Bimali I.Vongsirinavarat M.Krityakiarana W.Mathiyakom W.Mahidol University2025-03-092025-03-092025-01-01International Journal of Occupational Safety and Health Vol.15 No.1 (2025) , 37-4627389707https://repository.li.mahidol.ac.th/handle/123456789/105598Introduction: Shoulder pain (SP) is a common concern impacting the quality of life (QOL) and productivity of Nepalese farmers. However, the factors contributing to SP are not fully understood. This study aimed to identify the bio-psychosocial factors influencing SP and disability in Nepalese farmers. Methods: A cross-sectional study was conducted using convenience sampling, involving 122 full-time farmers seeking treatment for SP. Data were collected from December 2022 to April 2023. The Nepalese version of the Shoulder Pain and Disability (SPADI-NP), Tampa Scale of Kinesiophobia (TSK-11-NP), and Pain Catastrophizing Scale (PCS-NP) were used for data collection. Univariate and multivariate linear regressions were performed to determine the contributing factors of SP and disability. Results: TSK-11-NP, PCS-NP, age, gender, and education were significantly associated with SPADI-NP, with TSK-11-NP (R2=0.42) and PCS-NP (R2=0.40) demonstrating the highest association in univariate regression. In multivariate regression, the first model with a constant and TSK-11-NP explained 42% of the variance in SPADI-NP. Adding age, gender, and education sequentially, the model improved the ability to explain the variance in SPADI-NP to 46%, 48%, and 50%, respectively. The results indicated that psychological factors were the strongest factor associated with SP and disability. Conclusion: Heightened kinesiophobia, pain catastrophization, advancing age, female gender, and low level of education significantly contributed to SP and disability in Nepalese farmers. A comprehensive approach addressing these bio-psychosocial factors would be necessary for managing SP and disability and possibly improving the QOL of the local farmers in the region.MedicineSocial SciencesArticleSCOPUS10.3126/ijosh.v15i1.710582-s2.0-8521911629620910878