Occupational factors affecting sick leave attributed to low-back pain.
Objectives The purpose of this study was to determine the occupational factors that cause workers to take sick leave attributed to low-back pain.
Methods Twice, with a 24-month interval, 117 white-and 189 blue-collar employees from 2 metal industry companies completed a questionnaire on recurrent low-back pain and exposure to potential risk factors (biomechanical loads, physical environment, psychosocial factors) at work.
Sick leave was monitored for the period between the questionnaires.
Results Low-back pain was predicted by exposure to harmful biomechanical loads among both white-and blue-collar workers [odds ratio (OR) 4.1 and 4.7, respectively), stress among white-collar workers (OR 2.4), and draft among blue-collar workers (OR 2.3).
The take-up of sick leave was predicted by exposure to harmful biomechanical loads [rate ratio (RR) 1.7] ; for sick leaves attributed to low-back pain the rate ratio was 3.1. Lack of recognition and respect at work predicted sick leave attributed to low-back pain (RR 2.0), but not sick leave attributed to other disorders.
Conclusions Recurrent low-back pain is preceded by reports of harmful biomechanical loads at work among white-and blue-collar workers, by stress among white-collar workers and by draft among blue-collar workers.
The environmental and psychosocial factors under study did not modify the relation between biomechanical loads and recurrent low-back pain. (...)
Mots-clés Pascal : Lombalgie, Absentéisme, Epidémiologie, Facteur risque, Milieu professionnel, Industrie métallurgique, Homme, Charge travail, Stress, Condition travail, Nuisance, Finlande, Europe, Médecine travail, Douleur, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie, Facteur psychosocial
Mots-clés Pascal anglais : Low back pain, Absenteeism, Epidemiology, Risk factor, Occupational environment, Metallurgical industry, Human, Workload, Stress, Working condition, Nuisance, Finland, Europe, Occupational medicine, Pain, Diseases of the osteoarticular system, Spine disease, Rachialgia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0259396
Code Inist : 002B15F. Création : 11/09/1998.