title: Prevalence of musculoskeletal disorders and rheumatic diseases in the indigenous Qom population of Rosario, Argentina.
abstract: This study aimed to estimate the prevalence of musculoskeletal disorders and rheumatic diseases among the indigenous Qom (Toba) population in the city of Rosario, Santa Fe, Argentina. An analytical cross-sectional study using methodology of the Community Oriented Program for the Control of Rheumatic Diseases (COPCORD) was performed. Subjects ≥18 years of age were interviewed by advanced students of medicine and nursing, bilingual translator-facilitators, and coordinators. Individuals with musculoskeletal pain (positive cases) were evaluated sequentially for 7 days by internists and rheumatologists for diagnosis and treatment. The study included 1656 individuals (77 % of the census population). Of these, 1020 (61.5 %) were female, with mean age of 35.3 (SD 13.9) years, and 1028 (62.0 %) were bilingual. The public health care system covers 87.1 % of the population. Musculoskeletal pain in the previous 7 days and/or at some time during their life was present in 890 subjects (53.7 %). Of those with pain in the last 7 days, 302 (64.1 %) subjects had an Health Assessment Questionnaire Disability Index (HAQ-DI) score ≥0.8. The most frequent pain sites were lumbar spine (19.3 %), knees (13.0 %), and hands (12.0 %). The prevalence of rheumatic diseases was as follows: mechanical back pain (20.1 %), rheumatic regional pain syndrome (2.9 %), osteoarthritis (4.0 %) rheumatoid arthritis (2.4 %), inflammatory back pain (0.2 %), systemic sclerosis (0.1 %), Sjögren syndrome (0.1 %), fibromyalgia (0.1 %), mixed connective tissue disease (0.06 %), and systemic lupus erythematosus (0.06 %). The prevalence of musculoskeletal disorders was 53.7 % and rheumatic diseases 29.6 %. Rheumatoid arthritis prevalence was 2.4 % using COPCORD methodology, one of the highest reported at present.
authors: Hospital Provincial de Rosario, Leandro N. Alem 1450, Rosario, Santa Fe, Argentina.
authors: Rosana
authors: R
authors: Quintana
authors: Ministerio de Salud, Gobierno de la Provincia de Santa Fe, Santa Fe, Argentina.
authors: Adriana M R
authors: AM
authors: Silvestre
authors: Centro de Especialidades Médicas Ambulatorias de Rosario, Secretaría de Salud Pública, Municipalidad de Rosario, Santa Fe, Argentina.
authors: Mario
authors: M
authors: Goñi
authors: Ministerio de Salud, Gobierno de la Provincia de Santa Fe, Santa Fe, Argentina.
authors: Vanina
authors: V
authors: García
authors: Instituto de Reumatología, Ortopedia y Fisiatría, Rosario, Santa Fe, Argentina.
authors: Nora
authors: N
authors: Mathern
authors: Centro de Especialidades Médicas Ambulatorias de Rosario, Secretaría de Salud Pública, Municipalidad de Rosario, Santa Fe, Argentina.
authors: Marisa
authors: M
authors: Jorfen
authors: Juan Bautista Alberdi Hospital, Rosario, Santa Fe, Argentina.
authors: Julio
authors: J
authors: Miljevic
authors: Juan Bautista Alberdi Hospital, Rosario, Santa Fe, Argentina.
authors: Daniel
authors: D
authors: Dhair
authors: Juan Bautista Alberdi Hospital, Rosario, Santa Fe, Argentina.
authors: Matias
authors: M
authors: Laithe
authors: Hospital Provincial de Rosario, Leandro N. Alem 1450, Rosario, Santa Fe, Argentina.
authors: Silvana
authors: S
authors: Conti
authors: Facultad de Ciencias Médicas, Universidad Nacional de Rosario, Rosario, Santa Fe, Argentina.
authors: Fadua
authors: F
authors: Midauar
authors: Facultad de Ciencias Médicas, Universidad Nacional de Rosario, Rosario, Santa Fe, Argentina.
authors: Maria Celeste
authors: MC
authors: Martin
authors: Facultad de Ciencias Médicas, Universidad Nacional de Rosario, Rosario, Santa Fe, Argentina.
authors: Maria Cecilia
authors: MC
authors: Barrios
authors: Hospital Provincial de Rosario, Leandro N. Alem 1450, Rosario, Santa Fe, Argentina.
authors: Romina
authors: R
authors: Nieto
authors: Hospital Provincial de Rosario, Leandro N. Alem 1450, Rosario, Santa Fe, Argentina.
authors: Cristina
authors: C
authors: Prigione
authors: Hospital Provincial de Rosario, Leandro N. Alem 1450, Rosario, Santa Fe, Argentina.
authors: Alvaro
authors: A
authors: Sanabria
authors: Hospital Provincial de Rosario, Leandro N. Alem 1450, Rosario, Santa Fe, Argentina.
authors: Viviana
authors: V
authors: Gervasoni
authors: José María Cullen Hospital, Santa Fe, Argentina.
authors: Emilio
authors: E
authors: Grabbe
authors: José María Cullen Hospital, Santa Fe, Argentina.
authors: Romina
authors: R
authors: Gontero
authors: Hospital General de México "Dr. Eduardo Liceaga", Mexico City, Mexico.
authors: Ingris
authors: I
authors: Peláez-Ballestas
authors: Hospital Provincial de Rosario, Leandro N. Alem 1450, Rosario, Santa Fe, Argentina. bponsestel@gmail.com.
authors: Bernardo A
authors: BA
authors: Pons-Estel
mesh_terms: D000328:Adult; D001118:Argentina / Q000453:epidemiology; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007199:Indians, South American; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D059352:Musculoskeletal Pain / Q000208:ethnology*; D010147:Pain Measurement; D015995:Prevalence; D012216:Rheumatic Diseases / Q000145:classification* / Q000208:ethnology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: COPCORD methodology; Indigenous people; Latin America; Prevalence; Qom; Rheumatic diseases