Prevalence of Musculoskeletal Disorders Is Systematically Higher in Women Than in Men

ObjectivesMany studies report a higher prevalence of musculoskeletal pain in women than in men. This paper presents an overview of sex differences in musculoskeletal pain with specific attention for: different parameters for duration of musculoskeletal pain (ie, 1-y period prevalence, point prevalence, prevalence of chronic pain, and prevalence of persistent chronic pain); and (2) different anatomic pain sites. MethodsFor the analyses, data from 2 general population-based prospective surveys (Dutch population-based Musculoskeletal Complaints and Consequences Cohort study and Monitoring Project on Risk Factors for Chronic Diseases-study) were used. The study population consisted of persons aged 25 to 64 years living in the Netherlands. Data on self-reported pain complaints were assessed by written questionnaires. ResultsThe results of this study showed that prevalence rates of musculoskeletal pain were higher for women than for men in the Dutch general population aged 25 to 64 years on the basis of 2 population-based surveys. For musculoskeletal pain in any location, 39% of men and 45% of women reported chronic complaints. Highest female predominance was found for the hip and wrist/hand, whereas lowest and not statistically significant sex differences were found for the lower back and knee. All duration parameters of musculoskeletal pain showed a female predominance of musculoskeletal pain (1-y period prevalence, point prevalence, prevalence of chronic pain, and prevalence of persistent chronic pain). In those with persistent chronic pain, women tended to report higher severity scores. DiscussionThe present study shows that women have higher prevalence rates of musculoskeletal pain in most anatomic pain sites, no matter the duration of musculoskeletal pain. Future research should focus on explaining these sex differences with the ultimate goal to develop better prevention and management strategies for musculoskeletal pain in both men and women.

[1]  G. Ejlertsson,et al.  Chronic pain in a geographically defined general population: studies of differences in age, gender, social class, and pain localization. , 1993, The Clinical journal of pain.

[2]  Musculoskeletal symptoms in a local community , 1995 .

[3]  M. Thorslund,et al.  A longitudinal study of pain: reported pain from middle age to old age. , 1997, The Clinical journal of pain.

[4]  Michelle Urwin,et al.  Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation , 1998, Annals of the rheumatic diseases.

[5]  Giske Ursin,et al.  Prevalence of subjective health complaints in the Nordic European countries in 1993 , 1998 .

[6]  H. Smit,et al.  Prevalence and consequences of low back problems in The Netherlands, working vs non-working population, the MORGEN-Study. Monitoring Project on Risk Factors for Chronic Disease. , 1999 .

[7]  H. Picavet,et al.  Prevalence and consequences of low back problems in The Netherlands, working vs non-working population, the MORGEN-Study. Monitoring Project on Risk Factors for Chronic Disease. , 1999, Public health.

[8]  J. Schouten,et al.  Physical load in daily life and low back problems in the general population-The MORGEN study. , 2000, Preventive medicine.

[9]  Laura Punnett,et al.  38 – Work-Related Musculoskeletal Disorders: Is There a Gender Differential, and if So, What Does It Mean? , 2000 .

[10]  A. Woolf,et al.  Understanding the burden of musculoskeletal conditions , 2001, BMJ : British Medical Journal.

[11]  H. Picavet,et al.  National health surveys by mail or home interview: effects on response , 2001, Journal of epidemiology and community health.

[12]  Å. Kilbom,et al.  Gender differences in upper extremity musculoskeletal complaints in the working population , 2000, International archives of occupational and environmental health.

[13]  L. Jacobsson,et al.  Chronic musculoskeletal pain, prevalence rates, and sociodemographic associations in a Swedish population study. , 2001, The Journal of rheumatology.

[14]  S. Janson,et al.  Self-rated health, chronic diseases, and symptoms among middle-aged and elderly men and women. , 2002, Journal of clinical epidemiology.

[15]  H. Picavet,et al.  Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC3-study , 2003, Pain.

[16]  W. Eriksen,et al.  The prevalence of musculoskeletal pain in Norwegian nurses’ aides , 2003, International archives of occupational and environmental health.

[17]  J. Ormel,et al.  Survey non-response in the Netherlands: effects on prevalence estimates and associations. , 2003, Annals of epidemiology.

[18]  Gabriele Bammer,et al.  Women, work and musculoskeletal health. , 2004, Social science & medicine.

[19]  How-Ran Guo,et al.  Prevalence of Musculoskeletal Disorder among Workers in Taiwan: A Nationwide Study , 2004, Journal of occupational health.

[20]  Blair H. Smith,et al.  Factors Related to the Onset and Persistence of Chronic Back Pain in the Community: Results From a General Population Follow-up Study , 2004, Spine.

[21]  D. Isacson,et al.  Epidemiology, co-morbidity, and impact on health-related quality of life of self-reported headache and musculoskeletal pain--a gender perspective. , 2003, European journal of pain.