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Navasardyan, N., Bernardes, S., Henriques, A., Oliveira-Gomes, C. F., Pires, C., Talih, M....Lucas, R.  (2025). The role of family functioning and socioeconomic context in multisite and chronic musculoskeletal pain in adolescents: Generation XXI Cohort study. International Journal of Public Health, 70. https://doi.org/10.3389/ijph.2025.1608929

N. Navasardyan et al.,  "The role of family functioning and socioeconomic context in multisite and chronic musculoskeletal pain in adolescents: Generation XXI Cohort study", in Int. Journal of Public Health, vol. 70, 2025

@article{navasardyan2025_1790072773089,
	author = "Navasardyan, N. and Bernardes, S. and Henriques, A. and Oliveira-Gomes, C. F. and Pires, C. and Talih, M. and Lucas, R. ",
	title = "The role of family functioning and socioeconomic context in multisite and chronic musculoskeletal pain in adolescents: Generation XXI Cohort study",
	journal = "International Journal of Public Health",
	year = "2025",
	volume = "70",
	number = "",
	doi = "10.3389/ijph.2025.1608929",
	url = "https://www.ssph-journal.org/journals/international-journal-of-public-health"
}

TY  - JOUR
TI  - The role of family functioning and socioeconomic context in multisite and chronic musculoskeletal pain in adolescents: Generation XXI Cohort study
T2  - International Journal of Public Health
VL  - 70
AU  - Navasardyan, N.
AU  - Bernardes, S.
AU  - Henriques, A.
AU  - Oliveira-Gomes, C. F.
AU  - Pires, C.
AU  - Talih, M.
AU  - Lucas, R. 
PY  - 2025
SN  - 1661-8556
DO  - 10.3389/ijph.2025.1608929
UR  - https://www.ssph-journal.org/journals/international-journal-of-public-health
AB  - Objective:
We examined whether family functioning relates to multisite and chronic musculoskeletal pain in adolescents, a key etiological stage for chronic pain, considering socioeconomic and childhood adversity factors (ACEs).
Methods:
Data from 1,473 participants were analyzed using the Luebeck Pain Screening Questionnaire at 18 years. Multisite pain was defined as pain in ≥2 sites; chronic musculoskeletal pain as pain in any musculoskeletal site lasting >3 months. Family functioning was assessed via the Brief Family Relationship Scale and categorized as poor, fair, or good. Socioeconomic indicators were collected at baseline, and ACEs at age 13.
Results:
The prevalence of multisite pain was 43%, and chronic pain was 23%. Logistic regression analyses showed that good family functioning was associated with lower odds of multisite pain (OR 0.49; 95% CI 0.37, 0.65) and chronic musculoskeletal pain (OR 0.62; 95% CI 0.45, 0.86). Socioeconomic indicators had limited effects, though higher maternal occupation was linked to greater multisite pain (OR 1.38; 95% CI 1.02, 1.87). Stratified analyses revealed no significant interactions.
Conclusion:
Good family functioning was associated with a lower risk of adolescent pain across socioeconomic contexts.
ER  -