Epidemiology of pain in back and extremities in rural population: A community-based estimation of age- and sex-specific prevalence, distribution, duration and intensity of pain, number of painful sites and seasonality of pain during twelve months in rural Gadchiroli, India.

Autor: Bang AA; Society for Education, Action and Research in Community Health (SEARCH), Gadchiroli, Maharashtra, India., Bhojraj SY; Spine Foundation, Mumbai, Maharashtra, India., Deshmukh M; Society for Education, Action and Research in Community Health (SEARCH), Gadchiroli, Maharashtra, India., Joshi VR; Hinduja Hospital and Research Center, Mumbai, Maharashtra, India., Yermal T; Naraindas Morbai Budhrani Trust, Mumbai, Maharashtra, India., Kalkotwar S; Spine Foundation, Mumbai, Maharashtra, India., Bang AT; Society for Education, Action and Research in Community Health (SEARCH), Gadchiroli, Maharashtra, India.
Jazyk: angličtina
Zdroj: Journal of global health [J Glob Health] 2021 Nov 27; Vol. 11, pp. 12002. Date of Electronic Publication: 2021 Nov 27 (Print Publication: 2021).
DOI: 10.7189/jogh.11.12002
Abstrakt: Background: Population-based estimates of the burden of pain in back and extremities (PBE) by sex, age, intensity, seasonality and site are lacking from rural India.
Methods: Two villages were randomly selected from a cluster of 39 villages in Gadchiroli district in India. All residents'≥20 years of age were surveyed in January 2010 by trained surveyors by making household visits. Information on PBE in the 12 months prior to survey was obtained using a structured, pretested questionnaire.
Results: The 12-month period prevalence of PBE was 75% (95% confidence interval CI = 72.54-77.73) in men and 91% (95% CI = 88.66-92.13) in women. The prevalence of PBE in the participants >50 years was 94% while that in the age group 20 to 50 years was 79% ( P  < 0.05). The site with the highest prevalence of pain was low back (women 80%, men 59%). The mean number of painful sites per person was 5.42 (95% CI = 5.17-5.67) in women, 3.68 (95% CI = 3.45-3.90) in men, 3.89 (95% CI = 3.71-4.07) in participants aged 20 to 50 years and 6.48 (95% CI = 6.11-6.85) in those >50 years. Among participants across the age and sex groups, the prevalence of mild pain was higher than severe pain at all the anatomical sites. Among various seasons, the highest prevalence of pain was in the rainy season (14%).
Conclusion: The prevalence and the number of painful sites were higher among women and in those >50 years of age. The public health interventions for PBE need to focus on these two high risk groups.
Competing Interests: Competing interests: The authors have completed the ICMJE Disclosure of Interest form (available upon request from the corresponding author), and declare no conflicts of interest.
(Copyright © 2021 by the Journal of Global Health. All rights reserved.)
Databáze: MEDLINE