The purpose of this study was to identify factors associated with acute low back injury among municipal employees of a large city.
For each of 200 injured case patients.
2 coworker controls were randomly selected, the first matched on gender, job, and department and the second matched on gender and job classification.
In-person interviews were conducted to collect data on demographics, work history, work characteristics, work injuries, back pain, psychosocial and work organization, health behaviors, and anthropometric and ergonomic factors related to the job.
Psychosocial work organization variables were examined with factor analysis techniques ; an aggregate value for job strain was entered into the final model.
Risk factors were examined via multivariate logistic regression techniques.
High job strain was the most important factor affecting back injury (odds ratio [OR]=2.12,95% confidence interval [CI]=1.28,3.52), and it showed a significant dose-response effect.
Body mass index (OR=1.54,95% CI=1.08,2.18) and a work movement index (twisting, extended reaching, and stooping) (OR=1.42,95% CI=0.97,2.08) were also significant factors.
Results suggest that increasing workers'control over their jobs reduces levels of job strain.
Ergonomic strategies and worksite health promotion may help reduce other risk factors.
Mots-clés Pascal : Traumatisme, Rachis, Lombaire, Homme, Milieu professionnel, Facteur risque, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Médecine travail, Promotion santé, Recommandation, Etude cas témoin, Ergonomie, Système ostéoarticulaire pathologie, Rachis pathologie, Travailleur communal
Mots-clés Pascal anglais : Trauma, Spine, Lumbar, Human, Occupational environment, Risk factor, United States, North America, America, Epidemiology, Occupational medicine, Health promotion, Recommendation, Case control study, Ergonomics, Diseases of the osteoarticular system, Spine disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0392298
Code Inist : 002B16H. Création : 22/03/2000.