Low back pain and associated factors among users of community health centres in South Africa : a prevalence study
Date
2010-12
Authors
Major-Helsloot, Mel
Journal Title
Journal ISSN
Volume Title
Publisher
Stellenbosch : University of Stellenbosch
Abstract
Background: Low back pain (LBP) has a high prevalence worldwide. LBP is significantly
associated with a range of poor socio-demographic circumstances which should be addressed in
preventive programs. Despite this there is a dearth of information about the prevalence and
associated factors among low-income communities in South Africa. It is speculated that the
burden of LBP may be most significant in these underprivileged communities.
Objective: The objective of this study was to assess the prevalence of LBP among the lowincome
communities in the Cape Town Metropole and to establish associated factors in order to
make recommendations for management.
Study design: A cross-sectional study was conducted among the visitors of eight community
health centres (CHCs) in the Cape Town Metropole.
Methodology: A new measurement tool was developed based on existing validated outcome
measures and initial testing of the psychometric properties of the questionnaire was conducted.
The questionnaire was administered to 489 eligible subjects. Descriptive analysis was used to
describe the sample and logistic regression analytical techniques were applied to determine
associated factors.
Main findings: Lifetime prevalence for LBP was 76.49% (n=358). About 37% (n=133) suffered
from chronic LBP. LBP was significantly associated with belonging to the black ethnic group, any
co-morbidity, poor perceived general health, and any type of pain medication. Lifting weights > 20
kg and kneeling and squatting were physical factors significantly associated with LBP. Severe
psychological distress was significantly associated with acute and chronic LBP. Having a better
or same perceived general health compared to a year ago, was protective for LBP.
Conclusion: LBP has a high prevalence among the low income communities, visiting the CHCs,
in the Cape Town Metropole. Multiple factors were associated with LBP, which imply that a tailormade
multidisciplinary program addressing lifestyle issues, self management strategies,
medication use, chronic diseases and psychosocial factors may be required for this population to
combat LBP.
Description
Thesis (MScPhysio (Interdisciplinary Health Sciences. Physiotherapy))--University of Stellenobosch, 2010.
Keywords
Low back pain, Community health centres -- South Africa, Risk factors, Backache, Dissertations -- Physiotherapy, Theses -- Physiotherapy