Work-related risk factors for the incidence and recurrence of shoulder and neck complaints among nursing-home and elderly-care workers
OBJECTIVES: This study assessed the differences and similarities in the incidence and recurrence of shoulder and neck complaints with respect to work-related physical, psychosocial, and personal risk factors. METHODS: A prospective cohort study was carried out among 769 workers of nursing homes and homes for the elderly. At baseline, a questionnaire was used to collect data on personal characteristics, physical workload, psychosocial workload, and the presence of shoulder and neck complaints. After 1 and 2 years, follow-up data were collected on shoulder and neck complaints. Generalized estimation equations were used for analyzing risk factors for the participants with at least one follow-up measurement available (N=556, 72%). RESULTS: In the multivariate model, adjusted for age and gender, obesity [odds ratio (OR) 2.12, 95% confidence interval (95%CI) 1.23-3.65] was related to the incidence of shoulder complaints. The incidence of neck complaints was increased for obesity (OR 1.81, 95% CI 1.07-3.05), work in awkward postures (OR 1.76, 95% CI 1.11-2.78), and poor or fair general health (OR 1.53, 95% CI 1.02-2.31). The recurrence of both shoulder and neck complaints was associated with chronic complaints at baseline (shoulder: OR 1.91, 95% 1.36-2.67; neck: OR 1.71, 95% 1.14-2.55) but not with work-related risk factors. CONCLUSIONS: The results suggest that there are differences in risk factors for the incidence and recurrence of shoulder and neck complaints.
|Keywords||Adult, Aged, Female, Humans, Longitudinal Studies, Male, Middle Aged, Multivariate Analysis, Neck Pain/*epidemiology/physiopathology, Netherlands/epidemiology, Occupational Diseases/*epidemiology, Questionnaires, Recurrence, Shoulder Pain/*epidemiology/physiopathology, elderly-care worker, incidence, musculoskeletal complaint, neck complaint, nursing-home worker, physical load, psychosocial load, risk factor, shoulder complaint, work-related recurrence|
Luime, J.J., Kuiper, J.I., Koes, B.W., Verhaar, J.A.N., Miedema, H.S., & Burdorf, A.. (2004). Work-related risk factors for the incidence and recurrence of shoulder and neck complaints among nursing-home and elderly-care workers. Scandinavian Journal of Work, Environment and Health, 279–286. Retrieved from http://hdl.handle.net/1765/15636