Department of Physiotherapy, Faculty of Medical Sciences, Anton de Kom University of Suriname, Kernkampweg 5, Paramaribo, Suriname.
Department of Rehabilitation Sciences, Research group for Musculoskeletal Rehabilitation, Department of Rehabilitation Sciences, Faculty of Movement and Rehabilitation Sciences, KU Leuven, Tervuursevest 101, 3001, Leuven, Belgium.
Qual Life Res. 2023 Jul;32(7):1955-1970. doi: 10.1007/s11136-023-03363-8. Epub 2023 Feb 24.
Musculoskeletal complaints (MSCs), a leading contributor to disability worldwide, have a major impact on health-related quality of life (HRQoL). Poor general health related to lifestyle factors such as smoking, alcohol consumption and physical inactivity can lead to a higher risk to suffer MSCs. For minority groups in Suriname such as the Maroons and the Indigenous peoples no research has been conducted regarding prevalence of MSCs, HRQoL and various lifestyle factors. The aims were to determine the prevalence of MSCs and HRQoL in two rural tribal villages in the forested interior of Suriname and to identify various lifestyle factors associated with HRQoL in these communities.
This was a cross-sectional community-based study using the Community Oriented Program for the Control of Rheumatic Diseases stage 1, phase 1 & 2 methodology in Goejaba, a Maroon village and Galibi, an Indigenous rural village. Sociodemographic data, self-reported comorbidities, past MSCs (for longer than seven days), lifestyle factors including smoking, alcohol use, body mass index (BMI) and physical activity (PA), and HRQoL (using the 36-item Short Form Survey (SF-36)) data were gathered among 153 Indigenous individuals in Galibi, and 516 Maroons in Goejaba. Regression models were constructed to explore associations between presence of MSCs, lifestyle factors and HRQoL.
High prevalence rates for past MSCs were reported in Galibi (72.4%) and Goejaba (58.3%). In both communities, respondents with MSCs reported significantly worse HRQoL than persons without MSCs. MSCs and the presence of comorbidities had a strong negative association with HRQoL, whereas PA positively influenced the physical and mental health domains of the SF-36. Smoking, alcohol use and BMI showed no association with HRQoL.
In this first study, a high prevalence for MSCs was reported in an Indigenous and Maroon rural community in Suriname. MSCs and comorbidities had a significant negative impact on HRQoL. PA was associated with higher self-reported HRQoL.
肌肉骨骼疾病（MSCs）是全球残疾的主要原因之一，对健康相关生活质量（HRQoL）有重大影响。与生活方式因素（如吸烟、饮酒和缺乏身体活动）相关的整体健康状况不佳会导致更高的 MSCs 患病风险。对于苏里南的少数民族群体，如马隆人和土著人民，没有关于 MSCs、HRQoL 和各种生活方式因素的研究。本研究的目的是确定苏里南森林内陆的两个农村部落村庄的 MSCs 和 HRQoL 的流行率，并确定与这些社区的 HRQoL 相关的各种生活方式因素。
这是一项横断面社区基础研究，在苏里南的 Goejaba（马隆村）和 Galibi（土著农村村庄）使用面向社区的类风湿关节炎控制项目第 1 阶段、第 1 阶段和第 2 阶段方法。收集了 Galibi 中的 153 名土著个体和 Goejaba 中的 516 名马隆人的社会人口统计学数据、自我报告的合并症、过去 MSCs（超过七天）、生活方式因素（包括吸烟、饮酒、体重指数（BMI）和身体活动（PA））和 HRQoL（使用 36 项简短形式调查（SF-36））数据。构建回归模型来探索 MSCs 存在、生活方式因素和 HRQoL 之间的关联。
Galibi（72.4%）和 Goejaba（58.3%）报告了过去 MSCs 的高流行率。在这两个社区中，患有 MSCs 的受访者的 HRQoL 明显差于没有 MSCs 的人。MSCs 和合并症的存在与 HRQoL 呈强烈的负相关，而 PA 则对 SF-36 的身体和心理健康领域产生积极影响。吸烟、饮酒和 BMI 与 HRQoL 无关。
在这项首次研究中，报告了苏里南一个土著和马隆农村社区中 MSCs 的高流行率。MSCs 和合并症对 HRQoL 有重大负面影响。PA 与较高的自我报告 HRQoL 相关。
