Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20190059
Brazilian Journal of Pain
Artigo Original

Back pain in adolescents: prevalence and associated factors

Dor nas costas em adolescentes: prevalência e fatores associados

Mirna Namie Okamura; Wilma Madeira; Moisés Goldbaum; Chester Luiz Galvão Cesar

http://dx.doi.org/10.5935/2595-0118.20190059 BrJP, vol.2, n4, p.321-325, 2019
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Abstract

BACKGROUND AND OBJECTIVES: Back pain is one of the most common pain in humans. It impacts the health and quality of life and can be disabling. Diseases detected in adolescence and poorly managed may get worse in adulthood. The objective of this study is to estimate the prevalence, the associated factors and the characteristics of back pain in adolescents living in the city of São Paulo.

METHODS: A cross-sectional population-based study - Health Survey in São Paulo (2015) with 539 adolescents of both genders between 15 and 19 years old was used. The information was collected through home interviews and the participants were selected by probabilistic sampling. Frequencies, Chi-square test, and logistic regression analysis were used in this analysis. The level of significance was 5%.

RESULTS: The estimated prevalence of back pain in adolescents in the city of São Paulo was 22.4%. Back pain in adolescents had the following associated factors: dizziness (OR 3.1), common mental disorder (OR 2.4), insomnia (OR 2.6) and perform household chores (OR 1.8). To relieve the pain, 46.6% of adolescents do nothing, 17.3% use self-medication and 8.9% use prescribed medication.

CONCLUSION: Acknowledging back pain as a public health problem requires strategies that allow us to learn the origins, associated factors and coping strategies that may influence new ways of prioritizing and organizing healthcare.

Keywords

Adolescent, Back pain, Cross-sectional studies, Low back pain, Prevalence

Resumo

JUSTIFICATIVA E OBJETIVOS: Dor nas costas é uma das dores mais comuns do ser humano. Afeta a saúde e a qualidade de vida, podendo ser incapacitante. Doenças detectadas na adolescência e mal manejadas podem se agravar na vida adulta. O objetivo deste estudo foi estimar a prevalência, fatores associados e características de dor nas costas em adolescentes da cidade de São Paulo.

MÉTODOS: Estudo transversal de base populacional - Inquérito de Saúde da Capital 2015, com 539 adolescentes de ambos os sexos e entre 15 e 19 anos. As informações foram coletadas por meio de entrevistas domiciliares e os participantes foram selecionados a partir de amostragem probabilística. Frequências, teste do Qui-quadrado e análise de regressão logística foram utilizados na análise. O nível de significância adotado foi 5%.

RESULTADOS: A prevalência estimada de dor nas costas em adolescentes da cidade de São Paulo foi de 22,4%. Dor nas costas em adolescentes apresentou fatores associados com: tontura (OR 3,1), transtorno mental comum (OR 2,4), insônia (OR 2,6) e realizar atividades físicas domésticas (OR 1,8). Na busca por alívio da dor, 46,6% dos adolescentes não fazem nada, 17,3% buscam automedicação e 8,9% usam fármaco prescrito.

CONCLUSÃO: Entender a dor nas costas como um problema de saúde pública obriga a pensar em estratégias que permitam compreender origens, fatores associados e estratégias de enfrentamento que podem influenciar novas formas de priorizar e organizar a atenção à saúde.

Palavras-chave

Adolescente, Dor lombar, Dor nas costas, Estudos transversais, Prevalência

Referências

Duthey B. Low Back Pain. 2013.

Swain MS, Henschke N, Kamper SJ, Gobina I, Ottová-Jordan V, Maher CG. An international survey of pain in adolescents. BMC Public Health. 2014;14:447.

Iguti AM, Bastos TF, Barros MB. Back pain in adults: a population-based study in Campinas, São Paulo State, Brazil. Cad Saude Publica. 2015;31(12):2546-58.

