Profiling schoolchildren in pain and associated demographic and behavioural factors: A latent class approach

Gary Adamson, Sam Murphy, M Shevlin, Peter Buckle, David Stubbs

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Musculoskeletal pain in adolescence is common and individuals frequently report pain in different sites. However, statistical analysis is often limited to considering one or a few pain sites. In this study latent class analysis was used to classify individuals into latent classes in terms of their patterns of endorsing ten musculoskeletal sites. Previously established covariates of musculoskeletal pain in adolescents were then assessed across emergent latent classes. The study was a cross sectional survey of adolescents attending post-primary schools in England. A total of 679 took part in the study with an age range from 11 to 14 years. Pain was operationalised as the occurrence of pain for one day or more in the past month. Schoolchildren self-reported on the incidence of pain aided by a nordic manikin. A three-class model emerged as the best fit. Classes were labelled `Pain free' (63.4%), `Neck and back' pain (28.2%) and `Widespread' pain (8.4%). The `Widespread' pain class was significantly related with Age (OR = 1.79; 95%CI 1.24-2.57), Sex (OR = 0.35, 95%CI 0.16-0.79), bag weight to body weight (OR = 1.12, 95%CI 1.03-1.22), bag carrying method (OR = 2.08, 95%CI 1.08-3.97), Schoolwork difficult (OR = 2.78,95%CI 1.27-6.07), and headaches (OR = 2.13, 95%CI 1.65-2.76). While Strengths and Difficulties Questionnaire scores (OR - 1.05, 95%CI 1.01-1.11), and Headaches (OR = 1.78, 95%CI 1.39-2.26) were significant for the `Back and neck' class. It is suggested that research should seek to identify typical pain profiles for adolescents, rather than concentrating on specific pain sites since some risk factors may be obscured or inflated by inappropriately amalgamating or segregating pain sites. (c) 2006 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.
LanguageEnglish
Pages295-303
JournalPain
Volume129
Issue number3
DOIs
Publication statusPublished - Jun 2007

Fingerprint

Demography
Pain
Musculoskeletal Pain
Headache
Manikins
Neck Pain
Back Pain
England
Neck
Cross-Sectional Studies
Body Weight
Weights and Measures
Incidence
Research

Cite this

Adamson, Gary ; Murphy, Sam ; Shevlin, M ; Buckle, Peter ; Stubbs, David. / Profiling schoolchildren in pain and associated demographic and behavioural factors: A latent class approach. In: Pain. 2007 ; Vol. 129, No. 3. pp. 295-303.
@article{12406d84e50c4e6ea59f8c7aed7027b9,
title = "Profiling schoolchildren in pain and associated demographic and behavioural factors: A latent class approach",
abstract = "Musculoskeletal pain in adolescence is common and individuals frequently report pain in different sites. However, statistical analysis is often limited to considering one or a few pain sites. In this study latent class analysis was used to classify individuals into latent classes in terms of their patterns of endorsing ten musculoskeletal sites. Previously established covariates of musculoskeletal pain in adolescents were then assessed across emergent latent classes. The study was a cross sectional survey of adolescents attending post-primary schools in England. A total of 679 took part in the study with an age range from 11 to 14 years. Pain was operationalised as the occurrence of pain for one day or more in the past month. Schoolchildren self-reported on the incidence of pain aided by a nordic manikin. A three-class model emerged as the best fit. Classes were labelled `Pain free' (63.4{\%}), `Neck and back' pain (28.2{\%}) and `Widespread' pain (8.4{\%}). The `Widespread' pain class was significantly related with Age (OR = 1.79; 95{\%}CI 1.24-2.57), Sex (OR = 0.35, 95{\%}CI 0.16-0.79), bag weight to body weight (OR = 1.12, 95{\%}CI 1.03-1.22), bag carrying method (OR = 2.08, 95{\%}CI 1.08-3.97), Schoolwork difficult (OR = 2.78,95{\%}CI 1.27-6.07), and headaches (OR = 2.13, 95{\%}CI 1.65-2.76). While Strengths and Difficulties Questionnaire scores (OR - 1.05, 95{\%}CI 1.01-1.11), and Headaches (OR = 1.78, 95{\%}CI 1.39-2.26) were significant for the `Back and neck' class. It is suggested that research should seek to identify typical pain profiles for adolescents, rather than concentrating on specific pain sites since some risk factors may be obscured or inflated by inappropriately amalgamating or segregating pain sites. (c) 2006 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.",
author = "Gary Adamson and Sam Murphy and M Shevlin and Peter Buckle and David Stubbs",
year = "2007",
month = "6",
doi = "10.1016/j.pain.2006.10.015",
language = "English",
volume = "129",
pages = "295--303",
journal = "Pain",
issn = "0304-3959",
number = "3",

}

Profiling schoolchildren in pain and associated demographic and behavioural factors: A latent class approach. / Adamson, Gary; Murphy, Sam; Shevlin, M; Buckle, Peter; Stubbs, David.

