ArticleAfrican journal of primary health care & family medicine2022
The prevalence and psychosocial risk factors of chronic low back pain in KwaZulu-Natal.
Article in African journal of primary health care & family medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 19 citations in OpenAlex.
- Prevalence of Low Back Pain and Associated Factors Among University Students in Bangladesh: A Cross-Sectional Study.Health science reports · 2026Article
- Safety of autologous nucleus pulposus cell transplantation with fibrin glue following endoscopic discectomy in chronic low back pain: a preliminary phase I trial.BMC musculoskeletal disorders · 2025Article
- A data-driven analysis of lumbar steroid injection satisfaction in patients with chronic low back pain.Scientific reports · 2025Article
- Cross-sectional analysis of online information on low back pain across South African chiropractic websites.Chiropractic & manual therapies · 2025Article
- Quality of Life in Patients with Chronic Low Back Pain and Differences by Sex: A Longitudinal Study.Journal of personalized medicine · 2024Article
- Chronic pain after spine surgery: Insights into pathogenesis, new treatment, and preventive therapy.Journal of orthopaedic translation · 2023Review
- A Qualitative Investigation of the Psychosocial Impact of Chronic Low Back Pain in Ghana.BMJ open · 2023Article
- Exploring patients' lived experience on the barriers to accessing low back pain health services.African journal of primary health care & family medicine · 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
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2 authors at 1 institution in 1 country.
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Abstract
backgroundChronic low back pain (CLBP) is the leading cause of disability and has been extensively investigated in high-income countries (HICs), with little done in low-and middle-income countries. Biomechanical stressors do not have a major pathogenic role, but psychosocial predisposition is important. The occurrence and progression of CLBP are significantly affected by psychosocial risk factors. Guidelines recommend the early identification of psychosocial factors that could predict CLBP.
aimTo determine the prevalence and psychosocial risk factors for CLBP amongst adults in KwaZulu-Natal, South Africa.
settingThe study was conducted at five randomly selected public hospitals in KwaZulu-Natal.
methodsAnalytical cross-sectional hospital-based study utilising a self-administered questionnaire to collect data on (1) sociodemographic, (2) disability, (3) fear-avoidance beliefs and (4) illness behaviour. The Statistical Package for the Social Sciences (SPSS) 24.0 was used for data cleaning and descriptive statistics. Chi-square test was used for categorical variables. Standard Edition of the Statistical Software for Data Science version 17.0 (STATA 17.0 SE) was used to identify risk factors using the logistic regression analysis. A p-value of ≤ 0.05 was deemed statistically significant.
resultsOverall prevalence of CLBP was 22.2% (95% confidence interval [CI]: 18.8-25.9). Females had a higher prevalence of CLBP than males, 23.9% (95% CI: 19.4-28.9) and 19.7% (95% CI: 14.8-25.5), respectively; however, the difference was not significant p = 0.243. The multivariate regression analysis identified the following risk factors: female gender, middle-aged adults 38-47 years, obesity, disease conviction, affective disturbance, denial and fear-avoidance behaviour-work subscale.
conclusionThere is a high prevalence of CLBP amongst the study participants. Psychosocial factors (disease conviction, affective disturbance and fear-avoidance behaviour about work) are significant predictors of CLBP.
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