Vainio Foundation; Paavo Nurmi Foundation; Finnish Foundation of Cardiovascular Research and Finnish Cultural Foundation; Sigrid Juselius Foundation; Tampere Tuberculosis Foundation and Emil Aaltonen Foundation.
Conflicts of interest
This research was conducted at the Finnish Institute of Occupational Health.
- Issue online: 9 DEC 2013
- Version of Record online: 30 JUN 2013
- Manuscript Accepted: 31 MAY 2013
- Academy of Finland. Grant Numbers: 129364, 126925, 121584, 124282, 129378, 117797, 41071
- Social Insurance Institution of Finland
- Kuopio, Tampere and Turku University Hospital Medical Funds
- Juho Vainio Foundation
- Paavo Nurmi Foundation
- Finnish Foundation of Cardiovascular Research
- Finnish Cultural Foundation
- Sigrid Juselius Foundation
- Tampere Tuberculosis Foundation
- Emil Aaltonen Foundation
Low back pain (LBP) is a prevalent problem and tends to be socio-economically patterned. Relatively little is known about life-course socio-economic circumstances as determinants of different types of LBP. Our aim was to examine whether childhood and adult socio-economic position and social mobility are associated with radiating and non-specific LBP and sciatica.
Data were derived from the Young Finns Study (n = 2231). Childhood socio-economic position was based on parental education, occupational class and family income at baseline in 1980. Data on own education and LBP outcomes were collected at the end of follow-up in 2007. Social mobility was based on parental and own education. Covariates were composed of age, parental body mass index and smoking.
Both childhood and own socio-economic position remained associated with radiating LBP and sciatica after adjustments. However, the associations varied by socio-economic indicator and gender. Stable lower socio-economic position and downward mobility were associated with radiating LBP.
Childhood socio-economic circumstances affect the risk of radiating LBP and sciatica in adulthood. To prevent low back disorders, early socio-economic circumstances need to be considered alongside own socio-economic position.