In: Pain, Vol. 129, No. 3, 06.2007, p. 295-303.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Profiling schoolchildren in pain and associated demographic and behavioural factors: A latent class approach

AU - Adamson, Gary

AU - Murphy, Sam

AU - Shevlin, M

AU - Buckle, Peter

AU - Stubbs, David

PY - 2007/6

Y1 - 2007/6

N2 - Musculoskeletal pain in adolescence is common and individuals frequently report pain in different sites. However, statistical analysis is often limited to considering one or a few pain sites. In this study latent class analysis was used to classify individuals into latent classes in terms of their patterns of endorsing ten musculoskeletal sites. Previously established covariates of musculoskeletal pain in adolescents were then assessed across emergent latent classes. The study was a cross sectional survey of adolescents attending post-primary schools in England. A total of 679 took part in the study with an age range from 11 to 14 years. Pain was operationalised as the occurrence of pain for one day or more in the past month. Schoolchildren self-reported on the incidence of pain aided by a nordic manikin. A three-class model emerged as the best fit. Classes were labelled `Pain free' (63.4%), `Neck and back' pain (28.2%) and `Widespread' pain (8.4%). The `Widespread' pain class was significantly related with Age (OR = 1.79; 95%CI 1.24-2.57), Sex (OR = 0.35, 95%CI 0.16-0.79), bag weight to body weight (OR = 1.12, 95%CI 1.03-1.22), bag carrying method (OR = 2.08, 95%CI 1.08-3.97), Schoolwork difficult (OR = 2.78,95%CI 1.27-6.07), and headaches (OR = 2.13, 95%CI 1.65-2.76). While Strengths and Difficulties Questionnaire scores (OR - 1.05, 95%CI 1.01-1.11), and Headaches (OR = 1.78, 95%CI 1.39-2.26) were significant for the `Back and neck' class. It is suggested that research should seek to identify typical pain profiles for adolescents, rather than concentrating on specific pain sites since some risk factors may be obscured or inflated by inappropriately amalgamating or segregating pain sites. (c) 2006 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

AB - Musculoskeletal pain in adolescence is common and individuals frequently report pain in different sites. However, statistical analysis is often limited to considering one or a few pain sites. In this study latent class analysis was used to classify individuals into latent classes in terms of their patterns of endorsing ten musculoskeletal sites. Previously established covariates of musculoskeletal pain in adolescents were then assessed across emergent latent classes. The study was a cross sectional survey of adolescents attending post-primary schools in England. A total of 679 took part in the study with an age range from 11 to 14 years. Pain was operationalised as the occurrence of pain for one day or more in the past month. Schoolchildren self-reported on the incidence of pain aided by a nordic manikin. A three-class model emerged as the best fit. Classes were labelled `Pain free' (63.4%), `Neck and back' pain (28.2%) and `Widespread' pain (8.4%). The `Widespread' pain class was significantly related with Age (OR = 1.79; 95%CI 1.24-2.57), Sex (OR = 0.35, 95%CI 0.16-0.79), bag weight to body weight (OR = 1.12, 95%CI 1.03-1.22), bag carrying method (OR = 2.08, 95%CI 1.08-3.97), Schoolwork difficult (OR = 2.78,95%CI 1.27-6.07), and headaches (OR = 2.13, 95%CI 1.65-2.76). While Strengths and Difficulties Questionnaire scores (OR - 1.05, 95%CI 1.01-1.11), and Headaches (OR = 1.78, 95%CI 1.39-2.26) were significant for the `Back and neck' class. It is suggested that research should seek to identify typical pain profiles for adolescents, rather than concentrating on specific pain sites since some risk factors may be obscured or inflated by inappropriately amalgamating or segregating pain sites. (c) 2006 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

U2 - 10.1016/j.pain.2006.10.015

DO - 10.1016/j.pain.2006.10.015

M3 - Article

VL - 129

SP - 295

EP - 303

JO - Pain

T2 - Pain

JF - Pain

SN - 0304-3959

IS - 3

ER -