The DOI matches its Crossref record; 35 of the 36 references it cites were found in a registry or an index.
Chronic low back pain among tobacco farmers in southern Brazil
Open accessAbstract
BACKGROUND: Despite tobacco farming involving intensive manual labor, chronic low back pain (CLBP) prevalence and associated factors are unknown among this occupational group. METHODS: This was a cross-sectional study conducted in southern Brazil. A random sample of tobacco farmers was interviewed. Socioeconomic and individual characteristics, occupational tasks, workloads, and comorbidities were investigated. Chronic low back pain prevalence was described in relation to independent variables, and associations were examined with Poisson regression. RESULTS: Chronic low back pain prevalence was 8·4%. Increasing age, rearing two or more species of livestock (PR 1·65), exposure to tasks that require heavy physical exertion (PR 2·00), working in awkward postures (PR 1·36), green tobacco sickness (GTS) (PR 1·63), pesticide poisoning (PR 2·37), and minor psychiatric disorders (PR 2·55) were associated with CLBP. CONCLUSIONS: This study found that CLBP is a relevant health problem among tobacco farmers and highlights understudied risk factors such as pesticide poisoning and GTS. Policies to minimize exposure to physiological and chemical workloads in tobacco planting to prevent CLBP are needed. Health professionals should be trained to diagnose and prevent acute low back pain episodes and thus prevent/minimize limitations and disabilities due to CLBP.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Most of these risk factors comprise, for example, financial pressures, high administrative workload, long working hours, high stress levels, part-time jobs off the farm, health problems and preceding work accidents.22–25”
From Clinical and cost-effectiveness of a guided internet-based Acceptance and Commitment Therapy to improve chronic pain-related disability in green professions (PACT-A): Study protocol of a pragmatic randomised controlled trial (2020) · cites this paper as [23]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“In addition, they are exposed to risk factors for chronic pain, pain severity and mental disorders (eg, major depressive disorder (MDD)).”
From Clinical and cost-effectiveness of a guided internet-based Acceptance and Commitment Therapy to improve chronic pain-related disability in green professions (PACT-A): Study protocol of a pragmatic randomised controlled trial (2020) · cites this paper as [23]
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms
Kuorinka, I., Jonsson, B., Kilbom, Å., Vinterberg, H., Biering‐Sørensen, F., Andersson, G., & Jørgensen, K. M. (1987) · Applied Ergonomics · doi:10.1016/0003-6870(87)90010-x · Cited by 5,117
Epidemiological features of chronic low-back pain
Andersson, G. B. (1999) · The Lancet · doi:10.1016/s0140-6736(99)01312-4 · Cited by 3,181
The Rising Prevalence of Chronic Low Back Pain
Freburger, J. K., Holmes, G. M., Agans, R. P., Jackman, A. M., Darter, J. D., Wallace, A. S., Castel, L. D., Kalsbeek, W. D., & Carey, T. S. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2008.543 · Cited by 1,507
Mari, J. D. J., & Williams, P. R. (1986) · The British Journal of Psychiatry · doi:10.1192/bjp.148.1.23 · Cited by 1,124
The Association between Smoking and Low Back Pain: A Meta-analysis
Shiri, R., Karppinen, J. I., Leino‐Arjas, P., Solovieva, S. A., & Viikari-Juntura, E. R. A. (2009) · The American Journal of Medicine · doi:10.1016/j.amjmed.2009.05.028 · Cited by 592
Biomechanical and psychosocial risk factors for low back pain at work
Kerr, M. S., Frank, J. W., Shannon, H. S., Norman, R. W., Wells, R. P., Neumann, P., & Bombardier, C. (2001) · American Journal of Public Health · doi:10.2105/ajph.91.7.1069 · Cited by 296
Dor lombar crônica em uma população adulta do Sul do Brasil: prevalência e fatores associados
da Silva, M. C., Fassa, A. G., & Valle, N. C. J. (2004) · Cadernos de Saúde Pública · doi:10.1590/s0102-311x2004000200005 · Cited by 211
Self-citationLow back pain, lifestyle factors and physical activity: A population based-study
Dijken, C., Fjellman‐Wiklund, A., & Hildingsson, C. (2008) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-0273 · Cited by 205
Neurobehavioral and neurodevelopmental effects of pesticide exposures
London, L., Beseler, C. L., Bouchard, M. F., Bellinger, D. C., Colosio, C., Grandjean, P., Harari, R., Kootbodien, T., Kromhout, H., Little, F., et al. (2012) · NeuroToxicology · doi:10.1016/j.neuro.2012.01.004 · Cited by 180
Keifer, M., & Firestone, J. A. (2007) · Journal of Agromedicine · doi:10.1300/j096v12n01_03 · Cited by 146
Research works printed but not linked: 3
- Taechasubamorn P, 2011, J Med Assoc Thai., 94, 616
- Bernard B. Musculoskeletal disorders and workplace factors: a critical review of epidemiologic evidence for work related musculoskeletal disorders of the neck, upper extremity, and low back. Cincinnati, (OH): NIOSH publication; 1997.
