Factors associated with chronic back pain in adults in Brazil.

Autor: Malta DC; Departamento de Enfermagem Materno Infantil e Saúde Pública. Escola de Enfermagem. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil., Oliveira MM; Programa de Pós-Graduação. Faculdade de Saúde Pública. Universidade de São Paulo. São Paulo, SP, Brasil., Andrade SSCA; Diretoria de Vigilância de Doenças e Agravos Não Transmissíveis. Secretaria de Vigilância em Saúde. Ministério da Saúde. Brasília, DF, Brasil., Caiaffa WT; Observatório de Saúde Urbana de Belo Horizonte. Departamento de Medicina Preventiva e Social. Faculdade de Medicina. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil., Souza MFM; Diretoria de Vigilância de Doenças e Agravos Não Transmissíveis. Secretaria de Vigilância em Saúde. Ministério da Saúde. Brasília, DF, Brasil., Bernal RTI; Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde. Universidade de São Paulo. São Paulo, SP, Brasil.
Jazyk: English; Portuguese
Zdroj: Revista de saude publica [Rev Saude Publica] 2017 Jun 01; Vol. 51 (suppl 1), pp. 9s. Date of Electronic Publication: 2017 Jun 01.
DOI: 10.1590/S1518-8787.2017051000052
Abstrakt: Objective: To identify associations of chronic back pain with sociodemographic characteristics, lifestyles, body mass index, self-reported chronic diseases and health assessment, according to sex.
Methods: We analyzed data from the 2013 National Health Survey, estimated the prevalence and their respective 95% confidence intervals (95%CI) of chronic back pain, according to selected variables and performed adjustment by age and education.
Results: 18.5% of the Brazilian population reported chronic back pain, 15.5% (95%CI 14.7-16.4) of them being men and 21.1% (95%CI 20.2-22.0) being women. The characteristics that remained associated and statistically significant (p < 0.05) after adjustment, in men, were: age group, higher in men with 65 years or older (ORa = 6.06); low education level; living in rural area; history of smoking, high salt intake, increase in the time of heavy physical activity at work and at home; being overweight (ORa = 1.18) or obese (ORa = 1.26); diagnostic of hypertension (ORa = 1.42), high cholesterol (ORa = 1.60); and worse health assessment in comparison with very good (good [ORa = 1.48]; regular [ORa = 3.22]; poor [ORa = 5.00], very poor [ORa = 8.60]). Among women, they were: increase with age, higher among women with 55-64 years (ORa = 3.64); low education level; history of smoking, regular candy consumption, high salt intake, heavy physical activity at work and at home and increase in the time of these activities; being overweight (ORa = 1.23) or obese (ORa = 1.32); diagnosis of hypertension (ORa = 1.50), high cholesterol (ORa = 1.84); and worse health assessment than very good (good [ORa = 1.43]; regular [ORa = 3.16]; poor [ORa = 5.44], very poor [ORa = 8.19]).
Conclusions: Our findings point out differences by sex and contribute to the knowledge of the panorama of chronic back pain, which, besides affecting individuals, generate negative socioeconomic impacts, by causing work-related disabilities and hindering everyday activities.
Databáze: MEDLINE