Prevalence of chronic pain in different regions of the spine and association with biopsychosocial factors in university students: a cross-sectional study

Authors

DOI:

https://doi.org/10.17267/2238-2704rpf.2026.e6508

Keywords:

Neck Pain, Low Back Pain, Chronic Pain, Models, Biopsychosocial, Cross-Sectional Studies

Abstract

BACKGROUND: Despite the increase in studies on chronic back pain, there is still limited research that simultaneously evaluates different vertebral regions from a biopsychosocial perspective in university students, and an integrated approach is needed to guide preventive strategies in this population. OBJECTIVE: To analyze the prevalence of chronic pain in different regions of the spine and its association with biopsychosocial factors in university students. METHODS: This is a cross-sectional and analytical research with 358 university students, including adults (18 and 59 years old), regardless of gender, enrolled in undergraduate courses in the areas of health and technology of two higher education institutions in the Northeast of Brazil, and the data were collected through an online questionnaire containing instruments: socioeconomic questionnaire, general health assessment,  lifestyle, Self-Report Questionnaire, Nordic Musculoskeletal Questionnaire, International Physical Activity Questionnaire and Pittsburgh Sleep Quality Index. Statistical analysis was performed using Pearson's chi-square test and logistic regression using the stepwise forward method. RESULTS: The participants had a mean age of 22 years (±4.5), and 57.5% were female. The prevalence of neck pain was 69.0%, higher than lumbar pain (55.3%). Chronic neck pain was associated with suspected common mental disorder (CMD) (OR=2.38; p=0.001), and low back pain with CMD (OR=1.66; p=0.038) and being physically active (OR=2.08; p=0.017). CONCLUSION: There is a high prevalence of chronic back pain, especially in the cervical region. Back pain was significantly associated with psychosocial factors and higher levels of physical activity, emphasizing the importance of addressing these factors in preventive interventions.

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Published

04/16/2026

Issue

Section

Original Articles

How to Cite

1.
Silva FVM, e Silva AVS, Toledo A de O, de Castro SS, Mont'Alverne DGB, Macedo LR do N, et al. Prevalence of chronic pain in different regions of the spine and association with biopsychosocial factors in university students: a cross-sectional study. Rev Pesq Fisio [Internet]. 2026 Apr. 16 [cited 2026 Apr. 19];16:e6508. Available from: https://www5.bahiana.edu.br/index.php/fisioterapia/article/view/6508