- Omokhodion FO, 2002, West Afr J Med., 21, 87
Cited by
Sorted by citations
Agrotóxicos e seus impactos na saúde humana e ambiental: uma revisão sistemática
Lopes, C. V. A., & de Albuquerque, G. S. C. (2018) · Saúde em Debate · doi:10.1590/0103-1104201811714 · Cited by 226
A Review on Ergonomics in Agriculture. Part I: Manual Operations
Benos, L. T., Tsaopoulos, D. E., & Bochtis, D. (2020) · Applied Sciences · doi:10.3390/app10061905 · Cited by 126
A Scoping Review on the Epidemiology of Chronic Low Back Pain among Adults in Sub-Saharan Africa
Kahere, M., Hlongwa, M., & Ginindza, T. G. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19052964 · Cited by 59
Musculoskeletal Disorders in Agriculture: A Review from Web of Science Core Collection
Alcántara, M. B., Díaz-Pérez, M., Gómez-Galán, M., Carreño-Ortega, Á., & Ferre, Á. J. C. (2021) · Agronomy · doi:10.3390/agronomy11102017 · Cited by 53
Shivakumar, M., Welsh, V. K., Bajpai, R. C., Helliwell, T., Mallen, C. D., Robinson, M., & Shepherd, T. A. (2023) · Rheumatology International · doi:10.1007/s00296-023-05500-5 · Cited by 48
The prevalence of low back pain and its associated factors in Thai rubber farmers
Udom, C., Janwantanakul, P., & Kanlayanaphotporn, R. (2016) · Journal of Occupational Health · doi:10.1539/joh.16-0044-oa · Cited by 33
Noll, M. A., de Avelar, I. S., Lehnen, G. C., & Vieira, M. F. (2016) · PLoS ONE · doi:10.1371/journal.pone.0150542 · Cited by 31
Agriculture and musculoskeletal disorders in low- and middle-income countries
Kumaraveloo, K. S., & Kolstrup, C. L. (2018) · Journal of Agromedicine · doi:10.1080/1059924x.2018.1458671 · Cited by 31
Khan, M. I., Bath, B. L., Boden, C., Adebayo, O., & Trask, C. (2018) · Journal of Agromedicine · doi:10.1080/1059924x.2018.1538918 · Cited by 33
Jain, R., Meena, M. L., & Dangayach, G. S. (2018) · International Journal of Occupational and Environmental Health · doi:10.1080/10773525.2018.1547507 · Cited by 24
Rajkumar, R. P. (2023) · Frontiers in Pain Research · doi:10.3389/fpain.2023.1189432 · Cited by 21
Suicidality among South Brazilian tobacco growers
Szortyka, A. L. S. C., Faria, N. M. X., de Carvalho, M. P., Feijó, F. R., Meucci, R. D., Flesch, B. D., Fiori, N. S., & Fassa, A. G. (2021) · NeuroToxicology · doi:10.1016/j.neuro.2021.06.005 · Cited by 19
Self-citationdos Reis, M. M., de Oliveira, A. P. N., Turci, S. R. B., Dantas, R. M., da Silva, V. D. S. P., Gross, C., Jensen, T., & Silva, V. L. D. C. E. (2017) · Cadernos de Saúde Pública · doi:10.1590/0102-311x00080516 · Cited by 18
Prevalence and Factors Associated with Musculoskeletal Disorders among Thai Burley Tobacco Farmers
Kongtawelert, A., Buchholz, B., Sujitrarath, D., Laohaudomchok, W., Kongtip, P., & Woskie, S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19116779 · Cited by 17
Impact of musculoskeletal disorders on various agricultural operations: a systematic review
Varghese, A., & Panicker, V. V. (2022) · Sadhana · doi:10.1007/s12046-022-01809-2 · Cited by 15
Fassa, A. G., Faria, N. M. X., Szortyka, A. L. S. C., Meucci, R. D., Fiori, N. S., & de Carvalho, M. P. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182212255 · Cited by 16
Self-citation[Neck pain among tobacco farm workers in Southern Brazil].
