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

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

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Submetido em:
30/10/2023

Aceito em:
30/01/2024

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