Family structure and multisite musculoskeletal pain in adolescence: a Northern Finland Birth Cohort 1986 Study

Eveliina Heikkala*, Petteri Oura, Jaro Karppinen, Annie Herbert, Heidi Varis, Maria Hagnäs, Ilona Mikkola, Markus Paananen

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

Abstract

Background
Family structure is suggested to be associated with adolescent pain, but evidence on its association with multisite MS pain is sparse. The purpose of this cross-sectional study was to investigate the potential associations between family structure (‘single-parent family’, ‘reconstructed family’, and ‘two-parent family’) and multisite musculoskeletal (MS) pain in adolescence.

Methods
The dataset was based on the 16-year-old Northern Finland Birth Cohort 1986 adolescents with available data on family structure, multisite MS pain, and a potential confounder (n = 5,878). The associations between family structure and multisite MS pain were analyzed with binomial logistic regression and modelled as unadjusted, as the evaluated potential confounder, mother’s educational level, did not meet the criteria for a confounder.

Results
Overall, 13% of the adolescents had a ‘single-parent family’ and 8% a ‘reconstructed family’. Adolescents living in a single-parent family had 36% higher odds of multisite MS pain compared to adolescents from two-parent families (the reference) (Odds Ratio [OR]: 1.36, 95% Confidence Interval [CI]: 1.17 to 1.59). Belonging to a ‘reconstructed family’ was associated with 39% higher odds of multisite MS pain (OR 1.39, 1.14 to 1.69).

Conclusion
Family structure may have a role in adolescent multisite MS pain. Future research is needed on causality between family structure and multisite MS pain, to establish if there is a need for targeted support.
Original languageEnglish
Article number185
Number of pages8
JournalBMC Musculoskeletal Disorders
Volume24
Issue number1
DOIs
Publication statusPublished - 11 Mar 2023

Bibliographical note

Funding Information:
We thank all cohort members and researchers who have participated in the study. We also wish to acknowledge the work of the NFBC project center. The NFBC1986 has received the following funding: EU QLG1-CT-2000-01643 (EUROBLCS) Grant no. E51560, NorFA Grant no. 731, 20056, 30167, and USA / NIH 2000 G DF682 Grant no. 50945. Annie Herbert was supported by Medical Research Council UK grant MR/S002634/1.

Funding Information:
The NFBC1986 has received the following funding: EU QLG1-CT-2000-01643 (EUROBLCS) Grant no. E51560, NorFA Grant no. 731, 20056, 30167, and USA / NIH 2000 G DF682 Grant no. 50945. Annie Herbert was supported by Medical Research Council UK grant MR/S002634/1.

Publisher Copyright:
© 2023, The Author(s).

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