Fassa, A. G., Fiori, N. S., Meucci, R. D., Faria, N. M. X., & de Carvalho, M. P. (2020) · Salud Colectiva · doi:10.18294/sc.2020.2307 · Cited by 11
Self-citationTerhorst, Y., Braun, L., Titzler, I., Buntrock, C., Freund, J., Thielecke, J., Ebert, D., & Baumeister, H. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-034271 · Cited by 10
CHRNA5/CHRNA3 gene cluster is a risk factor for lumbar disc herniation: a case-control study
Yang, X., Guo, X., Huang, Z. Z., Da, Y., Xing, W., Li, F., Li, M., Sun, K., Jia, H., & Zhu, Y. (2019) · Journal of Orthopaedic Surgery and Research · doi:10.1186/s13018-019-1254-2 · Cited by 9
Low back pain, anthropometric indexes and range of motion of rural workers
Nepomuceno, P., Schmidt, L. M., Glänzel, M. H., Reckziegel, M. B., Pohl, H. H., & Reuter, É. M. (2019) · Brazilian Journal Of Pain · doi:10.5935/2595-0118.20190022 · Cited by 7
Assessment of the type of farmers’ low back pain
Tomczyszyn, D., Solecki, L., & Pańczuk, A. (2018) · Medycyna Pracy · doi:10.13075/mp.5893.00690 · Cited by 7
Barreto, I. G., & Sá, K. N. (2019) · Brazilian Journal Of Pain · doi:10.5935/2595-0118.20190020 · Cited by 6
Buenrostro, M. A. A., & Martínez, D. E. (2024) · American Behavioral Scientist · doi:10.1177/00027642241229535 · Cited by 4
Ravi, P., Muralidhar, K., Ngaybe, M. G. B., Nanjaiah, S., Jayakrishna, P., Lowe, A. A., Krupp, K., Wilson, A. M., von Hippel, F. A., Chen, Z., et al. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21050606 · Cited by 4
Cargnin, M. C. D. S., Cezár-Vaz, M. R., Getelina, C. O., & Bonow, C. A. (2019) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2018-0803 · Cited by 4
Os agrotóxicos no contexto da Saúde Única
Lösch, E. L., Zanatta, C. B., de Barros, G. P., Gaia, M. C. D. M., & Bricarello, P. A. (2022) · Saúde em Debate · doi:10.1590/0103-11042022e229 · Cited by 9
Dor na coluna torácica e fatores associados em fumicultores
de Carvalho, M. P., Fiori, N. S., Meucci, R. D., Faria, N. M. X., & Fassa, A. G. (2020) · Revista Brasileira de Saúde Ocupacional · doi:10.1590/2317-6369000002019 · Cited by 4
Self-citationPicón, S. P. B., Batista, G. D. A., dos Passos, M. H. P., da Silva, H. A., Locks, F., & de Araújo, R. C. (2023) · Work · doi:10.3233/wor-230085 · Cited by 3
Determinan Gangguan Muskuloskeletal pada Petani Tembakau di Kelurahan Antirogo Kabupaten Jember
Sabila, S. N., Fatmawati, H., & Marchianti, A. C. N. (2023) · CoMPHI Journal Community Medicine and Public Health of Indonesia Journal · doi:10.37148/comphijournal.v3i3.119 · Cited by 2
Propuesta de estrategias de prevención de enfermedades musculoesqueléticas en agricultores
Rodríguez, V. M. P., & López, J. L. H. (2022) · Sapienza International Journal of Interdisciplinary Studies · doi:10.51798/sijis.v3i5.440 · Cited by 2
Estudos epidemiológicos ocupacionais em área rural: desafios metodológicos
Faria, N. M. X., Meucci, R. D., & Fassa, A. G. (2023) · Revista Brasileira de Saúde Ocupacional · doi:10.1590/2317-6369/35922pt2023v48edcinq7 · Cited by 1
Self-citationKumar, A. K., Kumar, A., Kushwaha, H. L., Ramasubramanian, V., Pramanik, A., Madhusudan, B. S., Naik, M. A., Naveen, R., & Singh, A. K. (2025) · Scientific Reports · doi:10.1038/s41598-025-08587-x · Cited by 1
Urban Versus Rural: A Cross-Sectional Study of a Successful Peruvian Global Health Medical Mission
(2019) · ARC Journal of Public Health and Community Medicine · doi:10.20431/2456-0596.0403004 · Cited by 1
