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Self-Reported Chronic Back Pain and Current Depression in Brazil: A National Level Study

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  • Ryan J. Norris

    (Department of Pathology, School of Medicine and Health Sciences, University of North Dakota, Grand Forks, ND 58202, USA
    Department of Anesthesiology, School of Medicine, Wake Forest University, Winston-Salem, NC 27109, USA
    These authors contributed equally to this work.)

  • S. Cristina Oancea

    (Department of Population Health, School of Medicine and Health Sciences, University of North Dakota, Grand Forks, ND 58202, USA
    These authors contributed equally to this work.)

  • Luciana B. Nucci

    (Health Sciences Post Graduate Program, School of Life Sciences, Pontifical Catholic University of Campinas (PUC-Campinas), Campinas 130869-00, SP, Brazil)

Abstract

There is limited literature investigating the association between chronic back pain (CBP) and depression in Brazil. This study evaluates the association between CBP, CBP-related physical limitations (CBP-RPL), and self-reported current depression (SRCD), in a nationally representative sample of Brazilian adults. The data for this cross-sectional study came from the 2019 Brazilian National Health Survey ( n = 71,535). The Personal Health Questionnaire depression scale (PHQ-8) was used to measure the SRCD outcome. The exposures of interest were self-reported CBP and CBP-RPL (none, slight, moderate, and high limitation). Multivariable weighted and adjusted logistic regression models were used to investigate these associations. The weighted prevalence of SRCD among CBP was 39.5%. There was a significant weighted and adjusted association between CBP and SRCD (weighted and adjusted odds ratio (WAOR) 2.69 (95% CI: 2.45–2.94). The WAOR of SRCD among individuals with high, moderate, and slight levels of physical limitation was significantly greater than for those without physical limitation due to CBP. Among Brazilian adults with high levels of CBP-RPL, there was over a five-fold increased risk of SRCD compared to those without CBP-RPL. These results are important for increasing awareness of the link between CBP and SRCD and for informing health services policies.

Suggested Citation

  • Ryan J. Norris & S. Cristina Oancea & Luciana B. Nucci, 2023. "Self-Reported Chronic Back Pain and Current Depression in Brazil: A National Level Study," IJERPH, MDPI, vol. 20(8), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:8:p:5501-:d:1122758
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    References listed on IDEAS

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    1. Dunlop, D.D. & Song, J. & Lyons, J.S. & Manheim, L.M. & Chang, R.W., 2003. "Racial/Ethnic Differences in Rates of Depression among Preretirement Adults," American Journal of Public Health, American Public Health Association, vol. 93(11), pages 1945-1952.
    2. Armando Barrientos & Valerie Møller & João Saboia & Peter Lloyd-Sherlock & Julia Mase, 2013. "‘Growing’ social protection in developing countries: Lessons from Brazil and South Africa," Development Southern Africa, Taylor & Francis Journals, vol. 30(1), pages 54-68, March.
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