Artisanal fisherwomen/shellfish gatherers: analyzing the impact of upper limb functioning and disability on health-related quality of life

Müller, Juliana dos Santos; Falcão, Ila Rocha; Couto, Maria Carolina Barreto Moreira; Viana, Wendel da Silva; Alves, Ivone Batista; Viola, Denise Nunes; Woods, Courtney Georgette; Rêgo, Rita de Cássia Franco

doi:10.1590/1413-812320172211.13392016

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Article • Ciênc. saúde colet. 22 (11) • Nov 2017 • https://doi.org/10.1590/1413-812320172211.13392016 copy

Artisanal fisherwomen/shellfish gatherers: analyzing the impact of upper limb functioning and disability on health-related quality of life

Pescadoras artesanais/marisqueiras: análise do impacto da funcionalidade e incapacidade de membros superiores sobre a qualidade de vida relacionada com a saúde

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The aim is to analyze upper limb functioning and disability, and its association with health-related quality of life among artisanal fisherwomen from Bahia, Brazil. Cross-sectional epidemiological study was conducted with a sample of 209 fisherwomen. Structured questionnaires were used for socio-demographic and comorbidity information, as well as the instruments Disabilities of the Arm, Shoulder and Hand (DASH) and Short-Form Healthy Survey (SF-36) respectively, to evaluate the upper limbs and health-related quality of life. The results demonstrated that the presence of musculoskeletal disorders in the upper limbs directly affects the values of the DASH instrument and the SF-36v01 questionnaire scores, while also generating a negative correlation between the DASH and SF-36v01. The varying functioning abilities, pain and social aspects negatively affect upper limb function, and the daily activities and work of fisherwomen. The presence of chronic disease and the absence of intervention and rehabilitation for these professionals, that could produces, in a long-term, cases of disability.

Key words
Upper limb functioning and disability; Health-related quality of life; Artisanal fisher-women/shellfish gatherers; DASH; SF-36

Variables				N (209)	%
Age
	20-29			47	22
	30-44			94	45
	45-64			68	33
Race
	Black			125	60
	Brown			76	36
	White			8	3,8
Marital status
	Single			56	27
	Married/Unmarried couple/Living together			135	65
	Separated/Widow			18	8,6
Schooling
	Up to 4 years			48	23
	5 to 8 years			94	45
	9 to 11 years			67	32
Chronic Diseases
	Musculoskeletal Disorders^* * MSD's were analyzed according to the functional units neck/ shoulder and distal upper limbs (elbow, forearm, wrist/hand). MSD analysis according to this classification is considered by some authors24,25.
		Neck
			Yes	132	63
			No	77	37
		Shoulder
			Yes	111	53
			No	98	47
		Elbow
			Yes	41	20
			No	168	80
		Forearm
			Yes	78	37
			No	131	63
		Wrist/Hand
			Yes	133	64
			No	66	36
		Upper Back
			Yes	128	61
			No	81	69
	Overall MSD^* * MSD's were analyzed according to the functional units neck/ shoulder and distal upper limbs (elbow, forearm, wrist/hand). MSD analysis according to this classification is considered by some authors24,25.
			Yes	198	95
			No	11	5
	Diabetes^ The comorbidities (diabetes, hypertension and arthritis) found were collected from what was self-reported.
			Yes	14	7
			No	195	93
	Hypertension^ The comorbidities (diabetes, hypertension and arthritis) found were collected from what was self-reported.
			Yes	57	27
			No	152	73
	Arthritis^ The comorbidities (diabetes, hypertension and arthritis) found were collected from what was self-reported.
			Yes	22	11
			No	187	89

Instruments		Mean	SD
DASH		30,8	21,0
Optional DASH		29,0	27,7
SF-36v01
	Physical Functioning	65,7	24,9
	Physical Role limitations	47,3	40,8
	Bodily Pain	50,4	25,4
	General Health Perceptions	51,2	21,8
	Vitality	54,5	22,9
	Social Functioning	66,4	30,5
	Emotional Role Limitations	62,4	42,9
	Mental Health	64,8	23,5

Musculoskeletal Disorder		Mean	SD	n	%
Neck
	Yes	35,5	23,2	132,0	63,3
	No	22,6	17,0	77,0	36,7
Shoulder
	Yes	37,9	22,5	111,0	53,1
	No	22,7	18,3	98,0	46,9
Elbow
	Yes	43,4	26,3	41,0	19,6
	No	27,7	19,7	168,0	80,4
Forearm
	Yes	38,6	24,8	78,0	37,3
	No	26,1	18,6	131,0	62,7
Wrist/Hand
	Yes	37,5	22,8	133,0	63,6
	No	18,0	14,1	76,0	39,4
Upper back
	Yes	35,9	22,0	128,0	61,2
	No	22,6	17,5	81,0	38,8

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E-mail: cienciasaudecoletiva@fiocruz.br

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[1] Collaborations

JS Müller, IR Falcão and RCF Rêgo conceptualized the study. JS Müller, IR Falcão, RCF Rêgo, MCBM Couto, WS Viana, IB Alves and DN Viola contributed to the study design, data collection and data processing and statistical analysis. JS Müller, IR Falcão and RCF Rêgo contributed to the literature review. JS Müller, IR Falcão, RCF Rêgo and CG Woods wrote the article. All authors reviewed the manuscript and approved the final version.