Modeling the Multidimensional Predictors of Multisite Musculoskeletal Pain Across Adulthood—A Generalized Estimating Equations Approach
Background: Multisite pain is commonly chronic and often lacks its initial role as a potential tissue damage signal. Chronic pain among working-age individuals is a risk for disability and imposes a major burden on health care systems and society. As effective treatments for chronic pain are largely...
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ftunivhelsihelda:oai:helda.helsinki.fi:10138/335316 2024-01-07T09:45:29+01:00 Modeling the Multidimensional Predictors of Multisite Musculoskeletal Pain Across Adulthood—A Generalized Estimating Equations Approach Ahlholm, Ville-Heikki Rönkkö, Viljami Ala-Mursula, Leena Karppinen, Jaro Oura, Petteri Department of Forensic Medicine 2021-10-14T13:20:01Z 9 application/pdf http://hdl.handle.net/10138/335316 eng eng Frontiers Media SA 10.3389/fpubh.2021.709778 Ahlholm , V-H , Rönkkö , V , Ala-Mursula , L , Karppinen , J & Oura , P 2021 , ' Modeling the Multidimensional Predictors of Multisite Musculoskeletal Pain Across Adulthood—A Generalized Estimating Equations Approach ' , Frontiers in public health , vol. 9 , 709778 . https://doi.org/10.3389/fpubh.2021.709778 ORCID: /0000-0001-5637-3971/work/133139923 44198894-cb6f-4466-a7ee-cdc176db0536 http://hdl.handle.net/10138/335316 000688481900001 cc_by openAccess info:eu-repo/semantics/openAccess CHRONIC WIDESPREAD PAIN DETERMINANTS FEATURES ONSET PREVALENCE cohort studies epidemiology lifestyle musculoskeletal pain occupational exposure psychological factors socioeconomic 319 Forensic science and other medical sciences Article publishedVersion 2021 ftunivhelsihelda 2023-12-14T00:03:32Z Background: Multisite pain is commonly chronic and often lacks its initial role as a potential tissue damage signal. Chronic pain among working-age individuals is a risk for disability and imposes a major burden on health care systems and society. As effective treatments for chronic pain are largely lacking, better identification of the factors associated with pain over working years is needed. Methods: Members of the Northern Finland Birth Cohort 1966 participated in data collection at the ages of 31 (n = 4,028) and 46 (n = 3,429). Using these two time points, we performed a multivariable analysis of the association of socioeconomic, occupational, psychological and lifestyle factors (i.e., low education, living alone, low household income, unemployment, occupational physical exposures [hard physical labor, leaning forward, back twisting, constant moving, lifting loads of ≥ 1 kg], physical inactivity, regular smoking, regular drinking, overweight, and psychiatric symptoms) with the number of musculoskeletal pain sites (i.e., upper extremity, lower extremity, lower back, and the neck-shoulder region; totalling 0–4 pain sites). The data were analyzed using generalized estimating equations. Results: At the age of 31, multisite pain was reported by 72.5% of men and 78.6% of women. At the age of 46, the prevalence of multisite pain was 75.7% among men and 82.7% among women. Among men, the number of pain sites was positively associated with age (rate ratio 1.05, 95% confidence interval 1.01–1.08), low household income (1.05, 1.01–1.08), unemployment (1.13, 1.06–1.19), any occupational exposure (1.17, 1.12–1.22), regular smoking (1.06, 1.02–1.11), and psychiatric symptoms (1.21, 1.17–1.26). Among women, the number of pain sites was positively associated with age (1.06, 1.04–1.10), unemployment (1.10, 1.05–1.15), any occupational exposure (1.10, 1.06–1.13), regular smoking (1.06, 1.02–1.10), overweight (1.08, 1.05–1.11), and psychiatric symptoms (1.19, 1.15–1.22); living alone was negatively associated with the number ... Article in Journal/Newspaper Northern Finland HELDA – University of Helsinki Open Repository Frontiers in Public Health 9 |
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Open Polar |
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HELDA – University of Helsinki Open Repository |
op_collection_id |
ftunivhelsihelda |
language |
English |
topic |
CHRONIC WIDESPREAD PAIN DETERMINANTS FEATURES ONSET PREVALENCE cohort studies epidemiology lifestyle musculoskeletal pain occupational exposure psychological factors socioeconomic 319 Forensic science and other medical sciences |
spellingShingle |
