Gender disparities of chronic musculoskeletal disorder burden in the elderly Ghanaian population: study on global ageing and adult health (SAGE WAVE 1)
Identifieur interne : 000336 ( Main/Exploration ); précédent : 000335; suivant : 000337Gender disparities of chronic musculoskeletal disorder burden in the elderly Ghanaian population: study on global ageing and adult health (SAGE WAVE 1)
Auteurs : Emmanuel Kweku Nakua [Ghana] ; Easmon Otupiri [Ghana] ; Veronica Millicent Dzomeku [Ghana] ; Ellis Owusu-Dabo [Ghana] ; Peter Agyei-Baffour [Ghana] ; Alfred Edwin Yawson [Ghana] ; Gloria Folson [Ghana] ; Sandra HewlettSource :
- BMC Musculoskeletal Disorders [ 1471-2474 ] ; 2015.
Abstract
Traditionally, non-communicable diseases including musculoskeletal disorders have not been a priority in low-and-middle income countries. The main aim of this paper is to assess age and gender specific burden by estimating the current prevalence of musculoskeletal disorders and associated risk factors in the elderly Ghanaian population.
Between May 2007 and June 2008, the World Health Organization conducted a nationwide study on AGEing (SAGE) and Adult Health in Ghana. The study employed a multistage cluster sampling strategy to identify participants by stratifying the population by age and setting. A structured questionnaire was used for data collection. A Poisson regression model was fitted with robust error variance. Prevalence estimates took into account the complex survey design and sampling weights. Statistical significance was considered at p ≤ 0.05 significance level. Statistical analysis was performed with STATA version 11.2.
The prevalence rates of chronic back pain and chronic arthritis/joints pain were higher in women than men. The overall crude prevalence’s rates were 28.2 and 10.7 % for chronic back pain and chronic arthritis/joints pain respectively. Substantial differences existed between men and women in terms of socio-economic status, education level and occupational status. Women with primary education had a chronic back pain prevalence of 36.2 % (95 % CI; 29.2, 43.3) and chronic arthritis/joints pain prevalence of 15.8 % (95 % CI; 11.1, 20.6) while their male counterparts had prevalence rates of 29.0 % (95 % CI; 23.4, 34.5) and 9.8 % (95 % CI; 6.4, 13.2) respectively. Residence (rural and urban) did not appear to influence the prevalence of chronic back pain and arthritis/joints pain.
Our findings suggest the existence of sex differences in chronic back pain and chronic arthritis/joint pain in the elderly population in Ghana after adjustment for demographic and socio-economic factors. It indicates the existence of inequalities in health between elderly men and women with women suffering more from chronic back pain and chronic arthritis/joints pain.
Url:
DOI: 10.1186/s12891-015-0666-3
PubMed: 26286129
PubMed Central: 4541744
Affiliations:
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Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Kumasi Collaborative Center for Tropical Research, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kumasi Collaborative Center for Tropical Research, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Agyei Baffour, Peter" sort="Agyei Baffour, Peter" uniqKey="Agyei Baffour P" first="Peter" last="Agyei-Baffour">Peter Agyei-Baffour</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Occupational and Environmental Health, School of Public Health, Kwame Nkrumah University Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Occupational and Environmental Health, School of Public Health, Kwame Nkrumah University Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Yawson, Alfred Edwin" sort="Yawson, Alfred Edwin" uniqKey="Yawson A" first="Alfred Edwin" last="Yawson">Alfred Edwin Yawson</name><affiliation wicri:level="4"><nlm:aff id="Aff6">Department of Community, College of Health Sciences, University of Ghana, School of Public Health, Korle-Bu, Accra Ghana</nlm:aff><orgName type="university">Université du Ghana</orgName><country>Ghana</country><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Folson, Gloria" sort="Folson, Gloria" uniqKey="Folson G" first="Gloria" last="Folson">Gloria Folson</name><affiliation wicri:level="4"><nlm:aff id="Aff7">Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra Ghana</nlm:aff><orgName type="university">Université du Ghana</orgName><country>Ghana</country><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Hewlett, Sandra" sort="Hewlett, Sandra" uniqKey="Hewlett S" first="Sandra" last="Hewlett">Sandra Hewlett</name><affiliation><nlm:aff id="Aff8">College of Health Sciences, University of Ghana School of Medicine and Dentistry, Korle-Bu, Accra Ghana</nlm:aff><wicri:noCountry code="subfield">Accra Ghana</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Musculoskeletal Disorders</title><idno type="eISSN">1471-2474</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Traditionally, non-communicable diseases including musculoskeletal disorders have not been a priority in low-and-middle income countries. The main aim of this paper is to assess age and gender specific burden by estimating the current prevalence of musculoskeletal disorders and associated risk factors in the elderly Ghanaian population.