Independent effect of physical workload and childhood socioeconomic status on low back pain among health care workers in Denmark
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Independent effect of physical workload and childhood socioeconomic status on low back pain among health care workers in Denmark. / Jørgensen, Marie Birk; Nabe-Nielsen, Kirsten; Clausen, Thomas; Holtermann, Andreas.
In: Spine, Vol. 38, No. 6, 15.03.2013, p. E359-66.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Independent effect of physical workload and childhood socioeconomic status on low back pain among health care workers in Denmark
AU - Jørgensen, Marie Birk
AU - Nabe-Nielsen, Kirsten
AU - Clausen, Thomas
AU - Holtermann, Andreas
PY - 2013/3/15
Y1 - 2013/3/15
N2 - STUDY DESIGN: Prospective cohort study.OBJECTIVE: To investigate the independent effect of physical workload and childhood socioeconomic status (CSES) on low back pain (LBP) and LBP-related sickness absence among female health care workers.SUMMARY OF BACKGROUND DATA: The role of physical workload on LBP independently from CSES is still subject to controversy.METHODS: We used questionnaire data from 1661 female social and health care workers responding to a questionnaire in 2004, 2005, and 2006. We collected information on CSES (parental occupation), physical workload, and LBP-prevalence (no LBP, subchronic LBP, and frequent LBP), and LBP-related sickness absence. The participants were categorized into 5 groups according to CSES (I = highest, V = lowest). Data were analyzed using logistic regression analysis.RESULTS: Irrespective of CSES, high physical workload increased the odds ratio (OR) of future subchronic LBP (OR = 2.03; 95% confidence interval [CI], 1.61-2.57) and frequent LBP (OR = 2.20; 95% CI, 1.65-3.00), but not LBP-related sickness absence. The odds of subchronic LBP were lower in CSES groups II (OR = 0.62; 95% CI, 0.42-0.93) and III (OR = 0.58; 95% CI, 0.39-0.86) referencing CSES group I, irrespective of physical workload. The odds of short-term LBP-related sickness absence were higher in CSES groups III (OR = 2.78; 95% CI, 1.41-5.47) and IV (OR = 2.18; 95% CI, 1.11-4.27) referencing CSES group I, irrespective of physical workload. We found no interaction between physical workload and CSES.CONCLUSION: Physical workload and CSES are independently associated with future LBP within a group with similar occupational status.LEVEL OF EVIDENCE: N/A.
AB - STUDY DESIGN: Prospective cohort study.OBJECTIVE: To investigate the independent effect of physical workload and childhood socioeconomic status (CSES) on low back pain (LBP) and LBP-related sickness absence among female health care workers.SUMMARY OF BACKGROUND DATA: The role of physical workload on LBP independently from CSES is still subject to controversy.METHODS: We used questionnaire data from 1661 female social and health care workers responding to a questionnaire in 2004, 2005, and 2006. We collected information on CSES (parental occupation), physical workload, and LBP-prevalence (no LBP, subchronic LBP, and frequent LBP), and LBP-related sickness absence. The participants were categorized into 5 groups according to CSES (I = highest, V = lowest). Data were analyzed using logistic regression analysis.RESULTS: Irrespective of CSES, high physical workload increased the odds ratio (OR) of future subchronic LBP (OR = 2.03; 95% confidence interval [CI], 1.61-2.57) and frequent LBP (OR = 2.20; 95% CI, 1.65-3.00), but not LBP-related sickness absence. The odds of subchronic LBP were lower in CSES groups II (OR = 0.62; 95% CI, 0.42-0.93) and III (OR = 0.58; 95% CI, 0.39-0.86) referencing CSES group I, irrespective of physical workload. The odds of short-term LBP-related sickness absence were higher in CSES groups III (OR = 2.78; 95% CI, 1.41-5.47) and IV (OR = 2.18; 95% CI, 1.11-4.27) referencing CSES group I, irrespective of physical workload. We found no interaction between physical workload and CSES.CONCLUSION: Physical workload and CSES are independently associated with future LBP within a group with similar occupational status.LEVEL OF EVIDENCE: N/A.
KW - Adult
KW - Child
KW - Denmark
KW - Female
KW - Health Personnel
KW - Humans
KW - Logistic Models
KW - Low Back Pain
KW - Middle Aged
KW - Occupational Diseases
KW - Prospective Studies
KW - Questionnaires
KW - Risk Assessment
KW - Risk Factors
KW - Sick Leave
KW - Social Class
KW - Workload
KW - Young Adult
U2 - 10.1097/BRS.0b013e31828435d4
DO - 10.1097/BRS.0b013e31828435d4
M3 - Journal article
C2 - 23492977
VL - 38
SP - E359-66
JO - Spine
JF - Spine
SN - 0362-2436
IS - 6
ER -
ID: 120903023