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Use of a job exposure matrix to predict the risk of work disability in individuals with back pain: An inception cohort study.
Fauser, David; Zimmer, Julia-Marie; Banaschak, Hannes; Golla, André; Sternberg, Annika; Mau, Wilfried; Bethge, Matthias.
Afiliación
  • Fauser D; Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.
  • Zimmer JM; Institute for Rehabilitation Medicine, Interdisciplinary Centre of Health Sciences, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
  • Banaschak H; Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.
  • Golla A; Institute for Rehabilitation Medicine, Interdisciplinary Centre of Health Sciences, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
  • Sternberg A; Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.
  • Mau W; Institute for Rehabilitation Medicine, Interdisciplinary Centre of Health Sciences, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
  • Bethge M; Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.
Work ; 78(3): 829-839, 2024.
Article en En | MEDLINE | ID: mdl-38306084
ABSTRACT

BACKGROUND:

Low back pain has a high economic burden in Germany due to back pain-related sick leave, disability pensions, and health care utilization. Work-related factors can predict disabling back pain. Job exposure matrices can be used to consider job demands and occupational characteristics in routine data analysis.

OBJECTIVE:

This longitudinal analysis tested whether rehabilitation utilization due to musculoskeletal disorders is associated with occupation-linked job exposures in employees with back pain.

METHODS:

Data from a German cohort study were used, including employees aged 45 to 59 years with self-reported back pain in the last three months. Individuals' job titles were assessed in the baseline survey in 2017 and matched with parameters of aggregated job exposure indices. Administrative data from the German Pension Insurance were used to extract information on rehabilitation utilization. Proportional hazard models tested the associations.

RESULTS:

We considered data of 6,569 participants (mean age 52.3 years; 57.7% women). During follow-up, with a maximum of 21 months, 296 individuals (4.5%) utilized medical rehabilitation due to musculoskeletal disorders. Adjusted analyses showed that high physical (HR = 2.87; 95% CI 1.74; 4.75) and overall (HR = 2.34; 95% CI 1.44; 3.80) job exposures were associated with a higher risk of rehabilitation utilization.

CONCLUSION:

Individuals with back pain working in occupations with high physical job exposures have a higher risk for rehabilitation utilization. To prevent work disability in individuals with back pain, occupational groups with high physical job exposures should be actively informed about tailored intervention options.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas con Discapacidad Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Work Asunto de la revista: MEDICINA OCUPACIONAL Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas con Discapacidad Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Work Asunto de la revista: MEDICINA OCUPACIONAL Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Países Bajos