Syndemic and syndemogenesis of low back pain in Latin-American population: a network and cluster analysis

Gastélum-Strozzi, Alfonso; Peláez‐Ballestas, Ingris; Granados, Ysabel; Burgos‐Vargas, Rubén; Quintana, Rosana; Londoño, John; Guevara, Sergio; Vega-Hinojosa, Oscar; Álvarez-Nemegyei, José; Juárez, Vicente; Pacheco‐Tena, César; Cedeño, Ligia; Elizondo, Mario Alberto Garza; Santos, Ana Maria Ribeiro dos; Goycochea-Robles, María Victoria; Feicán, Astrid; García, Hazel; Julián-Santiago, Flor; Crespo, María Elena; Rodríguez-Amado, Jacqueline; Rueda, Juan C.; Silvestre, Adriana; Esquivel-Valerio, Jorge Antonio; Rosillo, Celenia; González-Chávez, Susana Aideé; Álvarez-Hernández, Everardo; Loyola‐Sánchez, Adalberto; Navarro-Zarza, Eduardo; Maradiaga, Marco; Casasola-Vargas, Julio; Sanatana, Natalia; García-Olivera, Imelda; Goñi, Mario; Sanı́n, Luz Helena; Gamboa, R.; Cardiel, Mario H.; Pons-Estel, Bernardo A.; Geema,; Gladerpo,

doi:10.1007/s10067-020-05047-x

Cited by 13 publications

(20 citation statements)

References 33 publications

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“…The association between ethnicity and health-care utilization has been demonstrated before. Being of an indigenous ethnicity was a risk factor for a lower rate of health-care access and utilization, as well as a higher burden of symptoms of the quality of life [9,26]. In this study, we found that the Zoroastrian population had the highest rate of health-care utilization of every kind, which might also be affected by their socioeconomic and education levels.…”

Section: Discussionmentioning

confidence: 68%

“…Medical comorbidities, unhealthy habits, low educational level, living in rural areas, obesity, other musculoskeletal complaint/disorders, female gender, and anxiety have been highly associated with LBP in different studies [ 9 – 11 , 19 ]. While LBP has been found to be a prevalent disease in almost all populations, the burden of the disease is disproportionately carried by the underprivileged populations of the society, with ethnicity, rural residence, inadequate access to healthcare services, and lower educational level being the risk factors for a greater impact of LBP on the patient’s vulnerability for being impacted by the disease [ 9 ]. It is noteworthy that while we did not study the LBP associated risk factors and the impact the symptoms have on the patient’s life, these are contributing factors to the burden of LBP in the society and warrant deeper exploration in the future studies.…”

Section: Discussionmentioning

confidence: 99%

“…A recent study combining the Latin-American COPCORD data shows that LBP affects 6.59% of the population, with a high impact on the quality of life of young adults. Also, LBP has a significant association with social variables including gender inequality index, human development index, and income inequality [9]. Further, the Mexican and Portuguese COPCORD data reveals that being overweight/obese, female gender, medical and musculoskeletal comorbidities, and age affect the prevalence of LBP and its effect of the quality of life [10,11].…”

Section: Introductionmentioning

confidence: 98%

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Health-care access and utilization among individuals with low back pain in Iran: a WHO-ILAR COPCORD study

Faezi

Baghdadi

Nejadhosseinian

et al. 2020

BMC Health Serv Res

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Background Low back pain (LBP) is a major contributor to chronic pain and disability. The purpose of this study was to evaluate health-care access and utilization among patients with LBP in Iran. We also sought to study the pattern and characteristics of care-utilization behavior in these patients. Methods Data from the Community Oriented Program for Control of Rheumatic Diseases (COPCORD) were used for this study. Three cities (Zahedan, Sanandaj, Yazd) were selected to represent the Iranian population, with different socioeconomic status and ethnic, cultural, and religious background. Demographic data, acute or chronic LBP, disability index, and utilizing care from conventional medicine (CM), allied health providers (AHP), and complementary and alternative medicine (CAM) providers were recorded. Results Of 9101 patients, 38.6% reported LBP. Only 3.3% did not utilize care of any kind, 66.7% referred to CM providers, 20.8% to AHP, and 9.2% to CAM care. Health-care utilization was higher in female patients, older age, higher education, and higher disability index. Conclusions The findings of this study indicate a high rate of health-care utilization among patients with LBP in Iran. CM is the most prevalent health-care resource sought by patients. These findings could be used as a framework in developing more efficient health-care programs according to the needs of specific populations.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

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Health-care access and utilization among individuals with low back pain in Iran: a WHO-ILAR COPCORD study

Faezi

Baghdadi

Nejadhosseinian

et al. 2020

BMC Health Serv Res

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“…The challenges in promoting healthy living habits in Latin America are numerous, at the forefront of these challenges, unfortunately, is this region of the world is characterized by greater social inequality. 11 , 49 Poor nutritional habits are linked to sedentary behaviors, suggesting that this can lead to a positive energy balance and, consequently, to overweight and obesity. 50 It has recently been shown that adults who follow a healthy diet live longer and have a lower risk for obesity, type 2 diabetes, CVD, and certain types of cancer.…”

Section: South Americamentioning

confidence: 99%

Cardiovascular disease prevention and management in the COVID-19 era and beyond: An international perspective

Faghy

Yates

Hills

et al. 2023

Progress in Cardiovascular Diseases

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“…Latin America, a culturally diverse region with a vast territorial extension, has many challenges in promoting healthy habits. The social context is characterized by deep inequities, where factors such as ethnicity, rural residence, or low educational level translate to inadequate access to health services 11 . The eradication of poverty and the reduction of inequality in all its dimensions was a pressing issue in the political agenda; however, the pandemic aggravated these conditions.…”

Section: Raising Challenges In Latin Americamentioning

confidence: 99%

Healthy living behaviors in youth: a comparative study in Brazil, Colombia and Mexico

Mendez-Reguera

Garcia

Cabrera

et al. 2022

Ciênc. saúde coletiva

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The physical, mental and social well being, refers to a new concept of health, far from a conceptualisations of absence of disease Additional challenges emerge as individuals face deep social inequities depending on their ethnicity, rural residence or low educational level, as these translate to poor access to health services and more difficulties to adhere to healthy living behaviors. The objective of this study was to assess the perception that adolescents and young adults in Latinamerica have of the importance of healthy living behaviors (HLB) in the physical, emotional and lifestyle spheres. The approach is considered quantitative and descriptive with a cross sectional design. The sampling consisted of 192 young adults in Brazil, Colombia and Mexico. The results show that participants prioritize higher emotional wellbeing. They state that the health crisis changed the perception, as now the value more the emotional side of health, and understand the status of a combination of the different aspects of wellness. The Latinamerican context poses a challenge in designing strategies with a holistic health perspective, with complexities in the economic and sociocultural domains.

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Syndemic and syndemogenesis of low back pain in Latin-American population: a network and cluster analysis

Cited by 13 publications

References 33 publications

Health-care access and utilization among individuals with low back pain in Iran: a WHO-ILAR COPCORD study

Health-care access and utilization among individuals with low back pain in Iran: a WHO-ILAR COPCORD study

Cardiovascular disease prevention and management in the COVID-19 era and beyond: An international perspective

Healthy living behaviors in youth: a comparative study in Brazil, Colombia and Mexico

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