Abstract
Background: While the determinants of musculoskeletal pain are numerous, few studies conducted among workers have taken into account, altogether, physical factors, psychosocial factors (personal and work-related) and individual characteristics. Objectives: To estimate the 1-year prevalence of musculoskeletal pain in the Quebec working population by gender and anatomical site, and to determine which factors are associated with these prevalence figures. Methods: Data came from the 1998 Quebec Health Survey and included 9,496 individuals. One-year period prevalences for neck pain, back pain and pain in the upper and lower extremities were calculated for men and women. Logistic regression analyses were conducted to estimate the associations between individual, physical and psychosocial work factors, on one hand, and musculoskeletal pain in the four body regions, on the other hand. Results: For both genders back pain was the most frequent musculoskeletal symptom that had disturbed their activities during the past year. The largest difference between genders was observed for neck pain (women: 18%; men: 11%). Multivariate analyses indicated that physical and psychosocial work factors, as well as psychological variables, were associated with musculoskeletal pain in different body regions. Body mass index was associated only with pain in lower extremities for both genders. Conclusions: The results of this study suggest that interventions aimed at reducing musculoskeletal pain should take into account personal and work-related psychosocial variables, in addition to physical workload.
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References
Adams MA, Mannion AF, Dolan P (1999) Personal risk factors for first-time low back pain. Spine 24:2497–2505
Andersen JH, Kaergaard A, Frost P, Thomsen JF, Bonde JP, Fallentin N, Borg V, Mikkelsen S (2002) Physical, psychosocial, and individual risk factors for neck/shoulder pain with pressure tenderness in the muscles among workers performing monotonous, repetitive work. Spine 27:660–667
Ariens GA, Bongers PM, Douwes M, Miedema MC, Hoogendoorn WE, van der Wal G, Bouter LM, van Mechelen W (2001a) Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? Results of a prospective cohort study. Occup Environ Med 58:200–207
Ariens GA, Bongers PM, Hoogendoorn WE, Houtman IL, van der Wal G, van Mechelen W (2001b) High quantitative job demands and low coworker support as risk factors for neck pain: results of a prospective cohort study. Spine 26:1896–1901
Bergman S, Herrstrom P, Hogstrom K, Petersson IF, Svensson B, Jacobsson LT (2001) Chronic musculoskeletal pain, prevalence rates, and sociodemographic associations in a Swedish population study. J Rheumatol 28:1369–1377
Bongers PM, Kremer AM, ter Laak J (2002) Are psychosocial factors risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist?: a review of the epidemiological literature. Am J Ind Med 41:315–342
Brisson C, Blanchette C, Guimont C, Dion G, Moisan J, Vézina M, Dagenais G, Mâsse B (1998) Reliability and validity of the French version of the 18-item Karasek job content questionnaire. Work Stress 12:322–336
Daveluy C, Pica L, Audet N, Courtemanche R, Lapointe F (2000) Enquête sociale et de santé 1998 [1998 Quebec Health and Social Survey], 2e édition. Québec, Institut de la statistique du Québec. Available fromhttp://www.stat.gouv.qc.ca/publications/sante/e_soc-sante98_pdf.htm
de Zwart BC, Frings-Dresen MH, Kilbom A (2001) Gender differences in upper extremity musculoskeletal complaints in the working population. Int Arch Occup Environ Health 74:21–30
Feveile H, Jensen C, Burr H (2002) Risk factors for neck-shoulder and wrist-hand symptoms in a 5-year follow-up study of 3,990 employees in Denmark. Int Arch Occup Environ Health 75:243–251
