Chinonso Nwamaka Igwesi-Chidobe|Bolaji Coker|Chika Onwasigwe|Isaac Olubunmi Sorinola|Emma Godfrey
Biopsychosocial factors associated with chronic low back pain disability in rural Nigeria: a population-based cross-sectional study
University of Nigeria|King's College London|King's College Hospital NHS Foundation Trust|University of Nigeria|King's College London|King's College London
h3introductionh3 many people nigeria living disability due chronic low back pain clbp greatest burden accounted people living rural nigeria however factors associated disability rural nigeria yet established investigated biomechanical psychosocial predictors clbp disability rural nigerian population h3methodsh3 crosssectional study adults nonspecific clbp recruited rural communities enugu state southeastern nigeria measures selfreported performancebased disability pain intensity anxiety depression coping strategies social support occupational biomechanical factors illness perceptions fear avoidance beliefs collected trained community health workers used univariate multivariate analyses h3resultsh3 200 individuals recruited psychosocial factors important factors associated clbp disability accounted 625 491 variance selfreported performancebased disability respectively significant predictors selfreported disability illness perceptions 0289 plt00005 pain intensity 0230 plt00005 catastrophising 0210 p0001 fear avoidance beliefs 0198 p0001 anxiety 0154 p0023 significant predictors performancebased disability illness perceptions 0366 plt00005 social support 0290 plt00005 fear avoidance beliefs 0189 plt001 female gender 0184 plt001 illness concern salient dimension illness perceptions predicting selfreported performancebased disability h3conclusionsh3 results provide evidence used inform development interventions reduce clbp disability rural nigeria may relevance rural african contexts