Social Determinants of Low Back Pain in Females of Reproductive Age Group Residing in Urban Lahore, Pakistan
Background: Nonspecific low back pain (LBP) is a common problem among females of reproductive age group that leads to low quality of life to a greater extent. Nonspecific LBP is other than any diagnosed pathological or structural cause of back pain. Objectives: 1) to determine trends of back pain in females of reproductive age group 2) to identify association between social determinants and LBP. Methods: It was a cross sectional study conducted in one town of Lahore, Pakistan; selected randomly. Convenient sampling technique was applied to recruit the study subjects. Sample size was calculated on Sample Size Determination in Health Studies Software by WHO. Calculated sample size was 89, and researcher had taken a sample of 100 females. Target group for current study was females of reproductive age (15-49 years); and age was categorized into two categories i.e.≤30 years and ≥30 years for frequency determination. Data collection tool was self-developed questionnaire and data collection was done through interview method. Data analysis was done using SPSS 20. Results: Age range was 18-46 years; Mean age was 32.59 ± 7.73. 27% females had LBP in the ≤30 year category and 60% females had LBP in the ≥30 year category. A total of 87% females were found to have LBP, whereas 13% females did not have LBP. Chi square application revealed statistically significant association (P-value ˂0.05) between LBP and variables studied: marital status, onset age of menarche, number of children, pressure of daily additional home chores, feeling fatigued by 2pm after doing work since morning, and irregular sleep pattern. Conclusions: Significant association between LBP and social determinants in present study emphasize upon further research in this area with a representative sample of the total population and more detailed and comprehensive questionnaire. This will help to plan and implement health education and preventive plan in this age group.
2. Sealetsa OJ, Tatcher A. Ergonomics issues among sewing machine operators in the textile manufacturing industry in Botswana. Work 2011; 38(3): 279=289.
3. Brage S, Nygard JF, Tellness G. The gender gap in musculoskeletal related long-term sickness absence in Norway. Scandinavian Journal of Social Med 1998; 26: 34-43.
4. Taguchi T. low back pain in young and middle-aged people. JAMJ 2003; 46(10): 417-423.
5. Carita K, Katril, Jouko SJ, Tuominen, Risto. Perceived relative importance of pain related functioning among patient with low back pain. J Rehab Med 2012; 44: 158-162.
6. Erick PN, Smith DR. Low back pain among school teachers in Botswana, prevalence and risk factors. BMC Musculoskeletal Disord. 2014; 15: 359.
7. GroBschadl F, Freidl W, Rasky E, Burket N, Muckenhuber J, Stronegger WJ. A 35-year trend analysis for back pain in Austria: The Role of Obesity. P LOS ONE 2014; 9(9): e 107436.doi:1371/journal.pone.0107436.
8. Hoy DG, March L, Brooks P, Wolf A, Blyth F, Vos T, et al. Measuring the Global burden of low back pain. Best Pract Reschin Rheumatol 2010; 24: 155-165.
9. Bogduk M. Management of chronic low back pain. Med J Australia 2003; 18: 79-83.
10. May S. Hand book of pain and palliative care. Behavioral Approaches for the life course. New York: Springer; 2012: 231-45.
11. Carita K, Katri L, Juko SJ, Tuominan, Risto. Perceived relative importance of pain related functioning among patient with low back pain. J Rehab Med 2012; 44: 158-62.
12. Asim H.M, Ismail M.S. the prevalence of chronic low back pain in office workers of Lahore Medical and Dental College and Ghurki Trust Teaching Hospital, Lahore. IJRS 2012; 1(1): 25-29.
13. Pakistan Demographic and Health Survey 2012-13.
14. Bener A, Alwash R, Gaber T, Lovasz G. Obesity and low back pain. Collegium Antropologicum 2003; 27(1): 95-104.
15. Brog SJ, Dugan SA. Musculoskeletal disorders of pregnancy, delivery and post-partum. Phys Med Rehab Chn N Am 2007; 18: 459-76.
16. Kendall FP, Mc Creary EK, Provance PG. Muscles, testing and function (4th ed). Baltimore MD: Williams amd Wilkins. Available at: http://ptjournal.apta.org/content/86/2/304.full
17. Feine J, Lund J. An assessment of the efficacy of physical therapy and physical modalities for control of chronic musculoskeletal pain. Pain 1997; 71(1): 5-23.
18. Ernst E. Message therapy for low back pain: a systematic review. J Pain Symptom Manage 1999; 17(1): 65-9.
19. Josephson M, Ahlberg G, Harenstam A, Svensson H, Theorell T, Wiktorin C, et al. Paid and unpaid work, and its relation to low back and neck/ shoulder disorders among women. Women Health 2003; 37: 17-30.
20. Bradley E.M, Webster G.K, Rasooly I. The impact of musculoskeletal disorders in the population: are they just aches and pains? Findings from the 1990 Ontario Health Survey. J Rheumatol 1995; 27(1): 95-104.
21. Stergioulas A, Filippou D.K, Triga A, Grigoriadis E, Shipkor C.D. Low back pain in physical education teachers. Folia Med (Plovdiv).2004; 46: 51-55.
22. Lewinnek GE, Warfield CA. Facet joint degeneration as a cause of low back pain. Clinorthop 1986; 213: 216-22.