</p></sec><sec><title>Methods</title><p>Between May 2007 and June 2008, the World Health Organization conducted a nationwide study on AGEing (SAGE) and Adult Health in Ghana. The study employed a multistage cluster sampling strategy to identify participants by stratifying the population by age and setting. A structured questionnaire was used for data collection. A Poisson regression model was fitted with robust error variance. Prevalence estimates took into account the complex survey design and sampling weights. Statistical significance was considered at p ≤ 0.05 significance level. Statistical analysis was performed with STATA version 11.2.</p></sec><sec><title>Results</title><p>The prevalence rates of chronic back pain and chronic arthritis/joints pain were higher in women than men. The overall crude prevalence’s rates were 28.2 and 10.7 % for chronic back pain and chronic arthritis/joints pain respectively. Substantial differences existed between men and women in terms of socio-economic status, education level and occupational status. Women with primary education had a chronic back pain prevalence of 36.2 % (95 % CI; 29.2, 43.3) and chronic arthritis/joints pain prevalence of 15.8 % (95 % CI; 11.1, 20.6) while their male counterparts had prevalence rates of 29.0 % (95 % CI; 23.4, 34.5) and 9.8 % (95 % CI; 6.4, 13.2) respectively. Residence (rural and urban) did not appear to influence the prevalence of chronic back pain and arthritis/joints pain.</p></sec><sec><title>Conclusion</title><p>Our findings suggest the existence of sex differences in chronic back pain and chronic arthritis/joint pain in the elderly population in Ghana after adjustment for demographic and socio-economic factors. It indicates the existence of inequalities in health between elderly men and women with women suffering more from chronic back pain and chronic arthritis/joints pain.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bloom, De" uniqKey="Bloom D">DE Bloom</name></author><author><name sortKey="Cafiero, Et" uniqKey="Cafiero E">ET Cafiero</name></author><author><name sortKey="Jane Llopis, E" uniqKey="Jane Llopis E">E Jané-Llopis</name></author><author><name sortKey="Abrahams Gessel, S" uniqKey="Abrahams Gessel S">S Abrahams-Gessel</name></author><author><name sortKey="Bloom, Lr" uniqKey="Bloom L">LR Bloom</name></author><author><name sortKey="Fathima, S" uniqKey="Fathima S">S Fathima</name></author><author><name sortKey="Feigl, Ab" uniqKey="Feigl A">AB Feigl</name></author><author><name sortKey="Gaziano, T" uniqKey="Gaziano T">T Gaziano</name></author><author><name sortKey="Mowafi, 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Leeder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beaglehole, R" uniqKey="Beaglehole R">R Beaglehole</name></author><author><name sortKey="Reddy, S" uniqKey="Reddy S">S Reddy</name></author><author><name sortKey="Leeder, Sr" uniqKey="Leeder S">SR Leeder</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li></country><region><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Legon (Ghana)</li></settlement><orgName><li>Université du Ghana</li></orgName></list><tree><noCountry><name sortKey="Hewlett, Sandra" sort="Hewlett, Sandra" uniqKey="Hewlett S" first="Sandra" last="Hewlett">Sandra Hewlett</name></noCountry><country name="Ghana"><noRegion><name sortKey="Nakua, Emmanuel Kweku" sort="Nakua, Emmanuel Kweku" uniqKey="Nakua E" first="Emmanuel Kweku" last="Nakua">Emmanuel Kweku Nakua</name></noRegion><name sortKey="Agyei Baffour, Peter" sort="Agyei Baffour, Peter" uniqKey="Agyei Baffour P" first="Peter" last="Agyei-Baffour">Peter Agyei-Baffour</name><name sortKey="Dzomeku, Veronica Millicent" sort="Dzomeku, Veronica Millicent" uniqKey="Dzomeku V" first="Veronica Millicent" last="Dzomeku">Veronica Millicent Dzomeku</name><name sortKey="Folson, Gloria" sort="Folson, Gloria" uniqKey="Folson G" first="Gloria" last="Folson">Gloria Folson</name><name sortKey="Otupiri, Easmon" sort="Otupiri, Easmon" uniqKey="Otupiri E" first="Easmon" last="Otupiri">Easmon Otupiri</name><name sortKey="Owusu Dabo, Ellis" sort="Owusu Dabo, Ellis" uniqKey="Owusu Dabo E" first="Ellis" last="Owusu-Dabo">Ellis Owusu-Dabo</name><name sortKey="Owusu Dabo, Ellis" sort="Owusu Dabo, Ellis" uniqKey="Owusu Dabo E" first="Ellis" last="Owusu-Dabo">Ellis Owusu-Dabo</name><name sortKey="Yawson, Alfred Edwin" sort="Yawson, Alfred Edwin" uniqKey="Yawson A" first="Alfred Edwin" last="Yawson">Alfred Edwin Yawson</name></country></tree></affiliations></record>Pour manipuler ce document sous 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