Disabling musculoskeletal pain in working populations: is it the job, the person, or the culture?
Auteur David Coggon
Auteur Georgia Ntani
Auteur Keith T Palmer
Auteur Vanda E Felli
Auteur Raul Harari
Auteur Lope H Barrero
Auteur Sarah A Felknor
Auteur David Gimeno
Auteur Anna Cattrell
Auteur Consol Serra
Auteur Matteo Bonzini
Auteur Eleni Solidaki
Auteur Eda Merisalu
Auteur Rima R Habib
Auteur Farideh Sadeghian
Auteur M Masood Kadir
Auteur Sudath S P Warnakulasuriya
Auteur Ko Matsudaira
Auteur Busisiwe Nyantumbu
Auteur Malcolm R Sim
Auteur Helen Harcombe
Auteur Ken Cox
Auteur Maria H Marziale
Auteur Leila M Sarquis
Auteur Florencia Harari
Auteur Rocio Freire
Auteur Natalia Harari
Auteur Magda V Monroy
Auteur Leonardo A Quintana
Auteur Marianela Rojas
Auteur Eduardo J Salazar Vega
Auteur E Clare Harris
Auteur Sergio Vargas-Prada
Auteur J Miguel Martinez
Auteur George Delclos
Auteur Fernando G Benavides
Auteur Michele Carugno
Auteur Marco M Ferrario
Auteur Angela C Pesatori
Auteur Leda Chatzi
Auteur Panos Bitsios
Auteur Manolis Kogevinas
Auteur Kristel Oha
Auteur Tuuli Sirk
Auteur Ali Sadeghian
Auteur Roshini J Peiris-John
Auteur Nalini Sathiakumar
Auteur A Rajitha Wickremasinghe
Auteur Noriko Yoshimura
Auteur Helen L Kelsall
Auteur Victor C W Hoe
Auteur Donna M Urquhart
Auteur Sarah Derrett
Auteur David McBride
Auteur Peter Herbison
Auteur Andrew Gray
Volume 154
Numéro 6
Pages 856-863
Publication Pain
ISSN 1872-6623
Date Jun 2013
Résumé To compare the prevalence of disabling low back pain (DLBP) and disabling wrist/hand pain (DWHP) among groups of workers carrying out similar physical activities in different cultural environments, and to explore explanations for observed differences, we conducted a cross-sectional survey in 18 countries. Standardised questionnaires were used to ascertain pain that interfered with everyday activities and exposure to possible risk factors in 12,426 participants from 47 occupational groups (mostly nurses and office workers). Associations with risk factors were assessed by Poisson regression. The 1-month prevalence of DLBP in nurses varied from 9.6% to 42.6%, and that of DWHP in office workers from 2.2% to 31.6%. Rates of disabling pain at the 2 anatomical sites covaried (r = 0.76), but DLBP tended to be relatively more common in nurses and DWHP in office workers. Established risk factors such as occupational physical activities, psychosocial aspects of work, and tendency to somatise were confirmed, and associations were found also with adverse health beliefs and group awareness of people outside work with musculoskeletal pain. However, after allowance for these risk factors, an up-to 8-fold difference in prevalence remained. Systems of compensation for work-related illness and financial support for health-related incapacity for work appeared to have little influence on the occurrence of symptoms. Our findings indicate large international variation in the prevalence of disabling forearm and back pain among occupational groups carrying out similar tasks, which is only partially explained by the personal and socioeconomic risk factors that were analysed.
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doi:10.1016/j.pain.2013.02.008
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