An exploratory study on sex differences in musculoskeletal pain and its associated factors among the Santal indigenous people of West Bengal, India

Musculoskeletal pain is a global health concern affecting both sexes. However, recent insights highlighted significant sex differences in its occurrence and experience, which are influenced by various factors. The present study sought to examine sex differences in musculoskeletal pain and, subsequently, explore the factors associated with its occurrence, separately for both adult males and females belonging to the Santal indigenous community. The present cross-sectional study was conducted in a Santal indigenous community inhabiting Purba Bardhaman District, West Bengal, India. It comprised 278 adult individuals, including 112 males and 166 females. Data on socio-demographic, lifestyle, anthropometric, reproductive (only for females), and pain-related variables were collected using appropriate tools and protocols. Females exhibited a significantly higher incidence of musculoskeletal pain, with nearly half experiencing chronic pain, particularly back pain. Pain intensity and interference of pain were notably higher in females compared to males. Males were less inclined to use treatment for their pain. Hierarchical binary logistic regression revealed that for males, involvement in white-collar jobs showed an inverse association, while engaging in vigorous physical activities demonstrated a positive link with the incidence of musculoskeletal pain. In females, advanced age and a higher number of childbirths were associated with a greater likelihood of experiencing musculoskeletal pain. The study reveals significant sex disparities in musculoskeletal pain concerning its prevalence, severity, interference, and treatment-seeking behavior. Additionally, marked differences were observed in the risk factors contributing to musculoskeletal pain between the sexes. These findings underscore the importance for public health researchers to tailor interventions addressing sex-specific risk factors and experiences, aiming to enhance overall musculoskeletal health and reduce pain-related interference.