{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T14:40:09Z","timestamp":1792593609315,"version":"4.5.0"},"reference-count":26,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T00:00:00Z","timestamp":1680480000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"NCMIC Foundation","award":["11-2021"],"award-info":[{"award-number":["11-2021"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Spinal pain and chronic health conditions are highly prevalent, burdensome, and costly conditions, both in the United States and globally. Using cross-sectional data from the 2016 through 2018 National Health Interview Survey (n = 26,926), we explored associations between spinal pain and chronic health conditions and investigated the influence that a set of confounders may have on the associations between spinal pain and chronic health conditions. Variance estimation method was used to compute weighted descriptive statistics and measures of associations with multinomial logistic regression models. All four chronic health conditions significantly increased the prevalence odds of spinal pain; cardiovascular conditions by 58%, hypertension by 40%, diabetes by 25% and obesity by 34%, controlling for all the confounders. For all chronic health conditions, tobacco use (45\u201350%), being insufficiently active (17\u201320%), sleep problems (180\u2013184%), cognitive impairment (90\u2013100%), and mental health conditions (68\u201380%) significantly increased the prevalence odds of spinal pain compared to cases without spinal pain. These findings provide evidence to support research on the prevention and treatment of non-musculoskeletal conditions with approaches of spinal pain management.<\/jats:p>","DOI":"10.3390\/ijerph20075369","type":"journal-article","created":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T04:45:33Z","timestamp":1680497133000},"page":"5369","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Spinal Pain, Chronic Health Conditions and Health Behaviors: Data from the 2016\u20132018 National Health Interview Survey"],"prefix":"10.3390","volume":"20","author":[{"given":"Katie","family":"de Luca","sequence":"first","affiliation":[{"name":"Discipline of Chiropractic, School of Health, Medical and Applied Science, CQ University, Brisbane, QLD 4701, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Tavares","sequence":"additional","affiliation":[{"name":"Department of Clinical Education, Canadian Memorial Chiropractic College, Toronto, ON M2H 3J1, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiou","family":"Yang","sequence":"additional","affiliation":[{"name":"Center for Occupational and Environmental Health, University of California, Irvine, CA 92093, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric L.","family":"Hurwitz","sequence":"additional","affiliation":[{"name":"Office of Public Health Studies, Thompson School of Social Work & Public Health, University of Hawaii, M\u0101noa, Honolulu, HI 96822, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bart N.","family":"Green","sequence":"additional","affiliation":[{"name":"Employer Based Integrated Primary Care Health Centers, Stanford Health Care, San Diego, CA 92121, USA"},{"name":"Department of Publications, National University of Health Sciences, Lombard, IL 60148, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Dale","sequence":"additional","affiliation":[{"name":"Discipline of Chiropractic, School of Health, Medical and Applied Science, CQ University, Brisbane, QLD 4701, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Haldeman","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of California, Irvine, CA 92093, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1007\/s00586-017-5432-9","article-title":"The Global Spine Care Initiative: A summary of the global burden of low back and neck pain studies","volume":"27","author":"Hurwitz","year":"2018","journal-title":"Eur. 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