Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20240011-en
Brazilian Journal of Pain
Original Article

Contextual and individual aspects related to musculoskeletal pain in adults in southern Brazil

Aspectos contextuais e individuais relacionados à dor osteomuscular em adultos do sul do Brasil

Cândido Norberto Bronzoni de Mattos; Fernanda de Souza Bairros; Marcos Pascoal Pattussi

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Abstract

BACKGROUND AND OBJECTIVES: Pain generates negative consequences in the personal and social life of individuals. The objective of this study was to investigate the association between musculoskeletal pain and individual and contextual aspects in adults in the south of Brazil.
METHODS: Cross-sectional analysis of a population-based cohort study (n=571). Musculoskeletal pain was assessed using the adapted and translated version for Brazil of the Nordic Musculoskeletal Questionnaire (NMQ). In the multivariable analysis, the variables were adjusted for each other taking into account the two levels: contextual and individual.
RESULTS: The prevalence of musculoskeletal pain was 71.1% (95% CI: 66.4-75.4). In the adjusted analysis, the following were associated with greater musculoskeletal pain at the contextual level: lower income, lower social support from the neighborhood and lower social action. At the individual level, sex (female), older age, lower education, lower social support and morbidities (≥ 3) were associated.
CONCLUSION: The present research findings showed a high prevalence of musculoskeletal pain. Social action at the contextual level remained in the model after adjustment, this association suggests the contribution of socio-environmental factors to health outcomes.

Keywords

Cross-sectional studies, Musculoskeletal pain, Pain

Resumo

JUSTIFICATIVA E OBJETIVOS: A dor gera consequências negativas na vida pessoal e social dos indivíduos. O objetivo deste estudo foi investigar a associação entre dor osteomuscular e aspectos individuais e contextuais em adultos do sul do Brasil. 
MÉTODOS: Análise transversal de um estudo de coorte de base populacional (n=571). A dor osteomuscular foi avaliada através da versão adaptada e traduzida para o Brasil do Questionário Nórdico de Sintomas Osteomusculares (QNSO). Na análise multivariável, as variáveis foram ajustadas entre si levando em consideração os dois níveis: contextual e individual. 
RESULTADOS: A prevalência de dor osteomuscular foi de 71,1% (IC 95%:66,4-75,4). Na análise ajustada estiveram associados a maior dor osteomuscular em nível contextual: menor renda, menor apoio social da vizinhança e menor ação social. Em nível individual estiveram associados o sexo (feminino), maior idade, menor escolaridade, menor apoio social e morbidades (≥3). 
CONCLUSÃO: Os achados desta pesquisa evidenciaram alta prevalência de dor osteomuscular. A ação social no nível contextual permaneceu no modelo após ajustamento, essa associação sugere a contribuição dos fatores socioambientais em desfechos de saúde.

Palavras-chave

Dor, Dor musculoesquelética, Estudos transversais

References

1 Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, Keefe FJ, Mogil JS, Ringkamp M, Sluka KA, Song XJ, Stevens B, Sullivan MD, Tutelman PR, Ushida T, Vader K. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain 2020;161(9):1976-82.

2 Souza JB, Barros CM. Considerations about the new concept of pain. BrJP 2020;3(3):294-294.

3 Perrot S, Cohen M, Barke A, Korwisi B, Rief W, Treede RD. The IASP classification of chronic pain for ICD-11: chronic secondary musculoskeletal pain. Pain 2019;160(1):77-82.

4 Almeida LMS, Dumith SC. Association between musculoskeletal symptoms and perceived stress in public servants of a Federal University in the South of Brazil. BrJP. 2018;1(1):9-14.

5 Hotta GH, Oliveira ASD, Alaiti RK, Reis FJ. Abordagem terapêutica do medo relacionado à dor e da evitação em adultos com dor musculoesquelética crônica: revisão integrativa e roteiro para o clínico. BrJP. 2022;5(1):72-9.

6 Kyu HH. Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1859.

7 Jackson T, Thomas S, Stabile V, Han X, Shotwell M, Mcqueen K. Prevalence of chronic pain in low-income and middle-income countries: a systematic review and meta-analysis. Lancet. 2015;385(Suppl 2):S10.

8 Romero DE, Santana D, Borges P, Marques A, Castanheira D, Rodrigues JM, Sabbadini L. Prevalence, associated factors, and limitations related to chronic back problems in adults and elderly in Brazil. Cad Saude Publica. 2018;34(2):e00012817.

9 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. Braz J Phys Ther. 2011;15(1):31-6.

