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Does neighbourhood deprivation influence low back pain and arthritis: An empirical study using multilevel twin design

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  • Yingyu Feng
  • Jocelyn L Bowden
  • David J Hunter
  • Paulo Ferreira
  • Glen E Duncan

Abstract

Objective: Neighbourhood deprivation has been found to be associated with many health conditions, but its association with low back pain (LBP) and arthritis is unclear. This study aimed to examine the association between neighbourhood deprivation with LBP and arthritis, and its potential interaction with individual socioeconomic status (SES) on these outcomes. Methods: Monozygotic (MZ) twins from the Washington State Twin Registry were used to control for genetic and common environmental factors that could otherwise confound the purported relationship. Multilevel models were employed to examine the association between neighbourhood deprivation as well as individual-level SES with LBP/arthritis, adjusting for age, sex, body mass index (BMI) and residence rurality. Results: There were 6,380 individuals in the LBP sample and 2,030 individuals in the arthritis sample. Neighbourhood deprivation was not associated with LBP (P = 0.26) or arthritis (P = 0.61), and neither was its interaction with individual-level SES. People without a bachelor’s degree were more likely to report LBP (OR 1.44, 95% CI 1.26–1.65) or both LBP and arthritis (OR 1.67, 95% CI 1.14–2.45) than those with a bachelor’s degree, but not for arthritis alone (P = 0.17). Household income was not significantly associated with LBP (P = 0.16) or arthritis (p = 0.23) independent of age, sex, and BMI. Conclusion: Our study did not find significant associations between neighbourhood deprivation and the presence of LBP or arthritis. More research using multilevel modelling to investigate neighbourhood effects on LBP and arthritis is recommended.

Suggested Citation

  • Yingyu Feng & Jocelyn L Bowden & David J Hunter & Paulo Ferreira & Glen E Duncan, 2024. "Does neighbourhood deprivation influence low back pain and arthritis: An empirical study using multilevel twin design," PLOS ONE, Public Library of Science, vol. 19(4), pages 1-16, April.
    • Handle: RePEc:plo:pone00:0298356
    DOI: 10.1371/journal.pone.0298356
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    2. Leyden, K.M., 2003. "Social Capital and the Built Environment: The Importance of Walkable Neighborhoods," American Journal of Public Health, American Public Health Association, vol. 93(9), pages 1546-1551.
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