Prevalence and factors associated with neck pain: a population-based study

Caio Vitor Dos Santos Genebra, Nicoly Machado Maciel, Thiago Paulo Frascareli Bento, Sandra Fiorelli Almeida Penteado Simeão, Alberto De Vitta, Caio Vitor Dos Santos Genebra, Nicoly Machado Maciel, Thiago Paulo Frascareli Bento, Sandra Fiorelli Almeida Penteado Simeão, Alberto De Vitta

Abstract

Background: Neck pain is a musculoskeletal condition with high prevalence that may affect the physical, social, and psychological aspects of the individual, contributing to the increase in costs in society and business.

Objective: To determine the prevalence of neck pain and associated factors in a population-based sample of adults aged 20 and more.

Methods: Cross-sectional study based on a population survey. A total number of 600 individuals were interviewed in their homes, and the following data were collected: (1) participant characteristics (demographic, socioeconomic, and work-related aspects) using a pre-coded questionnaire; (2) physical activity level using the IPAQ; and (3) musculoskeletal symptoms using the Nordic questionnaire. Descriptive, bivariate, and Poisson regression analyses were performed.

Results: The prevalence of neck pain was 20.3% (95% CI 17.3-23.7). The adjusted analyses showed that individuals who were widowers or separated (PR=2.26; 1.42-5.88), had a low income (PR=1.32; 1.22-6.27) or low educational level (PR=1.83; 1.02-5.26), worked while sitting and leaning (PR=1.55; 1.08-2.40), and who reported having two or more diseases (PR=1.71; 1.55-6.31) remained associated with neck pain.

Conclusion: This study reveals the high prevalence of neck pain and remarkable association with widowed/separated people who have low income and low educational level, who perform their occupational activities in sitting and leaning positions, and who reported having two or more diseases. Knowledge of these risk factors will contribute to the development of forms of assistance in which neck pain can be prevented and better managed.

Keywords: Epidemiology; Neck pain; Physical therapy; Risk factors.

Copyright © 2017 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.

