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. 2016 Jul;35 Suppl 1(Suppl 1):53-61.
doi: 10.1007/s10067-016-3194-0. Epub 2016 Feb 19.

Prevalence of musculoskeletal disorders and rheumatic disease in the Warao, Kari'ña, and Chaima indigenous populations of Monagas State, Venezuela

Ysabel Granados  1   2 , Celenia Rosillo  3 , Ligia Cedeño  3 , Yanira Martínez  4 , Gloris Sánchez  5 , Geovalis López  3 , Fernando Pérez  6 , Damarys Martínez  3 , Gabriela Maestre  3 , Sol Berbin  7 , Rosa Chacón  8 , Iván Stekman  9 , Evart Valls  10 , Ingris Peláez-Ballestas  11
Affiliations

Prevalence of musculoskeletal disorders and rheumatic disease in the Warao, Kari'ña, and Chaima indigenous populations of Monagas State, Venezuela

Ysabel Granados et al. Clin Rheumatol. 2016 Jul.

Abstract

This study aimed to estimate the prevalence of musculoskeletal disorders and rheumatic diseases in the Warao, Kari'ña, and Chaima indigenous populations of Monagas State, Venezuela. A cross-sectional, analytical, community-based study was conducted in 1537 indigenous subjects ≥18 years old (38.6 % male, mean age 41.4 ± 17.5 years). The cross-culturally validated Community Oriented Program for the Control of Rheumatic Diseases (COPCORD) diagnostic questionnaire was applied. Subjects with a positive COPCORD diagnosis (either historic or current pain) were evaluated by primary care physicians and rheumatologists. A descriptive analysis was performed and comparisons made using analysis of variance and the chi-square test. Pain in the last 7 days was reported by 32.9 %, with pain intensity, according to a Likert-type scale [no pain, 195 (38.5 %); minimal pain, 231 (45.6 %); strong pain, 68 (13.4 %); intense pain, 5 (0.9 %)], 38.0 % reported historical pain, and 641 (41.7 %) had either historic or current pain. Of the COPCORD-positive subjects, pain most frequently occurred in the knee, back, and hands. Musculoskeletal and rheumatic diseases included osteoarthritis (14.1 %), back pain (12.4 %), rheumatic regional pain syndromes (RRPS) (9.7 %), undifferentiated arthritis (1.5 %), rheumatoid arthritis (1.1 %), and fibromyalgia (0.5 %). Chaima (18.3 %) and Kari'ña (15.6 %) subjects had a high prevalence of osteoarthritis, and Warao subjects had a high prevalence of low back pain (13.8 %). The prevalence of RRPS was high in all three ethnic groups. The Chaima group had the highest prevalence of rheumatic diseases, with 2.0 % having rheumatoid arthritis. This study provides useful information for health care policy-making in indigenous communities.

Keywords: Indigenous populations; Musculoskeletal diseases; Prevalence; Rheumatic diseases; Venezuela.

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Figures

Fig. 1
Fig. 1
Musculoskeletal pain places in the last 7 days
Fig. 2
Fig. 2
Rheumatic diseases detection
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