10 Vieira EB, Garcia JB, Silva AA, Araújo RL, Jansen RC, Bertrand AL. Chronic pain, associated factors, and impact on daily life: are there differences between the sexes? Cad Saude Publica. 2012;28(8):1459-67.

11 Vitta AD, Canonici AA, Conti MHSD, Simeão SFDAP. Prevalência e fatores associados à dor musculoesquelética em profissionais de atividades sedentárias. Fisioter Mov. 2012;25(2):273-80.

12 Saes-Silva E, Vieira YP, Saes MO, Meucci RD, Aikawa P, Cousin E, Silva LMAD, Dumith SC. Epidemiology of chronic back pain among adults and elderly from Southern Brazil: a cross-sectional study. Braz J Phys Ther. 2021;25(3):344-51.

13 Muckenhuber J, Pollak L, Stein KV, Dorner TE. Individual cognitive social capital and its relationship with pain and sick leave due to pain in the Austrian population. PloS One. 2016;11(6):e0157909.

14 Bourdieu P. The forms of capital. In: Richardson JG. Handbook of theory and research for the sociology of education. New York: Greenwood; 1986. 15-29p.

15 Pattussi MP, Moysés SJ, Junges JR, Sheiham A. Social capital and the research agenda in epidemiology. Cad Saude Publica. 2006;22(8):1525-46.

16 Macinko J, Starfield B. The utility of social capital in research on health determinants. Milbank Q. 2001;79(3):387-427

17 Meints SM, Edwards RR. Evaluating psychosocial contributions to chronic pain outcomes. Prog Neuropsychopharmacol Biol Psychiatry. 2018;87(Pt B):168-82.

18 Turk DC, Fillingim RB, Ohrbach R, Patel KV. Assessment of psychosocial and functional impact of chronic pain. J Pain. 2016;17(9):21-49.

19 Åslund C, Starrin B, Nilsson KW. Social capital in relation to depression, musculoskeletal pain, and psychosomatic symptoms: a cross-sectional study of a large population-based cohort of Swedish adolescents. BMC Public Health. 2010;10(1):715.

20 Majeed MT, Ajaz T. Social capital as a determinant of population health outcomes: a global perspective. Pakistan J Comm Soc Sci. 2018;12(1):52-77.

21 Instituto Brasileiro de Geografia e Estatística (IBGE). Censo Demográfico. Brasília: IBGE; 2010.

22 Hsieh FY. Sample size formulae for intervention studies with the cluster as unit of randomization. Stat Med. 1988;7(11):1195-201.

23 Cremonese C, Backes V, Olinto MT, Dias-da-Costa JS, Pattussi MP. Neighborhood sociodemographic and environmental contexts and self-rated health among Brazilian adults: a multilevel study. Cad Saude Publica. 2010;26(12):2368-78.

24 Pattussi MP, Anselmo Olinto MT, Rower HB, Souza de Bairros F, Kawachi I. Individual and neighbourhood social capital and all-cause mortality in Brazilian adults: a prospective multilevel study. Public Health. 2016;134:3-11.

25 Romero SS, Gonçalves TR, Mattos CNB, Bairros FS, Pattussi MP. Validity and reliability of the 8-item EUROHIS-QOL to assess Brazilian adults’ quality of life. Cad Saude Publica. 2022;38(11):e00200921.

26 Pinheiro FA, Troccoli BT, Carvalho CV. Validity of the Nordic Musculoskeletal Questionnaire as morbidity measurement tool. Rev Saude Publica. 2002;36(3):307-12.

27 Sampson RJ, Raudenbush SW, Earls F. Neighborhoods and violent crime: a multilevel study of collective efficacy. Science. 1997;277(5328):918-24.

28 Baum FE, Bush RA, Modra CC, Murray CJ, Cox EM, Alexander KM, Potter RC. Epidemiology of participation: an Australian community study. J Epidemiol Community Health. 2000;54(6):414-23.

29 Stafford M, Bartley M, Mitchell R, Marmot M. Characteristics of individuals and characteristics of areas: investigating their influence on health in the Whitehall II study. Health Place. 2001;7(2):117-29.

30 Sherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med. 1991;32(6):705-14.

31 Griep RH, Chor D, Faerstein E, Werneck GL, Lopes CS. Construct validity of the Medical Outcomes Study’s social support scale adapted to Portuguese in the Pró-Saúde Study. Cad Saude Publica. 2005;21(3):703-14.

32 Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Oliveira LC. Questionário internacional de atividade física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ. 2001;6(2):5-18.

33 World Health Organization (WHO). Obesity: preventing and managing the global epidemic. Geneva: WHO; 2000.

34 Victora CG, Huttly SR, Fuchs SC, Olinto MT. The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. Int J Epidemiol. 1997;26(1):224-7.

