Back pain in adults living in quilombola territories of
					Bahia, Northeastern Brazil

Santos, Luis Rogério Cosme Silva; Assunção, Ada Ávila; Lima, Eduardo de Paula

doi:10.1590/S0034-8910.2014048005317

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Sumário

Original Articles • Rev. Saúde Pública 48 (5) • Oct 2014 • https://doi.org/10.1590/S0034-8910.2014048005317 copy

Back pain in adults living in quilombola territories of Bahia, Northeastern Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE

To analyze the factors associated with back pain in adults who live in quilombola territories.

METHODS

A population-based survey was performed on quilombola communities of Vitória da Conquista, state of Bahia, Northeastern Brazil. The sample (n = 750) was established via a raffle of residences. Semi-structured interviews were conducted to investigate sociodemographics and employment characteristics, lifestyle, and health conditions. The outcome was analyzed as a dichotomous variable (Poisson regression).

RESULTS

The prevalence of back pain was of 39.3%. Age ≥ 30 years and being a smoker were associated with the outcome. The employment status was not related to back pain.

CONCLUSIONS

The survey identified a high prevalence of back pain in adults. It is suggested to support the restructuring of the local public service in order to outline programs and access to healthy practices, assistance, diagnosis, and treatment of spine problems.

Back Pain, epidemiology; Risk Factors; Rural Population; Health Surveys

Variable	%
Gender
Male	46.5
Female	53.5
Age (years)
18 to 30	26.5
31 to 50	39.2
> 50	34.3
Marital status
Single	21.9
Married	63.7
Legally separated/Widow	14.4
Education level
Basic/Secondary	11.3
Elementary (complete)	21.4
Elementary (incomplete)	67.3
Skin color
Black	39.5
White	12.6
Brown	44.6
Other	3.4
Income
Yes	71.7
No	28.3
Employment status
Temporary contract	40.0
Unemployed	46.7
Permanent contract	13.3
Smoking
Nonsmoker	80.3
Smoker	19.7
Body mass index
Normal	57.5
Overweight/Obese	42.5
Physical activity
Yes	24.1
No	75.9

Variable	BP Prevalence (%)	PR	95%CI
Gender
Male	39.0	1.0
Female	39.7	1.02	0.85;1.22
Age (years)
18 to 30	26.1	1.0
31 to 50	40.1	1.54	1.17;2.02^a b Lima-Costa MF, Turci M, Macinko J. Saúde dos adultos em Belo Horizonte. Belo Horizonte: Núcleo de Estudos em Saúde Pública e Envelhecimento da Fundação Oswaldo Cruz; UFMG; 2012.
> 50	48.6	1.86	1.43;2.43^a
Marital status
Single	30.5	1.0
Married	49.2	1.32	1.02;1.70^a
Legally separated/Widow	49.1	1.61	1.19;2.17^b
Education level
Basic/Secondary	28.3	1.0
Elementary (complete)	35.6	1.26	0.85;1.88^b
Elementary (incomplete)	42.5	1.50	1.06;2.14^a
Skin color
Black	36.3	1.0
White	39.8	1.09	0.82;1.47^b
Brown	41.5	1.14	0.94;1.39
Other	48.0	1.32	0.86;2.04
Income
Yes	39.0	1.0
No	40.1	1.05	0.86;1.27
Employment status
Temporary contract	36.8	1.0
Unemployed	39.8	1.08	0.88;1.32
Permanent contract	45.0	1.22	0.94;1.59
Smoking
Nonsmoker	36.5	1.0
Smoker	50.7	1.39	1.15;1.68^a
Body mass index
Normal	36.7	1.0
Overweight/Obese	43.3	1.18	0.99;1.41^b
Physical activity
Yes	35.0	1.0
No	40.5	1.16	0.93;1.45^b

Variable	PR	95%CI
Age (years)
18 to 30	1.0
31 to 50	1.47	1.12;1.94^a
> 50	1.80	1.38;2.35^a
Smoking
Nonsmoker	1.0
Smoker	1.31	1.08;1.59^a

Faculdade de Saúde Pública da Universidade de São Paulo Avenida Dr. Arnaldo, 715, 01246-904 São Paulo SP Brazil, Tel./Fax: +55 11 3061-7985 - São Paulo - SP - Brazil
E-mail: revsp@usp.br

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[1] Correspondence: Luis Rogério Cosme Silva Santos. Universidade Federal da Bahia. Campus Anísio Teixeira. Instituto Multidisciplinar em Saúde. Rua Rio de Contas, 58 Quadra 17 Gabinete 05 Candeias. 45029-094 Vitória da Conquista, BA, Brasil.E-mail: luisrogerio.ufba@gmail.com