{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T06:23:17Z","timestamp":1787725397114,"version":"build-2784847793"},"reference-count":20,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Lower back pain (LBP) is a global problem contributing to both disability and an increased demand for rehabilitation services. Studies on the prevalence and impact on work performance in Botswana are scarce.\n\nAim:\u00a0We investigated the prevalence of LBP among civil workers in Botswana and their experiences.\n\nSetting:\u00a0The study setting comprised physiotherapy practice, Gaborone, Botswana.\n\nMethods:\u00a0Concurrent explanatory mixed methods were employed. A total of 339 medical files for civil service workers were reviewed to identify the prevalence of LBP and associated risk factors such as age, gender, body mass index, working duration and type of work. Descriptive statistics were performed. In addition, 20 civil service workers were interviewed. The interviews were transcribed verbatim and coded inductively.\n\nResults:\u00a0A total of 339 files were reviewed and the prevalence of LBP was 49%. There was no association between the risk factors and LBP (p\u00a0&gt; 0.05). The experience of LBP was expressed in terms of the characteristics of LBP; the effects of LBP on all life domains and how LBP was managed. Our findings were that LBP affected work life and work performance.\n\nConclusion:\u00a0The high prevalence of LBP in civil service workers is concerning because it affects all the domains of life including work performance. Workplace health and wellness interventions are recommended.\n\nContribution:\u00a0Workplace health and wellness interventions are recommended.<\/jats:p>","DOI":"10.4102\/phcfm.v17i1.4629","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T05:22:31Z","timestamp":1744694551000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Lower back pain prevalence and experiences in civil service workers, Botswana"],"prefix":"10.4102","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6063-1774","authenticated-orcid":false,"given":"David","family":"Damba","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0606-9669","authenticated-orcid":false,"given":"Sonti I.","family":"Pilusa","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Wu A, March L, Zheng X, et al. Global low back pain prevalence and years lived with disability from 1990 to 2017: Estimates from the Global Burden of Disease Study 2017. Ann Transl Med. 2020;8(6):299. https:\/\/doi.org\/10.21037\/atm.2020.02.175","DOI":"10.21037\/atm.2020.02.175"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Morris LD, Daniels KJ, Ganguli B, Louw QA. An update on the prevalence of low back pain in Africa: A systematic review and meta-analyses. BMC Musculoskelet Disord. 2018;19(1):196. https:\/\/doi.org\/10.1186\/s12891-018-2075-x","DOI":"10.1186\/s12891-018-2075-x"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Hartvigsen J, Hancock MJ, Kongsted A, et al. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356\u20132367. https:\/\/doi.org\/10.1016\/S0140-6736(18)30480-X","DOI":"10.1016\/S0140-6736(18)30480-X"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Elias HE, Downing R, Mwangi A. Low back pain among primary school teachers in Rural Kenya: Prevalence and contributing factors. Afr J Prim Health Care Fam Med. 2019;11(1):e1\u2013e7. https:\/\/doi.org\/10.4102\/phcfm.v11i1.1819","DOI":"10.4102\/phcfm.v11i1.1819"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Fanta M, Alagaw A, Kejela G, Tunje A. Low back pain and associated factors among Civil Service Sectors Office Workers in Southern Ethiopia. Int J Occup Saf Health. 2020;10(1):53\u201363. https:\/\/doi.org\/10.3126\/ijosh.v10i1.29883","DOI":"10.3126\/ijosh.v10i1.29883"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Erick PN, Smith DR. Low back pain among school teachers in Botswana, prevalence and risk factors. BMC Musculoskelet Disord. 2014;15(1):359. https:\/\/doi.org\/10.1186\/1471-2474-15-359","DOI":"10.1186\/1471-2474-15-359"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Erick P, Sethatho M, Tumoyagae T, Letsholo B, Tapera R, Mbongwe B. Self-reported neck and back pain among supermarket cashiers in Gaborone, Botswana. Int J Occup Saf Ergon. 