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International Journal of Epidemiology, Vol 26, 71-74, Copyright © 1997 by International Epidemiological Association
U Wreje, D Isacsson and H Aberg
BACKGROUND: Female back pain is a clinical problem-especially low back pain
with symptoms from the pelvic posterior region-that is often aggravated in
connection with pregnancy and childbirth. Hormones have been suggested as
an aetiologic factor. This study is aimed to determine whether additional
hormone preparations, i.e. oral contraceptives (OC), may contribute to the
increased frequency of such pain. METHODS: A register study was conducted
to investigate the use of drugs and health care use in a female population
with known OC consumption. Specifically, we registered the number of
primary health care visits for low back pain, comparing OC users with
non-OC using age- matched women with otherwise equal circumstances.
RESULTS: OC users recorded a significantly higher incidence of low back
symptoms during the study period compared to non-users. Pregnancy was not
found to be a confounding factor. CONCLUSIONS: The intriguing association
between OC use and a higher incidence of low back pain, does not enable us
to conclude that there is a causal connection, but it should lead to
further studies.
ARTICLES
Oral contraceptives and back pain in women in a Swedish community
Department of Clinical Neuroscience and Family Medicine, Karolinska Institutet, Huddinge, Sweden.
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