Aline Ramond-Roquin1, Julie Bodin2, Céline Serazin2, Elsa Parot-Schinkel3, Catherine Ha4, Isabelle Richard5, Audrey Petit Le Manach6, Natacha Fouquet7, Yves Roquelaure6. 1. Laboratory of Ergonomics and Epidemiology in Occupational Health, Faculty of Medicine, University of Angers, Rue Haute de Reculée, 49045 Angers Cedex 01, France; Department of General Practice, Faculty of Medicine, University of Angers, Rue Haute de Reculée, 49045 Angers Cedex 01, France. Electronic address: aline.ramond@univ-angers.fr. 2. Laboratory of Ergonomics and Epidemiology in Occupational Health, Faculty of Medicine, University of Angers, Rue Haute de Reculée, 49045 Angers Cedex 01, France. 3. Laboratory of Ergonomics and Epidemiology in Occupational Health, Faculty of Medicine, University of Angers, Rue Haute de Reculée, 49045 Angers Cedex 01, France; Clinical Research Centre, University Hospital of Angers, 4, rue Larrey, 49933 Angers Cédex, France. 4. Department of Occupational Health, French Institute for Public Health Surveillance, 12 rue du Val d'Osne, 94415 Saint-Maurice Cedex, France. 5. Laboratory of Ergonomics and Epidemiology in Occupational Health, Faculty of Medicine, University of Angers, Rue Haute de Reculée, 49045 Angers Cedex 01, France; Regional Centre for Rehabilitation of Angers, rue des Capucins, B.P. 40329, 49103 Angers Cedex 02, France. 6. Laboratory of Ergonomics and Epidemiology in Occupational Health, Faculty of Medicine, University of Angers, Rue Haute de Reculée, 49045 Angers Cedex 01, France; Department of Occupational Health, Faculty of Medicine, University Hospital of Angers, 4, rue Larrey, 49933 Angers Cédex, France. 7. Laboratory of Ergonomics and Epidemiology in Occupational Health, Faculty of Medicine, University of Angers, Rue Haute de Reculée, 49045 Angers Cedex 01, France; Department of Occupational Health, French Institute for Public Health Surveillance, 12 rue du Val d'Osne, 94415 Saint-Maurice Cedex, France.
Abstract
BACKGROUND CONTEXT: Low back pain (LBP) is a major public health problem, with a considerable impact on workers. PURPOSE: To model the risk of LBP in the male general working population. STUDY DESIGN/ SETTING: Repeated cross-sectional surveys in a wide occupational setting. PATIENT SAMPLE: A random sample of 2,161 men working in various occupations in a French region participated in a first survey in 2002, and 1,313 of these (60.8%) participated in a second survey in 2007. OUTCOME MEASURE: The self-reported prevalence of LBP during the previous week in the second survey. METHODS: Twenty-one biomechanical, organizational, psychosocial, and individual factors were assessed in the first survey. The association between these potential risk factors and the prevalence of later LBP (in the second survey) was studied, using multistep logistic regression models. RESULTS: Three hundred ninety-four men reported LBP in the second survey (prevalence 30.0%). The final multivariate model highlighted four risk factors: frequent bending (odds ratio [OR], 1.45, 95% confidence interval [CI], 1.07-1.97 for bending forward only; and OR, 2.13, 95% CI, 1.52-3.00 for bending both forward and sideways), driving industrial vehicles (OR, 1.35; 95% CI, 1.00-1.81), working more hours than officially planned (OR, 1.38; 95% CI, 1.05-1.81), and reported low support from supervisors (OR, 1.35; 95% CI, 1.02-1.79). CONCLUSIONS: These results emphasize that biomechanical factors remain worth considering, even when psychosocial factors are taken into account, and provide a significant contribution to preventive strategies.
BACKGROUND CONTEXT: Low back pain (LBP) is a major public health problem, with a considerable impact on workers. PURPOSE: To model the risk of LBP in the male general working population. STUDY DESIGN/ SETTING: Repeated cross-sectional surveys in a wide occupational setting. PATIENT SAMPLE: A random sample of 2,161 men working in various occupations in a French region participated in a first survey in 2002, and 1,313 of these (60.8%) participated in a second survey in 2007. OUTCOME MEASURE: The self-reported prevalence of LBP during the previous week in the second survey. METHODS: Twenty-one biomechanical, organizational, psychosocial, and individual factors were assessed in the first survey. The association between these potential risk factors and the prevalence of later LBP (in the second survey) was studied, using multistep logistic regression models. RESULTS: Three hundred ninety-four men reported LBP in the second survey (prevalence 30.0%). The final multivariate model highlighted four risk factors: frequent bending (odds ratio [OR], 1.45, 95% confidence interval [CI], 1.07-1.97 for bending forward only; and OR, 2.13, 95% CI, 1.52-3.00 for bending both forward and sideways), driving industrial vehicles (OR, 1.35; 95% CI, 1.00-1.81), working more hours than officially planned (OR, 1.38; 95% CI, 1.05-1.81), and reported low support from supervisors (OR, 1.35; 95% CI, 1.02-1.79). CONCLUSIONS: These results emphasize that biomechanical factors remain worth considering, even when psychosocial factors are taken into account, and provide a significant contribution to preventive strategies.
Authors: Waleska Reyes-Ferrada; Ángela Rodríguez-Perea; Luis Chirosa-Ríos; Darío Martínez-García; Daniel Jerez-Mayorga Journal: Int J Environ Res Public Health Date: 2022-10-03 Impact factor: 4.614