Does neighbourhood deprivation influence low back pain and arthritis: An empirical study using multilevel twin design.

Yingyu Feng, Jocelyn L Bowden, David J Hunter, Paulo Ferreira, Glen E Duncan

Abstract readTwin Study

In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Yingyu FengSydney Musculoskeletal Health, The Kolling Institute, The University of Sydney and Rheumatology Department, Royal North Shore Hospital, Sydney, Australia.ORCID 0000-0001-8331-8310

Jocelyn L BowdenSydney Musculoskeletal Health, The Kolling Institute, The University of Sydney and Rheumatology Department, Royal North Shore Hospital, Sydney, Australia.ORCID 0000-0002-0340-0232

David J HunterSydney Musculoskeletal Health, The Kolling Institute, The University of Sydney and Rheumatology Department, Royal North Shore Hospital, Sydney, Australia.ORCID 0000-0003-3197-752X

Paulo FerreiraCharles Perkins Centre, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, St Leonards, Australia.

Glen E DuncanDepartment of Nutrition and Exercise Physiology, Washington State University Health Sciences Spokane, Spokane, Washington, United States of America.ORCID 0000-0001-6909-1869

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNeighbourhood deprivation has been found to be associated with many health conditions, but its association with low back pain (LBP) and arthritis is unclear. This study aimed to examine the association between neighbourhood deprivation with LBP and arthritis, and its potential interaction with individual socioeconomic status (SES) on these outcomes.

methodsMonozygotic (MZ) twins from the Washington State Twin Registry were used to control for genetic and common environmental factors that could otherwise confound the purported relationship. Multilevel models were employed to examine the association between neighbourhood deprivation as well as individual-level SES with LBP/arthritis, adjusting for age, sex, body mass index (BMI) and residence rurality.

resultsThere were 6,380 individuals in the LBP sample and 2,030 individuals in the arthritis sample. Neighbourhood deprivation was not associated with LBP (P = 0.26) or arthritis (P = 0.61), and neither was its interaction with individual-level SES. People without a bachelor's degree were more likely to report LBP (OR 1.44, 95% CI 1.26-1.65) or both LBP and arthritis (OR 1.67, 95% CI 1.14-2.45) than those with a bachelor's degree, but not for arthritis alone (P = 0.17). Household income was not significantly associated with LBP (P = 0.16) or arthritis (p = 0.23) independent of age, sex, and BMI.

conclusionOur study did not find significant associations between neighbourhood deprivation and the presence of LBP or arthritis. More research using multilevel modelling to investigate neighbourhood effects on LBP and arthritis is recommended.

Indexed as

ArthritisLow Back PainAdultAgedFemaleHumansMaleMiddle AgedResidence CharacteristicsSocial ClassTwins, MonozygoticWashington

Identifiers

PMID38669221

DOI10.1371/journal.pone.0298356

PMCPMC11051583

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.