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The prevalence and risk factors of chronic low back pain among adults in KwaZulu-Natal, South Africa: an observational cross-sectional hospital-based study.
Kahere, Morris; Ginindza, Themba.
  • Kahere M; Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, 2nd Floor George Campbell Building, Mazisi Kunene Road, Durban, 4041, South Africa. mrrskhr@gmail.com.
  • Ginindza T; Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, 2nd Floor George Campbell Building, Mazisi Kunene Road, Durban, 4041, South Africa.
BMC Musculoskelet Disord ; 22(1): 955, 2021 Nov 15.
Article in English | MEDLINE | ID: covidwho-1526623
ABSTRACT

BACKGROUND:

Globally, chronic low back pain (CLBP) is the leading cause of disability associated with economic costs. However, it has received little attention in low-and-middle-income countries. This study estimated the prevalence and risk factors of CLBP among adults presenting at selected hospitals in KwaZulu-Natal.

METHODOLOGY:

This cross-sectional study was conducted among adults aged ≥18 years who attended the selected hospitals in KwaZulu-Natal during the study period. A self-administered questionnaire was used to collect data on socio-demographic, work-related factors, and information about CLBP. The SPSS version 24.0 (IBM SPSS Inc) was used for data analysis. Descriptive statistics were used for demographic characteristics of participants. CLBP risk factors were assessed using multivariate logistic regression analysis. A p-value of ≤0.05 was deemed statistically significant.

RESULTS:

A total of 678 adults participated in this study. The overall prevalence of CLBP was 18.1% (95% CI 15.3 - 21.3) with females having a higher prevalence than males, 19.8% (95% CI 16.0 - 24.1) and 15.85% (95% CI 11.8 - 20.6), respectively. Using multivariate regression analysis, the following risk factors were identified overweight (aOR 3.7, 95% CI 1.1 - 12.3, p = 0.032), no formal education (aOR 6.1, 95% CI 2.1 - 18.1, p = 0.001), lack of regular physical exercises (aOR 2.2, 95% CI 1.0 - 4.8, p = 0.044), smoking 1 to 10 (aOR 4.5, 95% CI 2.0 - 10.2, p < 0.001) and more than 11 cigarettes per day (aOR 25.3, 95% CI 10.4 - 61.2, p < 0.001), occasional and frequent consumption of alcohol, aOR 2.5, 95% CI 1.1 - 5.9, p < 0.001 and aOR 11.3, 95% CI 4.9 - 25.8, p < 0.001, respectively, a sedentary lifestyle (aOR 31.8, 95% CI 11.2 - 90.2, p < 0.001), manual work (aOR 26.2, 95% CI 10.1 - 68.4, p < 0.001) and a stooped sitting posture (aOR 6.0, 95% CI 2.0 - 17.6, p = 0.001).

CONCLUSION:

This study concluded that the prevalence of CLBP in KwaZulu-Natal is higher than in other regions, and that it is predicted by a lack of formal education, overweight, lack of regular physical exercises, smoking, alcohol consumption, sedentary lifestyle, manual work, and a stooped posture.
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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Low Back Pain Subject: Low Back Pain Type of study: Diagnostic study / Etiology study / Prevalence study / Prognostic study / Risk factors Language: English Journal: BMC Musculoskelet Disord Clinical aspect: Etiology / Prediction / Prognosis Year: 2021

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Low Back Pain Subject: Low Back Pain Type of study: Diagnostic study / Etiology study / Prevalence study / Prognostic study / Risk factors Language: English Journal: BMC Musculoskelet Disord Clinical aspect: Etiology / Prediction / Prognosis Year: 2021
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