Prognostic factors for musculoskeletal sickness absence and return to work among welders and metal workers.
Objectives-To analyse factors that determine the occurrence of sickness absence due to musculoskeletal problems and the time it takes to return to work.
Methods-A longitudinal study with two year follow up was conducted among 283 male welders and metal workers.
The survey started with a standardised interview on the occurrence of musculoskeletal complaints. 61 (22%) workers were lost to follow up.
Data on sickness absence among 222 workers during the follow up were collected from absence records and self reports.
Regression analysis based on proportional hazards models was applied to identify risk factors for the occurrence and duration of sickness absence due to various musculoskeletal complaints.
During the follow up 51% of the workers attributed at least one period of sickness absence to musculoskeletal complaints which accounted for 44% of all work days lost.
A history of back pain was not associated with sickness absence for back pain, partly because subjects with back pain were more likely to be lost to follow up.
Neck or shoulder pain and pain of the upper extremities contributed significantly to neck or shoulder absence (relative risk (RR) 3.35 ; 95% confidence interval (95% CI) 1.73 to 6.47) and to upper extremities absence (RR 2.29 ; 95% CI 1.17 to 4.46), respectively.
Company and job title were also significant predictors for sickness absence due to these musculoskeletal complaints. (...)
Mots-clés Pascal : Métal lourd, Soudage, Industrie métallurgique, Exposition professionnelle, Médecine travail, Homme, Système ostéoarticulaire pathologie, Pronostic, Absentéisme, Durée, Lombalgie, Reprise travail, Epidémiologie, Etude longitudinale, Pays Bas, Europe, Toxicité
Mots-clés Pascal anglais : Heavy metal, Welding, Metallurgical industry, Occupational exposure, Occupational medicine, Human, Diseases of the osteoarticular system, Prognosis, Absenteeism, Duration, Low back pain, Back to work, Epidemiology, Follow up study, Netherlands, Europe, Toxicity
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0387610
Code Inist : 002B03L05. Création : 25/01/1999.