Riesgos ergonómicos en el trabajo en la industria bananera de la costa ecuatoriana
Fuentes, N. N. M., Valle, J. A. B., Gavilanes, D. P., & Loor, M. A. E. (2024) · Religación · doi:10.46652/rgn.v9i40.1232 · Cited by 1
Pereira, K. D. S., Marques, O. M., Puker, A., Pereira, M. R., & Zanúncio, J. C. (2018) · Florida Entomologist · doi:10.1653/024.101.0122
RELATO DE EXPERIÊNCIA SOBRE A ATUAÇÃO DA FISIOTERAPIA EM AÇÃO COLETIVA COM AGRICULTORAS
Petermann, X. B. (2019) · Vivências · doi:10.31512/vivencias.v15i28.26
Design, Development, Prototyping, and Pilot-Testing of An Ergonomic Farmer’s Chair
Nerona, G. G., Adiwang, M. C., Lagrana, M. K. S., Gumallaoi, J. J. G., & Grospe, C. M. C. (2023) · International Conference on Industrial Engineering and Operations Management (IEOM) · doi:10.46254/an13.20230109
Epidemiological occupational studies in rural areas: methodological challenges
Faria, N. M. X., Meucci, R. D., & Fassa, A. G. (2023) · Revista Brasileira de Saúde Ocupacional · doi:10.1590/2317-6369/35922en2023v48edcinq7
Self-citationLabor Risks in the Health of Banana Workers and their Effect on Socialization through Visual Media
Fuentes, N. N. M., Cárdenas, J. E. C., Manjarrez, V. A. O., & Loor, M. A. E. (2023) · VISUAL REVIEW International Visual Culture Review / Revista Internacional de Cultura Visual · doi:10.37467/revvisual.v15.5144
Meucci, R. D., Saes-Silva, E., Viero, V. D. S. F., Paludo, C. D. S., da Costa, J. B., & dos Santos, F. D. D. R. (2024) · Cadernos Saúde Coletiva · doi:10.1590/1414-462x202432020372
Self-citationJung, J.-H., Yi, C., Jeon, H., Jung, S., & Kwon, O.-Y. (2025) · Physical Therapy Korea · doi:10.12674/ptk.2025.32.1.12
Jahromi, H. K., Moghaddam, S. F. H., Amiri, S., Sarcheshmeh, M. S. M., Seyfi, S., & Delam, H. (2026) · Indian Journal of Occupational and Environmental Medicine · doi:10.4103/ijoem.ijoem_106_25
Kakkar, R., Bera, O. P., Cohen, J. E., Shah, V., Kakkar, M., Saraf, S., Kishore, S., Subba, S. H., Maliye, C. H., Babu, D. S., et al. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1799694
Metadata
- Authors
- Meucci, R. D., Fassa, A. G., Faria, N. M. X., & Fiori, N. S.
- Affiliations
- Universidade Federal de Pelotas (BR)
- Corresponding author
- Meucci, Rodrigo D.
- Venue
- International Journal of Occupational and Environmental Health
- Publisher
- Informa UK Limited
- Published
- 2015-01
- Volume
- 21
- Issue
- 1
- Pages
- 66-73
- ISSN
- 1077-3525 (ISSN-L)
- 2049-3967
- PMC
- PMC4273522
- OpenAlex
- W2019351040
- Cited by
- 46
- References
- 36
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 8 · 2022: 5 · 2021: 4 · 2020: 4 · 2019: 6 · 2018: 7 · 2017: 2 · 2016: 2
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Occupational and Environmental Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Safety in Workplaces
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Agriculture and Farm Safety
- Keywords
- chronic low back pain, tobacco farmers, occupational health, green tobacco sickness, pesticide poisoning, awkward postures, physical exertion, animal husbandry, mental illness, risk factors, southern Brazil
- MeSH terms
- Farmers, Adult, Aged, Agricultural Workers' Diseases, Brazil, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Risk Factors, Nicotiana, Prevalence, Low Back Pain, Young Adult, Chronic Pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