Ferreira GD, Silva MC, Rombaldi AJ, Wrege ED, Siqueira FV, Hallal PC. Prevalência de dor nas costas e fatores associados em adultos do Sul do Brasil: estudo de base populacional. Rev Bras Fisioter. 2011;15(1):31-6.

Graup S, Araújo Bergmann ML, Bergmann GG. Prevalence of nonspecific lumbar pain and associated factors among adolescents in Uruguaiana, state of Rio Grande do Sul. Rev Bras Ortop. 2014;49(6):661-7.

Boletim ISA Capital 2015, nº 0, 2017: Aspectos metodológicos e produção de análises. 2017.

ISA Capital - Inquérito de Saúde no Município de São Paulo, 2014. 2014.

Boletim ISA Capital 2015, nº 6, 2017: Estado nutricional da população da cidade de São Paulo. 2017.

Boletim ISA Capital 2015, nº 18, 2018: Atividade física na cidade de São Paulo. 2018.

Gonçalves DM, Stein AT, Kapczinski F. Performance of the Self-Reporting Questionnaire as a psychiatric screening questionnaire: a comparative study with Structured Clinical Interview for DSM-IV-TR. Cad Saude Publica. 2008;24(2):380-90.

Archer KJ, Lemeshow S. Goodness-of-fit test for a logistic regression model fitted using survey sample data. Stata J. 2006;6(1):97-105.

O'Sullivan P, Smith A, Beales D, Straker L. Understanding adolescent low back pain from a multidimensional perspective: implications for management. J Orthop Sport Phys Ther. 2017;47(10):741-51.

Rees CS, Smith AJ, O'Sullivan PB, Kendall GE, Straker LM. Back and neck pain are related to mental health problems in adolescence. BMC Public Health. 2011;11:382-90.

Viana MC, Lim CCW, Pereira FG, Aguillar-Gaxiola , Alonso J, Bruffaerts R. Previous mental disorders and subsequent onset of chronic back or neck pain: findings from 19 countries. J Pain. 2018;19(1):99-110.

Janssens KAM, Rosmalen JGM, Ormel J, Verhulst FC, Hunfeld JAM, Mancl LA. Pubertal status predicts back pain, overtiredness, and dizziness in American and Dutch adolescents. Pediatrics. 2011;128(3):553-9.

Auvinen JP, Tammelin TH, Taimela SP, Zitting PJ, Järvelin MR, Taanila AM. Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents. Eur Spine J. 2010;19(4):641-9.

Dey M, Jorm AF, Mackinnon AJ. Cross-sectional time trends in psychological and somatic health complaints among adolescents: a structural equation modelling analysis of 'Health Behaviour in School-aged Children' data from Switzerland. Soc Psychiatry Psychiatr Epidemiol. 2015;50(8):1189-98.

Sjolie AN. Associations between activities and low back pain in adolescents. Scand J Med Sci Sport. 2004;14(6):352-9.

Noll M, Candotti CT, Rosa BN, Loss JF. Back pain prevalence and associated factors in children and adolescents: an epidemiological population study. Rev Saude Publica. 2016;50.

Hestbaek L, Leboeuf-Yde C, Kyvik KO, Manniche C. The course of low back pain from adolescence to adulthood: eight-year follow-up of 9600 twins. Spine. 2006;31(4):468-72.

Pardo IM, Jozala DR, Carioca AL, Nascimento SR, Santucci VC. Automedicação: prática frequente na adolescência? Estudo em uma amostra de estudantes do ensino médio de Sorocaba. Rev Fac Cienc Med Sorocaba. 2013;15(2):11-5.

Arrais PS, Fernandes ME, Pizzol TD, Ramos LR, Mengue SS, Luiza VL. Prevalence of self-medication in Brazil and associated factors. Rev Saude Publica. 2016;50(^sSuppl 2):13s.

Shipton EA. Physical therapy approaches in the treatment of low back pain. Pain Ther. 2018;7(2):127-37.

Submetido em:
18/07/2019

Aceito em:
17/09/2019

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