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. 2016 Jul;35 Suppl 1(Suppl 1):35-42.
doi: 10.1007/s10067-015-3148-y. Epub 2015 Dec 21.

Epidemiology of rheumatic diseases in Mixtec and Chontal indigenous communities in Mexico: a cross-sectional community-based study

Flor Julián-Santiago  1 , Conrado García-García  2 , Imelda García-Olivera  3 , María Victoria Goycochea-Robles  4 , Ingris Pelaez-Ballestas  5   6
Affiliations

Epidemiology of rheumatic diseases in Mixtec and Chontal indigenous communities in Mexico: a cross-sectional community-based study

Flor Julián-Santiago et al. Clin Rheumatol. 2016 Jul.

Abstract

This study aimed to estimate the prevalence of musculoskeletal (MSK) disorders and rheumatic diseases in the Chontal and Mixtec indigenous communities in the state of Oaxaca, Mexico, using the Community-Oriented Program for the Control of Rheumatic Diseases (COPCORD) methodology. After cross-culturally validating the COPCORD questionnaire for these communities, we conducted a cross-sectional, analytical, community-based census study using a house-to-house method. Positive cases of MSK disorders were assessed by primary care physicians and rheumatologists. The study population included participants aged ≥18 years from the indigenous communities of San Antonio Huitepec and San Carlos Yautepec. A total of 1061 persons participated in the study. Mean age was 46.9 years (standard deviation 19.9; age range 18-97 years); 642 (60.5 %) were women; 483 participants (45.5; 42.4-48.5 %) had MSK pain in the previous 7 days. Diagnoses were back pain 170 (16.0 %; 95 % confidence interval [CI] 13.8-18.3); osteoarthritis 157 (14.7 %; 95 % CI 12.7-17.0); rheumatic regional pain syndrome 53 (4.9 %; 95 % CI 3.7-6.4); rheumatoid arthritis 4 (0.3 %; 95 % CI 0.1-0.9); dermatomyositis 1 (0.09 %; 95 % CI 0.0-0.5); ankylosing spondylitis 1 (0.09 %; 95 % CI 0.0-0.5); systemic lupus erythematosus 1 (0.09 %; 95 % CI 0.02-0.5); and gout 1 (0.09 %; 95 % CI 0.0-0.5). 53.2 % had not received medical treatment for their disease. The prevalence of MSK disorders in indigenous communities in the Mixtec and Chontal regions is very high. The most common rheumatic diseases found were back pain and osteoarthritis. A high percentage of participants had not received medical care.

Keywords: COPCORD; Indigenous population; Mexico; Oaxaca; Prevalence; Rheumatic diseases.

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Fig. 1
Musculoskeletal pain in the last seven days n (%; CI 95%)
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References

    1. March L, Smith EU, Hoy DG, Cross MJ, Sanchez-Rie L, Blyth F, Buchbinder R, Vos T, Woolf AD. Burden of disability due to musculoskeletal (MSK) disorders. Best Pract Res Clin Rheumatol. 2014;28:353–366. doi: 10.1016/j.berh.2014.08.002. - DOI - PubMed
    1. Gabriel S, Michaud K. Epidemiological studies in incidence, prevalence, mortality and comorbidity of the rheumatic diseases. Arthritis Res Ther. 2009;11:229. doi: 10.1186/ar2669. - DOI - PMC - PubMed
    1. Smith E, Hoy DG, Cross M, Vos T, Naghavi M, Buchbinder R, Woolf A, March L. The global burden of other musculoskeletal disorders: estimates from the GBD 2010 study. Ann Rheum Dis. 2014;73:1462–1469. doi: 10.1136/annrheumdis-2013-204680. - DOI - PubMed
    1. Bennett K, Cardiel MH, Ferraz MB, Riedemann P, Goldsmith CH, Tugwell P. Community screening for rheumatic disorder: cross cultural adaptation and screening characteristics of the COPCORD Core Questionnaire in Brazil, Chile, and Mexico. J Rheumatol. 1997;24:160–168. - PubMed
    1. Bennett K, Cardiel MH, Ferraz MB, Riedemann P, Goldsmith CH, Tugwell P. Community screening for rheumatic disorder: cross-cultural adaptation and screening characteristics of the COPCORD Core Questionnaire in Brazil, Chile, and Mexico. The PANLAR-COPCORD Working Group. J Rheumatol. 1997;24:160–168. - PubMed