2023;29(3):989\u2013997. https:\/\/doi.org\/10.1080\/10803548.2022.2108653","DOI":"10.1080\/10803548.2022.2108653"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Aartun E, Ax\u00e9n I, Mior S, et al. Contextualizing the lived experiences of patients with low back pain from different countries according to the ICF framework. J Rehabil Med. 2021;53(5):jrm00189. https:\/\/doi.org\/10.2340\/16501977-2819","DOI":"10.2340\/16501977-2819"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease Study 2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10267):2006\u20132017. https:\/\/doi.org\/10.1016\/S0140-6736(20)32340-0","DOI":"10.1016\/S0140-6736(20)32340-0"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Ferreira GE, Zadro J, Jones C, et al. General practitioners\u2019 decision-making process to prescribe pain medicines for low back pain: A qualitative study. BMJ Open. 2023;13(10):e074380. https:\/\/doi.org\/10.1136\/bmjopen-2023-074380","DOI":"10.1136\/bmjopen-2023-074380"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Dawadi S, Shrestha S, Giri RA. Mixed-Methods Research: A Discussion on its Types, Challenges, and Criticisms. >Journal of Practical Studies in Education. 2021 Feb 24;2(2):25\u201336.","DOI":"10.46809\/jpse.v2i2.20"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Claus M, Kimbel R, Spahn D, Dudenh\u00f6ffer S, Rose DM, Letzel S. Prevalence and influencing factors of chronic back pain among staff at special schools with multiple and severely handicapped children in Germany: Results of a cross-sectional study. BMC Musculoskelet Disord. 2014 Feb 25;15(1). https:\/\/doi.org\/10.1186\/1471-2474-15-55","DOI":"10.1186\/1471-2474-15-55"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Ganesan S, Acharya AS, Chauhan R, Acharya S. Prevalence and risk factors for low back pain in 1,355 young adults: A cross-sectional study. Asian Spine J. 2017 Aug 1;11(4):610\u2013617.","DOI":"10.4184\/asj.2017.11.4.610"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Batista AA de S, Henschke N, Oliveira VC. Prevalence of low back pain in different educational levels: a systematic review. Fisioterapia em Movimento. 2017;30 (suppl 1):351\u2013361.","DOI":"10.1590\/1980-5918.030.s01.ar04"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Bento TPF, Genebra CV dos S, Maciel NM, Cornelio GP, Sime\u00e3o SFAP, Vitta A de. Low back pain and some associated factors: is there any difference between genders? Braz J Phys Ther. 2020 Jan 1;24(1):79\u201387.","DOI":"10.1016\/j.bjpt.2019.01.012"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Chisati EM, Constantinou D, Lampiao F. Reduced bone mineral density among HIV infected patients on anti-retroviral therapy in Blantyre, Malawi: Prevalence and associated factors. PLoS One. 2020 Jan 1;15(1):e0227893. https:\/\/doi.org\/10.1371\/journal.pone.0227893.","DOI":"10.1371\/journal.pone.0227893"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"Aartun E, Ax\u00e9n I, Mior S, R\u00f8e Y, Hondras M, Kretz L, et al. Contextualizing the lived experiences of patients with low back pain from different countries according to the ICF framework. J Rehabil Med. 2021;53(5):jrm00189. https:\/\/doi.org\/10.2340\/16501977-2819.","DOI":"10.2340\/16501977-2819"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"Buchbinder R, van Tulder M, \u00d6berg B, et al. Low back pain: A call for action. The Lancet. 2018;391(10137):2384\u20132388. https:\/\/doi.org\/10.1016\/S0140-6736(18)30488-4.","DOI":"10.1016\/S0140-6736(18)30488-4"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Ceulemans D, Moens M, Reneman M, et al. Biopsychosocial rehabilitation in the working population with chronic low back pain: A concept analysis. J Rehabil Med. 2024;56:jrm13454. https:\/\/doi.org\/10.2340\/jrm.v56.13454.","DOI":"10.2340\/jrm.v56.13454"},{"key":"ref19","unstructured":"Damba D. Prevalence and influence of lower back pain on work performance of civil service workers in Botswana [Master\u2019s Dissertation]. Johannesburg: University of the Witwatersrand; 2022 [cited n.d.]. Available from: https:\/\/wiredspace.wits.ac.za\/server\/api\/core\/bitstreams\/3245fefd-a71c-4ca4-b120-8050bd56a3e5\/content"}],"container-title":["African Journal of Primary Health Care &amp; Family Medicine"],"original-title":[],"link":[{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/view\/4629\/8141","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T07:41:19Z","timestamp":1761291679000},"score":1,"resource":{"primary":{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/view\/4629"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,17]]},"references-count":20,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,1]]}},"URL":"https:\/\/doi.org\/10.4102\/phcfm.v17i1.4629","relation":{},"ISSN":["2071-2928","2071-2936"],"issn-type":[{"value":"2071-2928","type":"print"},{"value":"2071-2936","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,17]]},"article-number":"a4629"}}