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The Prevalence of Musculoskeletal Symptoms among Chinese older Adults in the Greater Chicago Area—Findings from the PINE Study

  • Received: 05 August 2014 Accepted: 22 October 2014 Published: 05 August 2014
  • Musculoskeletal disorders affect many older adults and are a major public health concern due to rising prevalence. However, there is a paucity of research regarding the prevalence of musculoskeletal symptoms in minority older adults, especially in older Chinese adults in the U.S. This study aims to provide an overall estimate on the prevalence of musculoskeletal symptoms among Chinese older adults in the U.S. and examine the correlations between sociodemographic characteristics, self-reported health measures, and musculoskeletal symptoms. Data was collected through the Population Study of Chinese Elderly in Chicago (PINE) study. This community-based participatory research study surveyed a total of 3,159 Chinese older adults aged 60 and above. Review of Systems (ROS) was used to assess individual perceptions of musculoskeletal symptoms. We found 67% of participants experience musculoskeletal symptoms. Muscle or joint pain (55.3%) and back pain (34.5%) were the most prevalent types of symptoms. Being female (r = 0.18), having lower education (r = 0.15), living fewer years in the community (r = 0.05), having a lower overall health status (r = 0.22), and having a lower quality of life (r = 0.08) were all significantly correlated with reporting musculoskeletal symptoms. Our findings show that musculoskeletal symptoms are a common health concern among Chinese older adults, and that certain subsets of the population, related to sociodemographic factors, are more likely to experience these symptoms. Future longitudinal studies should be conducted to determine causality as well as changes in musculoskeletal symptoms burden.

    Citation: Xinqi Dong, E-Shien Chang, Stephanie Bergren. The Prevalence of Musculoskeletal Symptoms among Chinese older Adults in the Greater Chicago Area—Findings from the PINE Study[J]. AIMS Medical Science, 2014, 1(2): 87-102. doi: 10.3934/medsci.2014.2.87

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  • Musculoskeletal disorders affect many older adults and are a major public health concern due to rising prevalence. However, there is a paucity of research regarding the prevalence of musculoskeletal symptoms in minority older adults, especially in older Chinese adults in the U.S. This study aims to provide an overall estimate on the prevalence of musculoskeletal symptoms among Chinese older adults in the U.S. and examine the correlations between sociodemographic characteristics, self-reported health measures, and musculoskeletal symptoms. Data was collected through the Population Study of Chinese Elderly in Chicago (PINE) study. This community-based participatory research study surveyed a total of 3,159 Chinese older adults aged 60 and above. Review of Systems (ROS) was used to assess individual perceptions of musculoskeletal symptoms. We found 67% of participants experience musculoskeletal symptoms. Muscle or joint pain (55.3%) and back pain (34.5%) were the most prevalent types of symptoms. Being female (r = 0.18), having lower education (r = 0.15), living fewer years in the community (r = 0.05), having a lower overall health status (r = 0.22), and having a lower quality of life (r = 0.08) were all significantly correlated with reporting musculoskeletal symptoms. Our findings show that musculoskeletal symptoms are a common health concern among Chinese older adults, and that certain subsets of the population, related to sociodemographic factors, are more likely to experience these symptoms. Future longitudinal studies should be conducted to determine causality as well as changes in musculoskeletal symptoms burden.


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    [1] Lidgren L. (2003) The bone and joint decade and the global economic and healthcare burden of musculoskeletal disease. J Rheum 67: 4-5.
    [2] Hsu YY. (2014) 0243 Screening and disability prevention for musculoskeletal disorders of high-tech industry workers in Taiwan. Occup Environ Med 71(Supp 1): A92.
    [3] Woolf AD, Pfleger B. (2003) Burden of major musculoskeletal conditions. Bull World Health Organization 81(9): 646-656.
