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

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          Highlights

          • The study population shows high prevalence of neck pain.

          • The factors were widowed, income, educational level, sitting posture and diseases.

          • Prevention should emphasize sociodemographic, behavioral, and ergonomic factors.

          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.

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          Most cited references37

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          “Mini-mental state”

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            The prevalence of neck pain in the world population: a systematic critical review of the literature.

            The objective of this study was to determine the prevalence of neck pain (NP) in the world population and to identify areas of methodological variation between studies. A systematic search was conducted in five databases (MEDLINE, EMBASE, CINAHL, OSH-ROM, and PsycINFO), followed by a screening of reference lists of relevant papers. Included papers were extracted for information and each paper was given a quality score. Mean prevalence estimates were calculated for six prevalence periods (point, week, month, 6 months, year, and lifetime), and considered separately for age, gender, quality score, response rate, sample size, anatomical definition, geography, and publication year. Fifty-six papers were included. The six most commonly reported types of prevalence were point, week, month, 6 months, year, and lifetime. Except for lifetime prevalence, women reported more NP than men. For 1-year prevalence, Scandinavian countries reported more NP than the rest of Europe and Asia. Prevalence estimates were not affected by age, quality score, sample size, response rate, and different anatomical definitions of NP. NP is a common symptom in the population. As expected, the prevalence increases with longer prevalence periods and generally women have more NP than men. At least for 1-year prevalence Scandinavian countries report higher mean estimates than the rest of Europe and Asia. The quality of studies varies greatly but is not correlated with the prevalence estimates. Design varies considerably and standardisation is needed in future studies.
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              The global burden of neck pain: estimates from the global burden of disease 2010 study.

              To estimate the global burden of neck pain. Neck pain was defined as pain in the neck with or without pain referred into one or both upper limbs that lasts for at least 1 day. Systematic reviews were performed of the prevalence, incidence, remission, duration and mortality risk of neck pain. Four levels of severity were identified for neck pain with and without arm pain, each with their own disability weights. A Bayesian meta-regression method was used to pool prevalence and derive missing age/sex/region/year values. The disability weights were applied to prevalence values to derive the overall disability of neck pain expressed as years lived with disability (YLDs). YLDs have the same value as disability-adjusted life years as there is no evidence of mortality associated with neck pain. The global point prevalence of neck pain was 4.9% (95% CI 4.6 to 5.3). Disability-adjusted life years increased from 23.9 million (95% CI 16.5 to 33.1) in 1990 to 33.6 million (95% CI 23.5 to 46.5) in 2010. Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability as measured by YLDs, and 21st in terms of overall burden. Neck pain is a common condition that causes substantial disability. With aging global populations, further research is urgently needed to better understand the predictors and clinical course of neck pain, as well as the ways in which neck pain can be prevented and better managed. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
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                Author and article information

                Contributors
                Journal
                Braz J Phys Ther
                Braz J Phys Ther
                Brazilian Journal of Physical Therapy
                Departamento de Fisioterapia da Universidade Federal de Sao Carlos
                1413-3555
                1809-9246
                20 May 2017
                Jul-Aug 2017
                20 May 2017
                : 21
                : 4
                : 274-280
                Affiliations
                [a ]Programa de Mestrado em Fisioterapia na Saúde Funcional, Universidade do Sagrado Coração (USC), Bauru, SP, Brazil
                [b ]Curso de Fisioterapia, Universidade do Sagrado Coração (USC), Bauru, SP, Brazil
                [c ]Programa de Mestrado em Odontologia, Universidade do Sagrado Coração (USC), Bauru, SP, Brazil
                Author notes
                [* ]Corresponding author at: Rua Irmã Arminda 10-50 – Jd. Brasil, 17011-160 Bauru, SP, Brazil. albvitta@ 123456gmail.com
                Article
                S1413-3555(17)30135-1
                10.1016/j.bjpt.2017.05.005
                5537482
                28602744
                ba866e85-b749-42a5-ada3-4aa9337a383b
                © 2017 Associac¸˜ao Brasileira de Pesquisa e P´os-Graduac¸˜ao em Fisioterapia. Published by Elsevier Editora Ltda. All rights reserved.
                History
                : 15 April 2016
                : 1 July 2016
                : 26 September 2016
                Categories
                Original Research

                neck pain,epidemiology,risk factors,physical therapy
                neck pain, epidemiology, risk factors, physical therapy

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