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Prevalence of musculoskeletal complaints and health-related quality of life in a Maroon and Kalinya Indigenous rural village in Suriname

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Abstract

Purpose

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.

Method

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.

Results

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.

Conclusions

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.

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Data availability

The data that support the findings of this study are available from the Faculty of Medical Sciences, Anton de Kom University of Suriname, but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. Data are however available from the authors upon reasonable request and with permission of the Faculty of Medical Sciences, Anton de Kom University of Suriname.

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Acknowledgements

The authors are grateful to the funders, participants, and research team of the COPCORD Suriname study for their cooperation. A sincere thanks to Prof. Dr. Ruth Wittoek (RW) for her invaluable help, support, and expertise. The submitted work forms part of a thesis dissertation. The content is solely the responsibility of the authors and does not necessarily represent official views of the funding organizations.

Funding

This work was funded by a grant from the International League of Associations for Rheumatology project 2015. We also received additional support from the Anton de Kom University of Suriname-VLIR-UOS project.

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Authors and Affiliations

  1. Department of Physiotherapy, Faculty of Medical Sciences, Anton de Kom University of Suriname, Kernkampweg 5, Paramaribo, Suriname

    N. Ho-A-Tham & N. Struyf

  2. 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

    N. Ho-A-Tham, N. Struyf, W. Dankaerts & Y. Vanlandewijck

  3. Department of Pathology, Faculty of Medical Sciences, Anton de Kom University of Suriname, Kernkampweg 5, Paramaribo, Suriname

    B. Ting-A-Kee

  4. Center for Care Research and Consultancy, LUCAS, KU Leuven, Minderbroedersstraat 8 – Box 5310, 3000, Leuven, Belgium

    J. de Almeida Mello

  5. Department of Physiology, Nutrition and Biomechanics, Swedish School of Sport and Health Sciences (GIH), Box 5626, SE-114 86, Stockholm, Sweden

    Y. Vanlandewijck

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YV, NH-A-T, WD, BT-A-K and NS contributed to the study conception and design. Material preparation, data collection and analysis were performed by NH-A-T, BT-A-K, JdAM and NS. The first draft of the manuscript was written by NH-A-T and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to N. Ho-A-Tham.

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The authors have no relevant financial or non-financial interests to disclose.

Ethical approval

This is an observational study. The manuscript does not contain clinical studies or patient data. This study was approved by the Ethics Committee of the Ministry of Health in Suriname (Approval number VG016-14).

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Informed consent was obtained from all individual participants included in the study. Written informed consent was obtained from the parents or legal guardians for under-aged respondents (until 21 years old).

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Ho-A-Tham, N., Ting-A-Kee, B., Struyf, N. et al. Prevalence of musculoskeletal complaints and health-related quality of life in a Maroon and Kalinya Indigenous rural village in Suriname. Qual Life Res 32, 1955–1970 (2023). https://doi.org/10.1007/s11136-023-03363-8

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