Fredriksson K, Alfredsson L, Thorbjornsson CB, Punnett L, Toomingas A, Torgen M, Kilbom A (2000) Risk factors for neck and shoulder disorders: a nested case–control study covering a 24-year period. Am J Ind Med 38:516–528
Goldberg MS, Scott SC, Mayo NE (2000) A review of the association between cigarette smoking and the development of nonspecific back pain and related outcomes. Spine 25:995–1014
Hoogendoorn WE, Bongers PM, de Vet HC, Douwes M, Koes BW, Miedema MC, Ariens GA, Bouter LM (2000) Flexion and rotation of the trunk and lifting at work are risk factors for low back pain: results of a prospective cohort study. Spine 25:3087–3092
Hoogendoorn WE, Bongers PM, de Vet HC, Houtman IL, Ariens GA, van Mechelen W, Bouter LM (2001) Psychosocial work characteristics and psychological strain in relation to low-back pain. Scand J Work Environ Health 27:258–267
Johnston JM, Landsittel DP, Nelson NA, Gardner LI, Wassell JT (2003) Stressful psychosocial work environment increases risk for back pain among retail material handlers. Am J Ind Med 43:179–187
Joksimovic L, Starke D, v d Knesebeck O, Siegrist J (2002) Perceived work stress, overcommitment, and self-reported musculoskeletal pain: a cross-sectional investigation. Int J Behav Med 9:122–138
Karasek R, Theorell T (1990) Healthy work: stress, productivity, and the reconstruction of working life. Basic Books, New York
Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B (1998) The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol 3:322–355
Lagerstrom M, Wenemark M, Hagberg M, Hjelm EW (1995) Occupational and individual factors related to musculoskeletal symptoms in five body regions among Swedish nursing personnel. Int Arch Occup Environ Health 68:27–35
Lampe A, Doering S, Rumpold G, Solder E, Krismer M, Kantner-Rumplmair W, Schubert C, Sollner W (2003) Chronic pain syndromes and their relation to childhood abuse and stressful life events. J Psychosom Res 54:361–367
Larocque B, Brisson C, Blanchette C (1998) [Internal consistency, factorial validity and discriminant validity of the French version of the psychological demands and decision latitude scales of the Karasek “Job Content Questionnaire”. Rev Epidemiol Sante Publique 46:371–381
Lee P, Helewa A, Goldsmith CH, Smythe HA, Stitt LW (2001) Low back pain: prevalence and risk factors in an industrial setting. J Rheumatol 28:346–351
Leino P, Magni G (1993) Depressive and distress symptoms as predictors of low back pain, neck-shoulder pain, and other musculoskeletal morbidity: a 10-year follow-up of metal industry employees. Pain 53:89–94
Lings S, Leboeuf-Yde C (2000) Whole-body vibration and low back pain: a systematic, critical review of the epidemiological literature 1992–1999. Int Arch Occup Environ Health 73:290–297
Linton SJ, Larden M, Gillow AM (1996) Sexual abuse and chronic musculoskeletal pain: prevalence and psychological factors. Clin J Pain 12:215–221
Malchaire J, Cock N, Vergracht S (2001) Review of the factors associated with musculoskeletal problems in epidemiological studies. Int Arch Occup Environ Health 74:79–90
Messing K (2000) Ergonomic studies provide information about occupational exposure differences between women and men. J Am Med Womens Assoc 55:72–75
Miranda H, Viikari-Juntura E, Martikainen R, Riihimaki H (2002) A prospective study on knee pain and its risk factors. Osteoarthritis Cartilage 10:623–630
Nahit ES, Macfarlane GJ, Pritchard CM, Cherry NM, Silman AJ (2001) Short term influence of mechanical factors on regional musculoskeletal pain: a study of new workers from 12 occupational groups. Occup Environ Med 58:374–381
Nahit ES, Hunt IM, Lunt M, Dunn G, Silman AJ, Macfarlane GJ (2003) Effects of psychosocial and individual psychological factors on the onset of musculoskeletal pain: common and site-specific effects. Ann Rheum Dis 62:755–760
Power C, Frank J, Hertzman C, Schierhout G, Li L (2001) Predictors of low back pain onset in a prospective British study. Am J Public Health 91:1671–1678