    [4] Lane NE, Bloch DA, Wood PD, et al. (1987) Aging, long-distance running, and the development of musculoskeletal disability: a controlled study. Am J Med 82: 772-780. doi: 10.1016/0002-9343(87)90014-3
    [5] Leveille SG. (2004) Musculoskeletal aging. Curr Opin Rheumatol 16: 114-118. doi: 10.1097/00002281-200403000-00007
    [6] Rajan K, Hebert L, Scherr P. (2012) Cognitive and physical functions as determinants of delayed age at onset and progression of disability. J Gerontol Series A: Biol Sci Med Sci 67(12):1419-1426.
    [7] Du S, Yuan C, Xiao X, et al. (2011) Self-management programs for chronic musculoskeletal pain conditions: A systematic review and meta-analysis. Patient Educ Couns 85(3): e299-e310.
    [8] Jordan JM, Lawrence R, Kington R, et al. (2002) Ethnic health disparities in arthritis and musculoskeletal diseases: report of a scientific conference. Arth Rheum 46(9): 2280-2286.
    [9] Mu R. (2014) Regional disparities in self-reported health: evidence from Chinese older adults. Health Econ 23(5): 529-549.
    [10] Dong X, Simon M. (2010) Health and aging in a Chinese population: urban and rural disparities. Geriatr Gerontol Int 10(1): 85-93.
    [11] Chang E, Dong X. (2013) Understanding elder abuse in the Chinese community: the role of cultural, social, and community factors. In: Taylor R. Elder abuse its prevention: workshop summary. Washington, DC: The National Academies Press, 57-62.
    [12] Holland AT, Palaniappan LP. (2012) Problems with the collection and interpretation of Asian-American health data. Ann Epid 22(6): 397-405.
    [13] US Census Bureau. (2010) American fact finder. Available from: http://factfinder2. census. gov/faces/nav/jsf/pages/index. xhtml.
    [14] Zhang Y, Xu L, Nevitt MC, et al. (2001) Comparison of the prevalence of knee osteoarthritis between the elderly Chinese population in Beijing and whites in the United States: The Beijing osteoarthritis study. Arth Rheum 44(9): 2065-2071.
    [15] Dong X, Chang E, Wong E, et al. (2011) Assessing the health needs of Chinese older adults: Findings from a community-based participatory research study in Chicago's Chinatown. J Aging Res 2010:1-12.
    [16] Chen L, Miaskowski C, Dodd M, et al. (2008) Concepts within the Chinese Culture that Influence the Cancer Pain Experience. Cancer Nurs 31(2): 103-108.
    [17] Dong X, Zhang M, Zhang N, et al. (2014) The expectation and perceived receipts of filial piety among Chinese older adults in greater Chicago area. J Health Aging 26(2): 1225-1247.
    [18] Dong X, Chang E, Wong E, et al. (2012) A qualitative study of filial piety among community dwelling, Chinese, older adults: Changing meaning and impact on health and well-being. J Int Relat 10(2): 131-146.
    [19] Dong X, Simon M. (2009) China: The aging giant with an achilles heel. J Am Geriatr Soc 56(2):379-380.
    [20] Dong X, Wong E, Simon M. (2014) Study design and implementation of the PINE study. J Aging Health 26(7):1085-1099.
    [21] Simon M, Chang E, Rajan K, et al. (2014) Demographic characteristics of U. S. Chinese older adults in the greater Chicago area: Assessing the representativeness of the PINE study. J Aging Health 26(7): 1100-1015.
    [22] Jacobs JJ. (2011) Burden of musculoskeletal diseases: overview. Rosemont: United States Bone and Joint Initiative, 1-20.
