Prevalence of musculoskeletal conditions and related disabilities in Bangladeshi adults: a cross-sectional national survey

BMC Rheumatology

article

Zahid-Al-Quadir, Ahmad¹  Shahin, Abu²  Rahman, Moshiur³  Haq, Syed Atiqul¹  Zaman, M. Mostafa¹  Ahmed, Shamim¹  Bhuiyan, Mahfuzur Rahman¹  Rahman, Md Mujibur⁴  Patwary, Ismail⁵  Das, Bidhu Bhushan⁶  Hossain, Shaikh Amir⁷  Paul, Sujat⁸ 

[1] Department of Rheumatology, Bangabandhu Sheikh Mujib Medical University;Department of Medicine, Rajshahi Medical College;Department of Medicine, Patuakhali Sadar Hospital;Department of Medicine, Dhaka Medical College;Department of Medicine, Sylhet Women’s Medical College;Department of Medicine, Rangpur Medical College;Department of Medicine, Khulna Medical College;Department of Medicine, Chittagong Medical College

关键词: MSK conditions;    Disability;    Prevalence;    Bangladesh;   

DOI  :  10.1186/s41927-020-00169-w

学科分类：社会科学、人文和艺术（综合）

来源: BioMed Central

【 摘 要 】

Nationally representative data on burden of musculoskeletal conditions (MSK) in Bangladesh are not available. The objective of this study was to determine the prevalence of MSK conditions and related disabilities in the adult population of Bangladesh. A total of 2000 individuals aged 18 years or older were targeted from 20 primary sampling units (urban and rural) of all former seven divisions of Bangladesh in 2015. Structured interviews were done using the modified Community Oriented Program for Control of Rheumatic Disorders questionnaire to detect positive respondents. Standard criteria were used for diagnosing MSK conditions by rheumatology residents. In case of uncertainty, opinion was taken from senior rheumatologists. A Bangla version of the Health Assessment Questionnaire was used to determine disability. A total of 1843 (92.1%) participated. Among them, 892 men and 951 women participated from rural (n = 716) and urban (n = 1127) areas. Their mean age was 40.5 (standard deviation 14.7) years. Almost a third did not have any formal schooling. Overall, 30.4% (95% confidence interval, 28.3–32.5) had MSK conditions. Low back pain (18.6%, 16.9–20.5), knee osteoarthritis (7.3%, 6.1–8.5) and soft tissue rheumatism 3.8% (2.9–4.7) were the three top-ranking MSK conditions. Rheumatoid arthritis (1.6%, 1.0–2.1), spondyloarthritis (1.2%, 7–1.8) and adhesive capsulitis (1.4%, 0.9–1.9) were relatively uncommon. Among those who had MSK conditions, 24.8% (21.3–28.6) had some degree of disability. Of them, 24.4% (21.0–28.1) had history of work loss during last 12 months. The high burden of MSK conditions and related disabilities in Bangladesh warrants greater attention of the health system. Further studies are needed to estimate the impact of this group of conditions particularly addressing related disabilities and loss of work.

【 授权许可】

CC BY|CC0