ArticleBMJ global health2017
Biopsychosocial factors associated with chronic low back pain disability in rural Nigeria: a population-based cross-sectional study.
Article in BMJ global health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed, 93 citations in OpenAlex.
- Effectiveness of patient education plus motor control exercise versus patient education alone versus motor control exercise alone for rural community-dwelling adults with chronic low back pain: a randomised clinical trial.BMC musculoskeletal disorders · 2023Trial
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- Exploring the clinical utility of postural outcome tools for back and neck pain clinical outcomes: a systematic scoping review.F1000Research · 2025Article
- Article
- Challenges of Measuring Self-Reported Exposure to Occupational Biomechanical Risk Factors Amongst People with Low Literacy Engaged in Manual Labour: Findings from a Cross-Cultural Adaptation and Psychometric Investigation in an African Population with Chronic Low Back Pain.Journal of occupational rehabilitation · 2024Article
- Limitations of a Cross-Sectional Correlation Study. Comment on Elabd et al. Prediction of Back Disability Using Clinical, Functional, and Biomechanical Variables in Adults with Chronic Nonspecific Low Back Pain.Journal of clinical medicine · 2024Article
- The coping strategies employed by individuals with chronic low back pain: secondary qualitative analysis of data from diverse adult populations in two sub-Saharan African countries.Frontiers in rehabilitation sciences · 2024Article
- Article
- A Qualitative Investigation of the Psychosocial Impact of Chronic Low Back Pain in Ghana.BMJ open · 2023Article
- Developing tailored intervention strategies for implementation of stratified care to low back pain with physiotherapists in Nigeria: a Delphi study.BMC health services research · 2023Article
- Understanding how patients' pain beliefs influence chronic low back pain management in Ghana: a grounded theory approach.BMJ open · 2022Article
- Exploring patients' lived experience on the barriers to accessing low back pain health services.African journal of primary health care & family medicine · 2022Article
- Prevalence and biopsychosocial factors associated with chronic low back pain in urban and rural communities in Western Africa: a population-based door-to-door survey in Benin.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Article
- A cross-sectional hospital-based study of correlates of disability in patients with chronic low back pain in KwaZulu-Natal, South Africa.BMC musculoskeletal disorders · 2022Article
- A Scoping Review on the Epidemiology of Chronic Low Back Pain among Adults in Sub-Saharan Africa.International journal of environmental research and public health · 2022Article
- The prevalence and psychosocial risk factors of chronic low back pain in KwaZulu-Natal.African journal of primary health care & family medicine · 2022Article
- Nonspecific chronic low back pain conditions and therapeutic practices in Burkina Faso.The South African journal of physiotherapy · 2022Article
- Biopsychosocial factors associated with chronic low back pain-related activity limitations in Burundi.The South African journal of physiotherapy · 2022Article
- Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMany people in Nigeria are living with disability due to chronic low back pain (CLBP), with the greatest burden accounted for by people living in rural Nigeria. However, factors associated with disability in rural Nigeria have not yet been established. We investigated the biomechanical and psychosocial predictors of CLBP disability in a rural Nigerian population.
methodsA cross-sectional study of adults with non-specific CLBP recruited from rural communities in Enugu State, South-eastern Nigeria. Measures of self-reported and performance-based disability, pain intensity, anxiety and depression, coping strategies, social support, occupational biomechanical factors, illness perceptions and fear avoidance beliefs were collected by trained community health workers. We used univariate and multivariate analyses.
results200 individuals were recruited. Psychosocial factors were the most important factors associated with CLBP disability, and accounted for 62.5% and 49.1% of the variance in self-reported and performance-based disability, respectively. The significant predictors of self-reported disability were: illness perceptions (β=0.289; p<0.0005), pain intensity (β=0.230; p<0.0005), catastrophising (β=0.210; p=0.001), fear avoidance beliefs (β=0.198; p=0.001) and anxiety (β=0.154; p=0.023). The significant predictors of performance-based disability were: illness perceptions (β=0.366; p<0.0005), social support (β=0.290; p<0.0005), fear avoidance beliefs (β=0.189; p<0.01) and female gender (β=0.184; p<0.01). Illness concern was the most salient dimension of illness perceptions predicting self-reported and performance-based disability.
conclusionsThese results provide evidence which can be used to inform the development of interventions to reduce CLBP disability in rural Nigeria, and may have relevance in other rural African contexts.
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