    [23] Hughes S, Edelman P, Naughton B, et al. (1993) Estimates and determinants of valid self-reports of musculoskeletal disease in the elderly. J Aging Health 5: 244-263. doi: 10.1177/089826439300500206
    [24] Fejer R, Ruhe A. (2012) What is the prevalence of musculoskeletal problems in the elderly population in developed countries? A systematic critical literature review. Chiropract Manual Therap 20: 31. doi: 10.1186/2045-709X-20-31
    [25] Wijnhoven H, de Vet H, Picavet H. (2006) Prevalence of musculoskeletal disorders in systematically higher in women than in men. Clin J Pain 22(8): 717-724.
    [26] Rollman GB, Lautenbacher S. (2001) Sex differences in Musculoskeletal Pain. Clin J Pain 17(1):20-24.
    [27] Chen R, Simon M, Chang E, et al. (2014) The perception of social support among U. S. Chinese older adults: Findings from the PINE study. J Aging Health: In Print.
    [28] Simon M, Chen R, Dong X. (2014) Gender differences in perceived social support in U. S. Chinese older adults. Geront Geriatr Res 3: 163.
    [29] Jensen I, Nygren A, Gamberale F, et al. (1994) Coping with long-term musculoskeletal pain and its consequences: is gender a factor? Pain 57(2): 167-172.
    [30] Woo J, Ho S, Lau J, et al. (1994) Musculoskeletal complaints and associated consequences in elderly Chinese aged 70 years and Over. J Rheumatol 21(10): 1927-1931.
    [31] Ross CE, Zhang W. (2008) Education and psychological distress among older Chinese. J Aging Health 20(3): 273-289.
    [32] Simon M, Dong X, Nonzee N, et al. (2009) Heeding our words: complexities of research among low-literacy populations. J Clin Oncol 27(12): 1938-1940.
    [33] Kempen G, Brilman E, Rachor A, et al. (1999) Morbidity and quality of life and the moderating effects of level of education in the elderly. Soc Sci Med 49(1): 143-149.
    [34] Mirowsky J, Ross C. (2005) Education, cumulative advantage, and health. Ageing Int 31(1):27-62.
    [35] Urwin M, Symmons D, Allison T, et al. (1998) Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis 57: 649-655. doi: 10.1136/ard.57.11.649
    [36] Dong X, Chang E, Simon M. (2014) Sense of community among Chinese older adults in the Greater Chicago Area: Findings from the PINE Study. AIMS Med Sci 1(1): 28-39.
    [37] Reyes-Gibby CC, Aday L, Cleeland C. (2002) Impact of pain on self-rated health in community-dwelling older adults. Pain 95(1-2): 75-82.
    [38] Simon M, Magee M, Shah A, et al. (2008) Building a Chinese community health survey in Chicago: the value of involving the community to more accurately portray health. In J Health Ageing Manag 2(1): 41-57.
    [39] Dong X, Chang E, Wong E, et al. (2011) Working with culture: lessons learned from a community-engaged project in a Chinese aging population. Aging Health 7(4): 529-537.
    [40] Simon M, Chang E, Dong X. (2010) Partnership, reflection and patient focus: advancing cultural competency training relevance. Med Educ 44(6): 540-542.
    [41] Dong X, Li Y, Chen R, et al. (2013) Evaluation of community health education workshops among Chinese Older adults in Chicago: a community-based participatory research approach. J Educ Train Stud 1(1): 170-181.
    [42] Dong X, Chang E, Simon M, et al. (2011) Sustaining Community-University Partnerships: Lessons learned from a participatory research project with elderly Chinese. Gateways: Int J Commu Res Engag 4: 31-47. doi: 10.5130/ijcre.v4i0.1767
    [43] Chang E, Simon M, Dong X. (2014) Using community-based participatory research to address Chinese older women's health needs: Towards sustainability. J Women Aging: In Press.
    [44] Simon M, Chang E, Dong X. (2010) Partnership, reflection, and patient focus: Advancing cultural competency training. Med Educ 44(6): 540-542.
    [45] Chang E, Simon M, Dong X. (2010) Integrating cultural humility into health care professional education and training. Adv Health Sci Educ Theory Pract 17(2): 269-278.
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