CHRONIC WIDESPREAD PAIN DETERMINANTS FEATURES ONSET PREVALENCE cohort studies epidemiology lifestyle musculoskeletal pain occupational exposure psychological factors socioeconomic 319 Forensic science and other medical sciences Ahlholm, Ville-Heikki Rönkkö, Viljami Ala-Mursula, Leena Karppinen, Jaro Oura, Petteri Modeling the Multidimensional Predictors of Multisite Musculoskeletal Pain Across Adulthood—A Generalized Estimating Equations Approach |
topic_facet |
CHRONIC WIDESPREAD PAIN DETERMINANTS FEATURES ONSET PREVALENCE cohort studies epidemiology lifestyle musculoskeletal pain occupational exposure psychological factors socioeconomic 319 Forensic science and other medical sciences |
description |
Background: Multisite pain is commonly chronic and often lacks its initial role as a potential tissue damage signal. Chronic pain among working-age individuals is a risk for disability and imposes a major burden on health care systems and society. As effective treatments for chronic pain are largely lacking, better identification of the factors associated with pain over working years is needed. Methods: Members of the Northern Finland Birth Cohort 1966 participated in data collection at the ages of 31 (n = 4,028) and 46 (n = 3,429). Using these two time points, we performed a multivariable analysis of the association of socioeconomic, occupational, psychological and lifestyle factors (i.e., low education, living alone, low household income, unemployment, occupational physical exposures [hard physical labor, leaning forward, back twisting, constant moving, lifting loads of ≥ 1 kg], physical inactivity, regular smoking, regular drinking, overweight, and psychiatric symptoms) with the number of musculoskeletal pain sites (i.e., upper extremity, lower extremity, lower back, and the neck-shoulder region; totalling 0–4 pain sites). The data were analyzed using generalized estimating equations. Results: At the age of 31, multisite pain was reported by 72.5% of men and 78.6% of women. At the age of 46, the prevalence of multisite pain was 75.7% among men and 82.7% among women. Among men, the number of pain sites was positively associated with age (rate ratio 1.05, 95% confidence interval 1.01–1.08), low household income (1.05, 1.01–1.08), unemployment (1.13, 1.06–1.19), any occupational exposure (1.17, 1.12–1.22), regular smoking (1.06, 1.02–1.11), and psychiatric symptoms (1.21, 1.17–1.26). Among women, the number of pain sites was positively associated with age (1.06, 1.04–1.10), unemployment (1.10, 1.05–1.15), any occupational exposure (1.10, 1.06–1.13), regular smoking (1.06, 1.02–1.10), overweight (1.08, 1.05–1.11), and psychiatric symptoms (1.19, 1.15–1.22); living alone was negatively associated with the number ... |
author2 |
Department of Forensic Medicine |
format |
Article in Journal/Newspaper |
author |
Ahlholm, Ville-Heikki Rönkkö, Viljami Ala-Mursula, Leena Karppinen, Jaro Oura, Petteri |
author_facet |
Ahlholm, Ville-Heikki Rönkkö, Viljami Ala-Mursula, Leena Karppinen, Jaro Oura, Petteri |
author_sort |
Ahlholm, Ville-Heikki |
title |
Modeling the Multidimensional Predictors of Multisite Musculoskeletal Pain Across Adulthood—A Generalized Estimating Equations Approach |
title_short |
Modeling the Multidimensional Predictors of Multisite Musculoskeletal Pain Across Adulthood—A Generalized Estimating Equations Approach |
title_full |
Modeling the Multidimensional Predictors of Multisite Musculoskeletal Pain Across Adulthood—A Generalized Estimating Equations Approach |
title_fullStr |
Modeling the Multidimensional Predictors of Multisite Musculoskeletal Pain Across Adulthood—A Generalized Estimating Equations Approach |
title_full_unstemmed |
Modeling the Multidimensional Predictors of Multisite Musculoskeletal Pain Across Adulthood—A Generalized Estimating Equations Approach |
title_sort |
modeling the multidimensional predictors of multisite musculoskeletal pain across adulthood—a generalized estimating equations approach |
publisher |
Frontiers Media SA |
publishDate |
2021 |
url |
http://hdl.handle.net/10138/335316 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_relation |
10.3389/fpubh.2021.709778 Ahlholm , V-H , Rönkkö , V , Ala-Mursula , L , Karppinen , J & Oura , P 2021 , ' Modeling the Multidimensional Predictors of Multisite Musculoskeletal Pain Across Adulthood—A Generalized Estimating Equations Approach ' , Frontiers in public health , vol. 9 , 709778 . https://doi.org/10.3389/fpubh.2021.709778 ORCID: /0000-0001-5637-3971/work/133139923 44198894-cb6f-4466-a7ee-cdc176db0536 http://hdl.handle.net/10138/335316 000688481900001 |
op_rights |
cc_by openAccess info:eu-repo/semantics/openAccess |
container_title |
Frontiers in Public Health |
container_volume |
9 |
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1787427038319083520 |