Everyday burden of musculoskeletal conditions among villagers in rural Botswana: A focused ethnography

Hondras, Maria; Hartvigsen, Jan; Myburgh, Corrie; Johannessen, Helle

doi:10.2340/16501977-2083

Cited by 31 publications

(23 citation statements)

References 27 publications

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“…We have also attempted to address any potential issues by not overstating the comparisons between the ndings of the two studies. The different belief system of LBP population in China found in our study, supports research that suggests that cultural factors in uence pain-related factors (19,33,34,61,63). For example, in contrast with the overwhelming LBP medical care in the West (14,25,32), a Nepalese study showed that people who suffered from LBP continued with their daily activities without seeking medical help as they consider LBP to be a normal aging process (61).…”

Section: Discussionsupporting

confidence: 77%

How do people in China think about causes of their back pain? A predominantly qualitative cross-sectional survey

Coppieters

Setchell

et al. 2020

Preprint

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Abstract Background: Low back pain (LBP) is the second highest cause of health burden in China. Delayed recovery, poor clinical outcomes and persistence of LBP are associated with negative pain beliefs about LBP. Chinese philosophies are nested into the daily life of people in China, which is likely to influence pain beliefs. However, there is lack of knowledge about people’s discourses regarding their LBP in China. The primary aim of this study was to explore the discourses underlying the beliefs of people in China about what causes their persistent or recurrent LBP. The secondary aim was to investigate the sources of these pain beliefs. Methods: People (n=152) from South Central, East and North Mainland China with LBP completed an online survey about what they believed caused their persistent or recurrent LBP and where these understandings came from. Potential causes of persistent or recurrent LBP were explored qualitatively using discourse analysis. The sources of these discourses were assessed by descriptive statistics with conventional content analysis. Results: Five discourses were identified to underpin participants’ beliefs about what caused their persistent or recurrent LBP, namely: (1) biomedical problems (66.4%), (2) unbalanced lifestyle (48.7%), (3) menstruation and ‘kidney’ status (9.2%), (4) the ‘Five Elements’ imbalance (7.9%), and (5) energy status (5.9%). Most participants responded that their pain beliefs were based on information derived from healthcare professionals (59.2%), followed by the internet (24.3%) and family (23.0%). Conclusions: People from moderately and well-developed parts of Mainland China think predominantly in line with a Western biomedical viewpoint about their LBP. Traditional Chinese medicine related pain beliefs mainly to the concept of ‘balance’ were evident on contemporary Chinese society’s understandings of LBP. These cultural beliefs could be relevant to consider in LBP management and involve healthcare professionals, family and patient in this process.

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Section: Discussionsupporting

confidence: 77%

How do people in China think about causes of their back pain? A predominantly qualitative cross-sectional survey

Coppieters

Setchell

et al. 2020

Preprint

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“…Igbo adjectives, and the Igbo cultural connotation of the 'waist' as a body part that does important human movements/activities, believed to be hampered by LBP4 . LBP is commonly regarded as 'waist pain' in other rural African contexts such as rural Botswana29 .The internal consistency of the Igbo-RMDQ (α= 0.84) corresponds with the 0.84-0.93 of the original English measure13 , similar to other adaptations. The Igbo-RMDQ is reliable,evidenced by high ICC (0.80); and Bland-Altman plots suggesting agreement which concurs with the original measure, and other adaptations.…”

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confidence: 54%

Assessing self-reported disability in a low-literate population with chronic low back pain: cross-cultural adaptation and psychometric testing of Igbo Roland Morris disability questionnaire