References

    1. Vingard E. Chapter 5.6: major public health problems – musculoskeletal disorders. Scand J Public Health Suppl. 2006;67:104–112.
    1. Fejer R., Kyvik K.O., Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J. 2006;15:834–848.
    1. Malchaire J.B., Roquelaure Y., Cock N., Piette A., Vergracht S., Chiron H. Musculoskeletal complaints, functional capacity, personality and psychosocial factors. Int Arch Occup Environ Health. 2001;74(8):549–557.
    1. Cimmino M.A., Ferrone C., Cutolo M. Epidemiology of chronic musculoskeletal pain. Best Practice Res Clin Rheumatol. 2011;25(2):173–183.
    1. Yue P., Liu F., Li L. Neck/shoulder pain and low back pain among school teachers in China, prevalence and risk factors. BMC Public Health. 2012;12:789.
    1. Strine T.W., Hootman J.M. US national prevalence and correlates of low back and neck pain among adults. Arthritis Rheum. 2007;57(4):656–665.
    1. Hush J.M., Michaleff Z., Maher C.G., Refshauge K. Individual, physical and psychological risk factors for neck pain in Australian office workers: a 1-year longitudinal study. Eur Spine J. 2009;18:1532–1540.
    1. Hoy D., March L., Woolf A. The global burden of neck pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014;73:1309–1315.
    1. Ferreira G.E., Barreto R.G., Robinson C.C., Plentz R.D.M., Silva M.F. Global Postural Reeducation for patients with musculoskeletal conditions: a systematic review of randomized controlled trials. Braz J Phys Ther. 2016;20(3):194–220.
    1. León-Hernández J.V., Martín-Pintado-Zugasti A., Frutos L.G., Alguacil-Diego I.M., Llave-Rincón A.L., Fernandez-Carnero J. Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain. Braz J Phys Ther. 2016
    1. Ferreira G.D., Silva M.C., Rombaldi A.J., Wrege E.D., Siqueira F.V., Hallal P.C. Prevalência de dor nas costas e fatores associados em adultos do Sul do Brasil: estudo de base populacional. Rev Bras Fisioter. 2011;15(1):31–36.
    1. Alves MCGP. Técnicas de replicação em análise de dados de inquéritos domiciliares. (Tese de Doutorado). São Paulo: Faculdade de Saúde Pública da USP; 2002.
    1. IBGE Pesquisa Nacional por Amostra de Domicílios. Pesq Nac Amost Domic. 2011;31:1–135.
    1. Folstein M.F., Folstein S.E., McHugh P.R. Mini-mental state: a practical method for grading the cognitive state of patients for the clinician. J Psychiatric Res. 1975;12:189–198.
    1. Barros E.N.C., Alexandre N.M.C. Cross-cultural adaptation of the Nordic Musculoskeletal Questionnaire. Int Nurs Rev. 2003;50(2):101–108.
    1. Fejer R., Hartvigsen J. Neck pain and disability due to neck pain: what is the relation? Eur Spine J. 2008;17(1):80–88.
    1. Palma R., Conti M.H.S., Quintino N.M., Gatti M.A.N., Simeão S.F.A.P., Vitta A. Functional capacity and its associated factors in the elderly with low back pain. Acta Ortop Bras. 2014;22(6):295–299.
    1. Fernandes J.A.A., Genebra C.V.S., Maciel N.M., Fiorelli A., Conti M.H.S., De Vitta A. Low back pain in schoolchildren: a cross-sectional study in a western city of São Paulo State, Brazil. Acta Ortop Bras. 2015;23(5):235–238.
    1. World Health Organization. Guidelines for controlling and monitoring the tobacco epidemic. Geneva, Switzerland: World Health Organization.
    1. Campolina A.G., Ciconelli R.M. Qualidade de Vida medidas de utilidade: parâmetros clínicos para as tomadas de decisão em saúde. Rev Panam Salud Publ. 2006;2(19):128–136.
    1. Matsudo S.M.M., Araújo T.L., Matsudo V.K.R., Andrade D.R., Oliveira L.C., Braggion G.F. Questionário Internacional de Atividade Física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ Fís e Saúde. 2001;6(2):5–18.
    1. HHS - Physical Activity Guidelines Advisory Committee. Physical Activity Guidelines Advisory Committee Report, 2008. Washington, DC: U.S; 2008.
    1. Fernández-de-las-Peñas C., Hernández-Barrera V., Alonso-Blanco C. Prevalence of neck and low back pain in community-dwelling adults in Spain: a population-based national study. Spine (Phila Pa 1976) 2011;36(3):E213–E219.
    1. Stranjalis G., Kalamatianos T., Stavrinou L.C., Tsamandouraki K., Alamanos Y. Neck pain in a sample of Greek urban population (fifteen to sixty-five years): analysis according to personal and socioeconomic characteristics. Spine (Phila Pa 1976) 2011;36(16):E1098–E1104.
    1. Ranasinghe P., Perera Y.S., Lamabadusuriya D.A. Work related complaints of neck, shoulder and arm among computer office workers: a cross-sectional evaluation of prevalence and risk factors in a developing country. Environ Health. 2011;10:70.
    1. Ostergren P., Bertil S., Hanson B.S. Incidence of shoulder and neck pain in a working population: effect modification between mechanical and psychosocial exposures at work? Results from a one year follow up of the Malmö shoulder and neck study cohort. J Epidemiol Commun Health. 2005;59:721–728.
    1. Son K.M., Cho N.H., Lim S.H., Kim H.A. Prevalence and risk factor of neck pain in elderly Korean community residents. J Korean Med Sci. 2013;28:680–686.
    1. Jiménez-Sáncheza S., Fernández-de-las-Penas C., Carrasco-Garrido P. Prevalence of chronic head, neck and low back pain and associated factors in women residing in the Autonomous Region of Madrid (Spain) Gac Sanit. 2012;26(6):534–540.
    1. Almeida I.C.G.B., Sá K.N., Silva M.B., Matos M.A., Lessa I. Prevalência de dor lombar crônica na população da cidade de Salvador. Rev Bras Ortop. 2008;43(3):96–102.
    1. Holmberg S.A.C., Thelin A.G. Predictor s of sick leave owing to neck or low back pain: a 12-year longitudinal cohort study in a rural male population. Ann Agric Environ Med. 2010;17:251–257.
    1. Oha K., Animägi L., Pääsuke M., Coggon D., Merisalu E. Individual and work-related risk factors for musculoskeletal pain: a cross-sectional study among Estonian computer users. BMC Musculoskelet Disord. 2014;15:181.
    1. Paksaichol A., Janwantanakul P., Purepong N., Pensri P., van der Beek A.J. Office workers’ risk factors for the development of non-specific neck pain: a systematic review of prospective cohort studies. Occup Environ Med. 2012;69:610–618.
    1. De Vitta A., Trize D.M., Fiorelli A., Carnaz L., De Conti M.H.S., Simeão S.F.A.P. Neck/shoulders pain and its relation to the use of tv/computer/videogame and physical activity in school students from Bauru. Fisioter Mov. 2014;27(1):111–118.
    1. Palacios-Ceña D., Alonso-Blanco C., Hernández-Barrera V., Carrasco-Garrido P., Jiménez-García R., Fernández-de-las-Peñas C. Prevalence of neck and low back pain in community-dwelling adults in Spain: an updated population-based national study (2009/10-2011/12) Eur Spine J. 2015;24(3):482–492.
    1. Harker J., Reid K.J., Bekkering G.E. Epidemiology of chronic pain in Denmark and Sweden. Pain Res Treat. 2012;2012:1–30.
    1. Maciel A.C.C., Fernandes M.B., Medeiros L.S. Prevalência e fatores associados à sintomatologia dolorosa entre profissionais da indústria têxtil. Rev Bras Epidemiol. 2006;9(1):94–102.
    1. Schmidt C.O., Moock J., Fahland R.A., Feng Y.Y., Kohlmann T. Back pain and social status among the working population: what is the association? Results from a German general population survey. Schmerz. 2011;25(3):306–314.
    1. Pueyo M.J., Surís X., Larrosa M. Importancia de los problemas reumáticos en la población de Cataluna: prevalencia y repercusión en la salud percibida, restricción de actividades y utilización de recursos sanitarios. Gac Sanit. 2012;26(1):30–36.
    1. Rodrigues F.F.L., Santos M.A., Teixeira C.R.S., Gonela J.T., Zanetti M.L. Relação entre conhecimento, atitude, escolaridade e tempo de doença em indivíduos com diabetesmellitus. Acta Paul Enferm. 2012;25(2):284–290.

Source: PubMed

Sponsors and Collaborators

Medical Conditions

Drug Interventions

3
Subscribe