Journal of Occupational and Environmental Medicine · 2002 · 75 citations · 26 references
Pain TherapyPain MedicineInjury PreventionSocial Determinants Of HealthWorker HealthSocial SupportSick Leave DueLow Social SupportChronic Musculoskeletal ConditionPain ManagementPublic HealthHealth Services ResearchBack PainSick LeaveHealth SciencesHealth PolicyRehabilitationRisk FactorsPain ResearchNursingHealth BehaviorOccupational DisorderLow Back PainMedicine
The objectives of this prospective study were to identify predictive factors for sick leave of 8 days or more due to low back pain (LBSL) and to compare them with predictive factors for low back pain with no or shorter sick leave (LB) in a cohort of French workers. The predictive factors for LBSL were a past history of low back pain (odds ratio [OR], 7.2; 95% confidence interval [CI], 4.1 to 13), a low employment grade (OR, 4.3; 95% CI, 1.7 to 11), heavy smoking (OR, 5.5; 95% CI, 2.3 to 13), a pain score different from zero (OR, 4.9; 95% CI, 2.5 to 9.7), required bending backward or forward at work every day repetitively (OR, 7.4; 95% CI, 2.3 to 23), overall social integration (OR, 2.0; 95% CI, 1.3 to 3.3), and low social support at work (OR, 3.4; 95% CI, 1.6 to 7.3). Low social support at work and bending backward or forward at work were more strongly associated with LBSL than with LB (P = 0.02 and P < 0.01, respectively). The implications of the results of this prospective study are that both the level of biomechanical exposure and the psychosocial work environment, especially social support, represents important dimensions to consider in the reduction of work absenteeism.
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Robert Karasek, Chantal Brisson, Norito Kawakami et al. · Journal of Occupational Health Psychology · 1998 · 3.2K citations