Socioeconomic and lifestyle factors associated with chronic musculoskeletal disorders in Brazil: a network analysis of a population-based study involving 87,648 Brazilian adults

Background: Musculoskeletal disorders (MSKDs) are the leading cause of disability worldwide. The associations between socioeconomic and lifestyle factors and MSKDs have been widely studied in Europe and North America. However, little data are available about their relationship in Latin America. Obje...

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Main Authors: Arão Belitardo de Oliveira, Yohannes Woubishet Woldeamanuel, Gabriel Taricani Kubota, Priscilla B. Delgado, Yane C. Pelicer, Kriscia Partamian, Larissa Karen Pereira, Madeline Welch, Roy La Touche, Álvaro Reina-Varona, Dale S. Bond, Isabela M. Benseñor, Alessandra C. Goulart
Format: Article
Language:English
Published: SAGE Publishing 2025-06-01
Series:Therapeutic Advances in Chronic Disease
Online Access:https://doi.org/10.1177/20406223251350884
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author Arão Belitardo de Oliveira
Yohannes Woubishet Woldeamanuel
Gabriel Taricani Kubota
Priscilla B. Delgado
Yane C. Pelicer
Kriscia Partamian
Larissa Karen Pereira
Madeline Welch
Roy La Touche
Álvaro Reina-Varona
Dale S. Bond
Isabela M. Benseñor
Alessandra C. Goulart
author_facet Arão Belitardo de Oliveira
Yohannes Woubishet Woldeamanuel
Gabriel Taricani Kubota
Priscilla B. Delgado
Yane C. Pelicer
Kriscia Partamian
Larissa Karen Pereira
Madeline Welch
Roy La Touche
Álvaro Reina-Varona
Dale S. Bond
Isabela M. Benseñor
Alessandra C. Goulart
author_sort Arão Belitardo de Oliveira
collection DOAJ
description Background: Musculoskeletal disorders (MSKDs) are the leading cause of disability worldwide. The associations between socioeconomic and lifestyle factors and MSKDs have been widely studied in Europe and North America. However, little data are available about their relationship in Latin America. Objectives: To estimate the prevalence of chronic MSKDs in Brazil and assess their relationship with socioeconomic and lifestyle factors. Design: This is a cross-sectional study, based on a subanalysis of the open-access database from the Brazilian National Health Survey 2019. This survey was a nationwide, cross-sectional, door-to-door study that included 87,648 adults and was conducted between 2019 and 2020. Methods: Prevalence estimates were based on weighted sample strata, and the relationship between MSKD and socioeconomic and lifestyle factors was examined through network analysis and weighted Poisson regression models with robust variance. Results: The weighted prevalence of chronic MSKDs was estimated at 26.1% (95% confidence interval, 25.5%–26.8%). In the network analysis, including all socioeconomic and lifestyle variables, MSKDs prevalence was notably linked to higher body mass index, drinking, smoking, and low income. In the regression models, MSKD prevalence was associated with obesity, sleep disorders, smoking, alcohol consumption, and depression, and inversely associated with physical activity, even after controlling for the sociodemographic disparities. Conclusion: This study identifies specific socioeconomic and lifestyle factors associated with MSKDs and highlights the need for immediate national health promotion programs focused on MSKDs prevention through targeted lifestyle modifications, especially in populations belonging to the lower-income strata in Brazil.
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spelling doaj-art-832dfd8ec1454f91ad4a7566bde159652025-08-20T03:27:58ZengSAGE PublishingTherapeutic Advances in Chronic Disease2040-62312025-06-011610.1177/20406223251350884Socioeconomic and lifestyle factors associated with chronic musculoskeletal disorders in Brazil: a network analysis of a population-based study involving 87,648 Brazilian adultsArão Belitardo de OliveiraYohannes Woubishet WoldeamanuelGabriel Taricani KubotaPriscilla B. DelgadoYane C. PelicerKriscia PartamianLarissa Karen PereiraMadeline WelchRoy La ToucheÁlvaro Reina-VaronaDale S. BondIsabela M. BenseñorAlessandra C. GoulartBackground: Musculoskeletal disorders (MSKDs) are the leading cause of disability worldwide. The associations between socioeconomic and lifestyle factors and MSKDs have been widely studied in Europe and North America. However, little data are available about their relationship in Latin America. Objectives: To estimate the prevalence of chronic MSKDs in Brazil and assess their relationship with socioeconomic and lifestyle factors. Design: This is a cross-sectional study, based on a subanalysis of the open-access database from the Brazilian National Health Survey 2019. This survey was a nationwide, cross-sectional, door-to-door study that included 87,648 adults and was conducted between 2019 and 2020. Methods: Prevalence estimates were based on weighted sample strata, and the relationship between MSKD and socioeconomic and lifestyle factors was examined through network analysis and weighted Poisson regression models with robust variance. Results: The weighted prevalence of chronic MSKDs was estimated at 26.1% (95% confidence interval, 25.5%–26.8%). In the network analysis, including all socioeconomic and lifestyle variables, MSKDs prevalence was notably linked to higher body mass index, drinking, smoking, and low income. In the regression models, MSKD prevalence was associated with obesity, sleep disorders, smoking, alcohol consumption, and depression, and inversely associated with physical activity, even after controlling for the sociodemographic disparities. Conclusion: This study identifies specific socioeconomic and lifestyle factors associated with MSKDs and highlights the need for immediate national health promotion programs focused on MSKDs prevention through targeted lifestyle modifications, especially in populations belonging to the lower-income strata in Brazil.https://doi.org/10.1177/20406223251350884
spellingShingle Arão Belitardo de Oliveira
Yohannes Woubishet Woldeamanuel
Gabriel Taricani Kubota
Priscilla B. Delgado
Yane C. Pelicer
Kriscia Partamian
Larissa Karen Pereira
Madeline Welch
Roy La Touche
Álvaro Reina-Varona
Dale S. Bond
Isabela M. Benseñor
Alessandra C. Goulart
Socioeconomic and lifestyle factors associated with chronic musculoskeletal disorders in Brazil: a network analysis of a population-based study involving 87,648 Brazilian adults
Therapeutic Advances in Chronic Disease
title Socioeconomic and lifestyle factors associated with chronic musculoskeletal disorders in Brazil: a network analysis of a population-based study involving 87,648 Brazilian adults
title_full Socioeconomic and lifestyle factors associated with chronic musculoskeletal disorders in Brazil: a network analysis of a population-based study involving 87,648 Brazilian adults
title_fullStr Socioeconomic and lifestyle factors associated with chronic musculoskeletal disorders in Brazil: a network analysis of a population-based study involving 87,648 Brazilian adults
title_full_unstemmed Socioeconomic and lifestyle factors associated with chronic musculoskeletal disorders in Brazil: a network analysis of a population-based study involving 87,648 Brazilian adults
title_short Socioeconomic and lifestyle factors associated with chronic musculoskeletal disorders in Brazil: a network analysis of a population-based study involving 87,648 Brazilian adults
title_sort socioeconomic and lifestyle factors associated with chronic musculoskeletal disorders in brazil a network analysis of a population based study involving 87 648 brazilian adults
url https://doi.org/10.1177/20406223251350884
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