Préville M, Boyer R, Potvin L, Perreault C, Légaré G (1992). Psychological distress: viability and validity of the instrument used in the Quebec health survey. [La détresse psychologique: détermination de la fiabilité et de la validité de la mesure utilisée dans l’enquête Santé Québec]. Montréal, Santé Québec
Rothman KJ, Greenland SE (1998) Modern epidemiology. Lippincott Williams & Wilkins, Philadelphia
Ryan GA (1989) The prevalence of musculo-skeletal symptoms in supermarket workers. Ergonomics 32:359–371
Santé et Bien-Être Social Canada (1988) Niveaux de poids associés à la santé: lignes directrices canadiennes [Canadian guidelines for healthy weight]. Rapport du groupe d’experts des normes pondérales, Ottawa, p 135
Santé Québec (1994) Et votre coeur, ça va? Rapport de l’enquête québécoise sur la santé cardiovasculaire 1990, Ministère de la santé et des services sociaux
Santé Québec (1998a) Enquête générale sur la santé et le bien-être de la population 1998: Questionnaire rempli par l’interviewer (QRI) [1998 Quebec Health and Social Survey - questionnaire completed by interviewer]. Montréal, Santé Québec. Available from http://www.stat.gouv.qc.ca/publications/sante/pdf_eldeq/QCI_English.pdf
Santé Québec (1998b) Questionnaire sur les habitudes de vie et la santé 1998 [Lifestyle and health questionnaire 1998]. Montréal, Santé Québec. Available from http://www.stat.gouv.qc.ca/publications/sante/pdf_eldeq/QAA_%201_an.pdf
SAS Institute (2000) The SAS System for Sun OS. SAS Institute, Cary
Sobti A, Cooper C, Inskip H, Searle S, Coggon D (1997) Occupational physical activity and long-term risk of musculoskeletal symptoms: a national survey of post office pensioners. Am J Ind Med 32:76–83
Toomingas A, Theorell T, Michelsen H, Nordemar R (1997) Associations between self-rated psychosocial work conditions and musculoskeletal symptoms and signs. Stockholm MUSIC I Study Group. Scand J Work Environ Health 23:130–139
Tornqvist EW, Kilbom A, Vingard E, Alfredsson L, Hagberg M, Theorell T, Waldenstrom M, Wiktorin C, Hogstedt C (2001) The influence on seeking care because of neck and shoulder disorders from work-related exposures. Epidemiology 12:537–545
Trinkoff AM, Lipscomb JA, Geiger-Brown J, Storr CL, Brady BA (2003) Perceived physical demands and reported musculoskeletal problems in registered nurses. Am J Prev Med 24:270–275
Tuchsen F, Hannerz H, Burr H, Lund T, Krause N (2003) Risk factors predicting hip pain in a 5-year prospective cohort study. Scand J Work Environ Health 29:35–39
Turner RJ, Lloyd DA (1995) Lifetime traumas and mental health: the significance of cumulative adversity. J Health Soc Behav 36:360–376
Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, Simmons A, Williams G (1998) Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis 57:649–655
Wahlstedt KG, Björkstén MG, Edling C (2001) Factors at work and musculoskeletal symptoms among postal workers. Int J Behav Med 8:181–193
World Health Organisation (1998) Obesity: preventing and managing the global epidemic, Geneva
Acknowledgments
This study was supported by the Quebec Health Research Fund (no. 2576), of which C.E. Dionne and R. Bourbonnais are also Research Scholars. C. Brisson holds a research scholarship from the Canadian Institutes of Health Research (CIHR). We thank the Quebec Institute of Statistics for providing access to data and Michel Gaudet, MSc, for statistical support.
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Leroux, I., Dionne, C.E., Bourbonnais, R. et al. Prevalence of musculoskeletal pain and associated factors in the Quebec working population. Int Arch Occup Environ Health 78, 379–386 (2005). https://doi.org/10.1007/s00420-004-0578-2
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DOI: https://doi.org/10.1007/s00420-004-0578-2