Estimating the prevalence and predictors of musculoskeletal disorders in Tanzania: a cross-sectional pilot study

Journal article


Nateiya Mmeta Yongolo, Jo Halliday, Christopher Bunn, Benson Mtesha, Clive Kelly, Krauth, S.J., Anthon Mwingwa, Sanjura Mandela Biswaro, Stefan Siebert, Asia Hemed Kipengele, Richard William Walker, Emma McIntosh and Blandina Theophil Mmbaga 2024. Estimating the prevalence and predictors of musculoskeletal disorders in Tanzania: a cross-sectional pilot study. Pan African Medical Journal. 47 (36). https://doi.org/10.11604/pamj.2024.47.36.38258
AuthorsNateiya Mmeta Yongolo, Jo Halliday, Christopher Bunn, Benson Mtesha, Clive Kelly, Krauth, S.J., Anthon Mwingwa, Sanjura Mandela Biswaro, Stefan Siebert, Asia Hemed Kipengele, Richard William Walker, Emma McIntosh and Blandina Theophil Mmbaga
Abstract

Introduction
Musculoskeletal (MSK) disorders account for approximately 20% of all years lived with disability worldwide however studies of MSK disorders in Africa are scarce. This pilot study aimed to estimate the community-based prevalence of MSK disorders, identify predictors, and assess the associated disability in a Tanzanian population.

Methods
A cross-sectional study was conducted in one village in the Kilimanjaro region from March to June 2019. The Gait, Arms, Legs, Spine (GALS) or paediatric GALS (pGALS) examinations were used during household and school visits. Individuals positive in GALS/pGALS screening were assessed by the regional examination of the musculoskeletal system (REMS) and Modified Health Assessment Questionnaire (MHAQ).

Results
Among the 1,172 individuals enrolled in households, 95 (8.1%, 95% CI: 6.6 - 9.8) showed signs of MSK disorders using the GALS/pGALS examination and 37 (3.2%, 95% CI: 2.2 - 4.3) using the REMS. Among 682 schools enrolled children, seven showed signs of MSK disorders using the GALS/pGALS examination (1.0%, 95% CI: 0.4 - 2.1) and three using the REMS (0.4%, 95% CI: 0.0 - 1.3). In the household-enrolled adult population, female gender and increasing age were associated with GALS and REMS-positive findings. Among GALS-positive adults, increasing age was associated with REMS-positive status and increasing MHAQ score.

Conclusion
This Tanzanian study demonstrates a prevalence of MSK disorders and identifies predictors of MSK disorders comparable to those seen globally. These findings can inform the development of rheumatology services and interventions in Tanzania and the design of future investigations of the determinants of MSK disorders, and their impacts on health, livelihoods, and well-being.

KeywordsCross-sectional studies ; Pilot projects; Tanzania; Rheumatology; Prevalance
Year2024
JournalPan African Medical Journal
Journal citation47 (36)
PublisherPAMJ Center for Public health Research and Information
Digital Object Identifier (DOI)https://doi.org/10.11604/pamj.2024.47.36.38258
Official URLhttps://www.panafrican-med-journal.com/content/article/47/36/full/
FunderNational Institute for Health and Care Research
Publication dates
Online30 Jan 2024
Publication process dates
Accepted11 Jan 2024
Deposited10 Jul 2024
Publisher's version
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File Access Level
Open
Output statusPublished
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