35 Iguti AM, Guimarães M, Barros MBA. Health-related quality of life (SF-36) in back pain: a population-based study, Campinas, São Paulo State, Brazil. Cad Saude Publica. 2021;37(2):e00206019.

36 Andrews P, Steultjens M, Riskowski J. Chronic widespread pain prevalence in the general population: a systematic review. Eur J Pain. 2018;22(1):5-18.

37 Mills SEE, Nicolson KP, Smith BH. Chronic pain: a review of its epidemiology and associated factors in population-based studies. Br J Anaesth. 2019;123(2):e273-e283.

38 Maly A, Vallerand AH. Neighborhood, socioeconomic, and racial influence on chronic pain. Pain Manag Nurs. 2018;19(1):14-22.

39 Sousa JL, Alencar GP, Antunes JLF, Silva ZPD. Markers of inequality in self-rated health in Brazilian adults according to sex. Cad Saude Publica. 2020;36(5):e00230318.

40 Aida J, Kondo K, Kawachi I, Subramanian SV, Ichida Y, Hirai H, Kondo N, Osaka K, Sheiham A, Tsakos G, Watt RG. Does social capital affect the incidence of functional disability in older Japanese? A prospective population-based cohort study. J Epidemiol Community Health. 2013;67(1):42-7.

41 Santiago BM, Valença AMG, Vettore MV. Social capital and dental pain in Brazilian northeast: a multilevel cross-sectional study. BMC Oral Health. 2013;13(1):1-9.

42 Malta DC, Oliveira MM, Andrade SSCA, Caiaffa WT, Souza MFM, Bernal RTI. Factors associated with chronic back pain in adults in Brazil. Rev Saude Publica. 2017;51(Suppl 1):9s.

43 Simões TC, Meira KC, Santos JD, Câmara DCP. Prevalências de doenças crônicas e acesso aos serviços de saúde no Brasil: evidências de três inquéritos domiciliares. Cien Saude Colet. 2021;26:3991-4006.

44 Oliveira MMD, Andrade SSCDA, Souza CAVD, Ponte JN, Szwarcwald CL, Malta DC. Problema crônico de coluna e diagnóstico de distúrbios osteomusculares relacionados ao trabalho (DORT) autorreferidos no Brasil: Pesquisa Nacional de Saúde, 2013. Epidemiol Serv Saude. 2015;24:287-96.

45 Zanuto EAC, Codogno JS, Christófaro DGD, Vanderlei LCM, Cardoso JR, Fernandes RA. Prevalência de dor lombar e fatores associados entre adultos de cidade média brasileira. Cien Saude Colet. 2015;20(5):1575-82.

46 Depintor JD, Bracher ES, Cabral DM, Eluf-Neto J. Prevalence of chronic spinal pain and identification of associated factors in a sample of the population of São Paulo, Brazil: cross-sectional study. Sao Paulo Med J. 2016;134(5):375-84.

47 Bento TPF, Genebra CVDS, Cornélio GP, Biancon RDB, Simeão SFAP, Vitta AD. Prevalência e fatores associados com dor no ombro na população geral: um estudo transversal. Fisioter Pesqui. 2019; 26(4):401-6.

48 Souza I, Vasconcelos AG, Caumo W, Baptista AF. Resilience profile of patients with chronic pain. Cad Saude Publica. 2017;33(1):e00146915.

49 Macedo JP, Dimenstein M, Sousa HRD, Costa APAD, Silva BÍDBDM. A produção científica brasileira sobre apoio social: tendências e invisibilidades. Gerais: Rev Int Psicol. 2018;11(2):258-78.

50 Nicolson PJ, Williamson E, Morris A, Sanchez-Santos MT, Bruce J, Silman A, Lamb SE. Musculoskeletal pain and loneliness, social support and social engagement among older adults: analysis of the Oxford Pain, Activity and Lifestyle cohort. Musculoskeletal Care. 2021;19(3):269-77.

51 Canesqui AM, Barsaglini RA. Social support and health: standpoints from the social and human sciences. Cien Saude Colet. 2012;17(5):1103-14.

52 Sardina AG, Gamaldo AA, Andel R, Johnson S, Baker TA, Thorpe RJ, Mcevoy C, Evans MK, Zonderman AB. Cross-sectional examination of musculoskeletal pain and physical function in a racially and socioeconomically diverse sample of adults. J Gerontol A Biol Sci Med Sci. 2021;76(2):368-77.
 


Submitted date:
10/30/2023

Accepted date:
01/30/2024

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