title: [Importance of chronic musculoskeletal problems in the population of Catalonia (Spain): prevalence and effect on self-perceived health, activity restriction and use of health services].
abstract: OBJECTIVE
  To determine the importance of chronic musculoskeletal problems in the adult population of Catalonia (Spain) and their effect on self-perceived health, activity restriction and use of health services.
  
  
  METHODS
  A population-based survey of 15,926 adults was performed. Multistage stratified sampling was performed. The variables gathered were sociodemographic characteristics, self-reported chronic health problems, self-perceived health, activity restriction and use of health services. Musculoskeletal problems were grouped into four categories: osteoarthritis-arthritis or rheumatism (OA), chronic dorsal or lumbar pain (LBP), chronic cervical pain (UBP), and osteoporosis.
  
  
  RESULTS
  Chronic health problems were reported by 77.4% of the adult population. The most frequent health problem was LBP, followed by UBP and OA. After adjustment by age was performed, female sex increased the risk of reporting OA, LBP, UBP and osteoporosis (OR=2.6, 1.5, 2.3, and 5.3, respectively). The prevalence increased with greater age and with lower socioeconomic status. After adjustment was performed by age, sex, social class and obesity, self-perceived health was worse in people with these problems (42.7% vs 11%). The four categories were the main causes of activity restriction in the last year (OR 2.70) and the last 15 days (OR=2.32) and were associated with a higher use of health services.
  
  
  CONCLUSIONS
  Los problemas reumáticos son los principales problemas de salud crónicos declarados por la población adulta. La prevalencia es mayor es las mujeres, aumenta con la edad y en las clases desfavorecidas. Hay una asociación significativa entre declarar problemas musculoesqueléticos y salud autopercibida mala o regular, y mayor restricción de actividades y uso de servicios sanitarios.
authors: Plan Director de Enfermedades Reumáticas y del Aparato Locomotor y Plan de Salud, Dirección General de Planificación y Evaluación, Departamento de Salud, Generalitat de Cataluña, Barcelona, España. mjpueyo@catsalut.cat
authors: María Jesús
authors: MJ
authors: Pueyo
authors: Xavier
authors: X
authors: Surís
authors: Marta
authors: M
authors: Larrosa
authors: Jaume
authors: J
authors: Auleda
authors: Anna
authors: A
authors: Mompart
authors: Pilar
authors: P
authors: Brugulat
authors: Ricard
authors: R
authors: Tresserras
authors: María Luisa
authors: ML
authors: de la Puente
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000453:epidemiology*; D010146:Pain / Q000453:epidemiology; D015995:Prevalence; D012216:Rheumatic Diseases / Q000453:epidemiology*; D012649:Self Concept; D011795:Surveys and Questionnaires; D055815:Young Adult