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The impact of occupational and personal factors on musculoskeletal pain - A cohort study of female nurses, sonographers and teachers

Arvidsson, Inger LU ; Gremark Simonsen, Jenny LU ; Lindegård-Andersson, Agneta ; Björk, Jonas LU and Nordander, Catarina LU orcid (2020) In BMC Musculoskeletal Disorders 21(1).
Abstract

Background: Musculoskeletal pain is common in the general population and constitutes a major public health problem. A large proportion of these conditions may be work related. The aim of this study was to explore the relative importance of physical, psychosocial and personal factors, in number of pain sites and in five specific pain sites, among women in common professions with a broad variety of occupational exposures. Methods: A cohort of 1115 women responded to a questionnaire on ergonomic, psychosocial, personal and life-style factors, and the outcome measure of musculoskeletal pain (based on frequency and intensity of complaints at nine anatomical sites), at baseline and at follow-up. Sum scores of ergonomic and psychosocial... (More)

Background: Musculoskeletal pain is common in the general population and constitutes a major public health problem. A large proportion of these conditions may be work related. The aim of this study was to explore the relative importance of physical, psychosocial and personal factors, in number of pain sites and in five specific pain sites, among women in common professions with a broad variety of occupational exposures. Methods: A cohort of 1115 women responded to a questionnaire on ergonomic, psychosocial, personal and life-style factors, and the outcome measure of musculoskeletal pain (based on frequency and intensity of complaints at nine anatomical sites), at baseline and at follow-up. Sum scores of ergonomic and psychosocial factors were created. The importance of exposure at baseline for the number of pain sites at follow-up were estimated using ordinal regression. The importance of exposure at baseline for pain in the neck, shoulders, hands, lower back and feet at follow-up were estimated using multi-exposure Poisson regression models. Results: High sum scores for ergonomic and psychosocial factors were of importance for a high number of pain sites, although the strongest risk factor was a high number of pain sites already at baseline. On the individual level, there was a large fluctuation in number of pain sites between the two time points. Eighteen percent reported persistent (or recurrent) ≥ four pain sites, while only 11 % did not report any pain at baseline or at follow-up. Among the specific pain sites, a high sum score of ergonomic factors was associated with pain in the neck, hands and feet. A high sum score of psychosocial factors was associated with neck and shoulder pain. The strongest risk factor was, however, pain at that specific anatomical site at baseline. Only a few of the personal and life-style factors were associated with pain. Conclusions: An overwhelming majority of the women in common occupations were affected by musculoskeletal pain. Both ergonomic and psychosocial factors were predictive of a high number of pain sites and of specific pain sites. These findings indicate the need for preventive measures on the individual, organizational and societal level.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Longitudinal study, Multisite pain, Multivariable model, Musculoskeletal disorders, Regional pain
in
BMC Musculoskeletal Disorders
volume
21
issue
1
article number
621
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85091325041
  • pmid:32948157
ISSN
1471-2474
DOI
10.1186/s12891-020-03640-4
language
English
LU publication?
yes
id
9e3b08f5-b7f5-4303-95e6-35715879395e
date added to LUP
2020-10-26 14:56:27
date last changed
2024-05-31 00:03:00
@article{9e3b08f5-b7f5-4303-95e6-35715879395e,
  abstract     = {{<p>Background: Musculoskeletal pain is common in the general population and constitutes a major public health problem. A large proportion of these conditions may be work related. The aim of this study was to explore the relative importance of physical, psychosocial and personal factors, in number of pain sites and in five specific pain sites, among women in common professions with a broad variety of occupational exposures. Methods: A cohort of 1115 women responded to a questionnaire on ergonomic, psychosocial, personal and life-style factors, and the outcome measure of musculoskeletal pain (based on frequency and intensity of complaints at nine anatomical sites), at baseline and at follow-up. Sum scores of ergonomic and psychosocial factors were created. The importance of exposure at baseline for the number of pain sites at follow-up were estimated using ordinal regression. The importance of exposure at baseline for pain in the neck, shoulders, hands, lower back and feet at follow-up were estimated using multi-exposure Poisson regression models. Results: High sum scores for ergonomic and psychosocial factors were of importance for a high number of pain sites, although the strongest risk factor was a high number of pain sites already at baseline. On the individual level, there was a large fluctuation in number of pain sites between the two time points. Eighteen percent reported persistent (or recurrent) ≥ four pain sites, while only 11 % did not report any pain at baseline or at follow-up. Among the specific pain sites, a high sum score of ergonomic factors was associated with pain in the neck, hands and feet. A high sum score of psychosocial factors was associated with neck and shoulder pain. The strongest risk factor was, however, pain at that specific anatomical site at baseline. Only a few of the personal and life-style factors were associated with pain. Conclusions: An overwhelming majority of the women in common occupations were affected by musculoskeletal pain. Both ergonomic and psychosocial factors were predictive of a high number of pain sites and of specific pain sites. These findings indicate the need for preventive measures on the individual, organizational and societal level. </p>}},
  author       = {{Arvidsson, Inger and Gremark Simonsen, Jenny and Lindegård-Andersson, Agneta and Björk, Jonas and Nordander, Catarina}},
  issn         = {{1471-2474}},
  keywords     = {{Longitudinal study; Multisite pain; Multivariable model; Musculoskeletal disorders; Regional pain}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Musculoskeletal Disorders}},
  title        = {{The impact of occupational and personal factors on musculoskeletal pain - A cohort study of female nurses, sonographers and teachers}},
  url          = {{http://dx.doi.org/10.1186/s12891-020-03640-4}},
  doi          = {{10.1186/s12891-020-03640-4}},
  volume       = {{21}},
  year         = {{2020}},
}