title: Prevalence of musculoskeletal pain and rheumatic diseases in the southeastern region of Mexico. A COPCORD-based community survey.
abstract: OBJECTIVE
  To assess the prevalence of musculoskeletal (MSK) pain and rheumatic diseases in the southeastern Mexican state of Yucatán.
  
  
  METHODS
  Using the Community Oriented Program in the Rheumatic Diseases (COPCORD) methodology, we performed a door-to-door, cross-sectional study generated through a multistage, stratified, randomized method on 3915 adult residents (age 42.7 ± 17.1 yrs; women 61.8%; urban setting 45.7%) of the Mexican state of Yucatán. We used universally accepted criteria for the diagnosis or classification of rheumatoid arthritis (RA), osteoarthritis (OA; knee and hand), fibromyalgia, systemic lupus erythematosus (SLE), gout, ankylosing spondylitis, regional rheumatic pain syndromes, and inflammatory back pain.
  
  
  RESULTS
  Nontraumatic MSK pain in the last 7 days was present in 766 (19.6%; 95% CI 18.3-20.8) individuals. MSK pain was more prevalent in women (26.6%) versus men (12.2%; p < 0.01). Self-reported MSK disability occurred in 1.7%. Most MSK pain-related variables were consistently more prevalent in the urban setting. The prevalence of rheumatic disease was: OA 6.8% (95% CI 6.0-7.6); back pain 3.8% (95% CI 3.2-4.4); RA 2.8% (95% CI 2.2-3.3); rheumatic regional pain syndromes 2.3% (95% CI 1.9-2.8); inflammatory back pain 0.7% (95% CI 0.5-1.0); fibromyalgia 0.2% (95% CI 0.1-0.4); gout 0.1% (95% CI 0.07-0.3); and SLE 0.07% (95% CI 0.01-0.2).
  
  
  CONCLUSIONS
  The prevalence of MSK pain was 19.6%. MSK pain was more prevalent in women and in the urban setting. A remarkably high prevalence of RA was found in this population, which suggests a role for geographic factors.
authors.affiliation: Unidad de Investigación Médica, Unidad Médica de Alta Especialidad, Instituto Mexicano del Seguro Social, Mérida, Yucatán, México. nemegyei@yahoo.com.mx
authors.forename: José
authors.initials: J
authors.lastname: Alvarez-Nemegyei
authors.forename: Ingris
authors.initials: I
authors.lastname: Peláez-Ballestas
authors.forename: Luz Helena
authors.initials: LH
authors.lastname: Sanin
authors.forename: Mario H
authors.initials: MH
authors.lastname: Cardiel
authors.forename: Angelica
authors.initials: A
authors.lastname: Ramirez-Angulo
authors.forename: Maria-Victoria
authors.initials: MV
authors.lastname: Goycochea-Robles
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018672:Community Health Planning; D003430:Cross-Sectional Studies; D003710:Demography; D006233:Persons with Disabilities; D005260:Female; D006306:Health Surveys; D006801:Humans; D007390:International Agencies; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology; D010146:Pain / Q000453:epidemiology* / Q000209:etiology / Q000503:physiopathology; D015995:Prevalence; D012216:Rheumatic Diseases / Q000150:complications / Q000453:epidemiology* / Q000503:physiopathology; D012424:Rural Population; D014505:Urban Population; D055815:Young Adult