Igwesi-Chidobe

Obiekwe

Sorinola

et al. 2017

Disability and Rehabilitation

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Igbo Roland Morris Disability Questionnaire is a valid and reliable measure of pain-related disability. Implications for rehabilitation Low back pain is the leading cause of years lived with disability worldwide, and is particularly prevalent in rural Nigeria, but there are no self-report measures to assess its impact due to low literacy rates. This study describes the cross-cultural adaptation and validation of a core self-report back pain specific disability measure in a low-literate Nigerian population. The Igbo Roland Morris Disability Questionnaire is a reliable and valid measure of self-reported disability in Igbo populations as indicated by excellent internal consistency (α = 0.91) and intra-class correlation coefficient (ICC =0.84), moderately high correlations (r > 0.6) with performance-based disability and pain intensity that supports a pain-related disability construct, a predominant one factor structure with no ceiling or floor effects. The measure will be useful for researchers and clinicians examining the factors associated with low back pain disability or the effects of interventions on low back pain disability in this culture. This measure will support global health initiatives concurrently involving people from several cultures or countries, and may inform cross-cultural disability research in other populations.

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“…Indeed, because physical maneuvers or examinations were not possible, we relied on subjective, self-reported scale data. The perception of pain varies: a recent ethnographic study conducted in Botswana highlighted the challenges and complexities behind understanding how individuals perceive and express musculoskeletal pain and disability, particularly in cross-cultural settings, and emphasized the need to consider the social, cultural, and behavioral contexts of the population under investigation [21]. Such differences in communication and context should be considered with the results from this study conducted in a rural part of northern Tanzania.…”

Section: Discussionmentioning

confidence: 90%

The Impact of Heavy Load Carrying on Musculoskeletal Pain and Disability Among Women in Shinyanga Region, Tanzania

Kadota

McCoy

Bates

et al. 2020

Annals of Global Health

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Background: Heavy load carrying has been associated with musculoskeletal discomfort (MSD) and disability. However, there is a lack of research investigating this association in resource-constrained settings where heavy load carrying by women is common. Objective(s): We assessed the impact of heavy load carrying on musculoskeletal pain and disability among women in Shinyanga Region, Tanzania, in an exploratory cross-sectional study. Methods: Eligible participants were a convenience sample of women, at least 18 years of age, who passed a study recruitment site carrying a load. We collected information on load-carrying practices, including frequency and time spent carrying water, wood, agricultural products, coal, sand, or rocks, and measured the weight of the load carried at the time. Outcomes included self-reported MSDs, defined as experiencing pain lasting >3 days in the neck, head, back, knees, feet and/or ankles within the last 1 year, and related disability. Using multivariable logistic regression we assessed for associations between load carrying exposures and MSDs and disability. Findings: Results showed a high prevalence of MSDs across the body regions assessed and evidence to suggest a relationship of back pain and related disability with several measures of load-carrying, including duration, frequency, and weight. Multivariable analyses revealed associations of increased load carrying exposures with low back pain (LBP) and related disability, including statistically significant increases in odds of LBP with increasing weight, total duration of load carrying/week and cumulative loads/week. Conclusions: Findings indicate a substantial burden of MSDs and disability in this population of women who carry heavy loads daily. The extent of discomfort and disability increased with increasing exposure to various load-carrying measures, especially for LBP. Larger epidemiologic studies that definitively assess relationships of load carrying with MSDs and disability are warranted.

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Everyday burden of musculoskeletal conditions among villagers in rural Botswana: A focused ethnography

Abstract: Uncovering burden is an important first step to address musculoskeletal care needs in developing country settings. Community-engaged partnerships are needed to develop rehabilitation programmes to ease the burden of musculoskeletal disorders in rural Botswana.

Cited by 31 publications

References 27 publications

How do people in China think about causes of their back pain? A predominantly qualitative cross-sectional survey

How do people in China think about causes of their back pain? A predominantly qualitative cross-sectional survey

Assessing self-reported disability in a low-literate population with chronic low back pain: cross-cultural adaptation and psychometric testing of Igbo Roland Morris disability questionnaire

The Impact of Heavy Load Carrying on Musculoskeletal Pain and Disability Among Women in Shinyanga Region, Tanzania

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