ISSN: 2706-8870
Volume 1, Number 2 (2016)
Year Launched: 2016
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Risk of juvenile fibromyalgia among Taiwan adolescents: Nationwide population-based study from 2000 to 2010

Volume 1, Issue 2, December 2016     |     PP. 183-195      |     PDF (361 K)    |     Pub. Date: December 21, 2016
DOI:    357 Downloads     7444 Views  

Author(s)

Hsin-Li Liu, Department of Nursing, Central Taiwan University of Science and Technology;
Chuan-Mei Chen, Department of Nursing, Central Taiwan University of Science and Technology.
Liang -Guei Huang, Department of Nursing, Central Taiwan University of Science and Technology
Horng -Mo Lee, School of Medical Laboratory Sciences and Biotechnology, Taipei Medical University.
Yueh-Chin Chung, Department of Nursing, Central Taiwan University of Science and Technology

Abstract
Background: The incidence of juvenile fibromyalgia (JFM) in Taiwan has yet to be documented. As such, we investigated the incidence, risk factors, and comorbidities of JFM in this country.Methods: We analyzed the 2000–2010 claims data of outpatients diagnosed with JFM (ICD-9-CM codes 729.1) from the National Health Insurance Research Database.Results: A total of 9,808 females (52.38%) and 8,916 males (47.62%) were included in this study. The male-to-female ratio was 0.99–0.95 among 16- to 18-year-old individuals. The JFM with the highest incidence was observed in the 15- to 18-year-old age group. The annual incidences of JFM peaked in 2004 (235.10 per 1,000 people/year). Comorbidities with all JFM included Signs, symptoms, and ill-defined conditions(65.29%) and Gastrointestinal conditions (17.86%). The incidence of JFM among the female patients with Signs, symptoms,and ill-defined conditions and Gastrointestinal conditions were significantly higher than that among the patients without JFM (OR = 1.09, 95% confidence interval (CI) = 1.03–1.16, p < 0.003; OR = 1.10, 95% confidence interval (CI) = 1.01–1.20, p <0.026). The incidence of JFM among the male patients with Signs, symptoms, and ill-defined conditions was significantly higher than that among the patients without JFM (OR =1.09, 95% confidence interval (CI) = 1.03 –1.16, p < 0.0062). Conclusions: Differences in comorbidities with JFM were observed. Additional multidisciplinary intervention strategies should be developed to detect and treat JFM.

Keywords
juvenile fibromyalgia, pediatric, incidence, nationwide population-based study

Cite this paper
Hsin-Li Liu, Chuan-Mei Chen, Liang -Guei Huang, Horng -Mo Lee, Yueh-Chin Chung, Risk of juvenile fibromyalgia among Taiwan adolescents: Nationwide population-based study from 2000 to 2010 , SCIREA Journal of Clinical Medicine. Volume 1, Issue 2, December 2016 | PP. 183-195.

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