Disabling musculoskeletal pain in working populations

Is it the job, the person, or the culture?

David Coggon, Georgia Ntani, Keith T. Palmer, Vanda E. Felli, Raul Harari, Lope H. Barrero, Sarah A. Felknor, David Gimeno, Anna Cattrell, Consol Serra, Matteo Bonzini, Eleni Solidaki, Eda Merisalu, Rima R. Habib, Farideh Sadeghian, M. Masood Kadir, Sudath S P Warnakulasuriya, Ko Matsudaira, Busisiwe Nyantumbu, Malcolm R. Sim & 36 others Helen Harcombe, Ken Cox, Maria H. Marziale, Leila M. Sarquis, Florencia Harari, Rocio Freire, Natalia Harari, Magda V. Monroy, Leonardo A. Quintana, Marianela Rojas, Eduardo J. Salazar Vega, E. Clare Harris, Sergio Vargas-Prada, J. Miguel Martinez, George Delclos, Fernando G. Benavides, Michele Carugno, Marco M. Ferrario, Angela C. Pesatori, Leda Chatzi, Panos Bitsios, Manolis Kogevinas, Kristel Oha, Tuuli Sirk, Ali Sadeghian, Roshini J. Peiris-John, Nalini Sathiakumar, A. Rajitha Wickremasinghe, Noriko Yoshimura, Helen L. Kelsall, Victor C W Hoe, Donna M. Urquhart, Sarah Derrett, David McBride, Peter Herbison, Andrew Gray

Research output: Contribution to journalArticle

89 Citations (Scopus)

Abstract

To compare the prevalence of disabling low back pain (DLBP) and disabling wrist/hand pain (DWHP) among groups of workers carrying out similar physical activities in different cultural environments, and to explore explanations for observed differences, we conducted a cross-sectional survey in 18 countries. Standardised questionnaires were used to ascertain pain that interfered with everyday activities and exposure to possible risk factors in 12,426 participants from 47 occupational groups (mostly nurses and office workers). Associations with risk factors were assessed by Poisson regression. The 1-month prevalence of DLBP in nurses varied from 9.6% to 42.6%, and that of DWHP in office workers from 2.2% to 31.6%. Rates of disabling pain at the 2 anatomical sites covaried (r = 0.76), but DLBP tended to be relatively more common in nurses and DWHP in office workers. Established risk factors such as occupational physical activities, psychosocial aspects of work, and tendency to somatise were confirmed, and associations were found also with adverse health beliefs and group awareness of people outside work with musculoskeletal pain. However, after allowance for these risk factors, an up-to 8-fold difference in prevalence remained. Systems of compensation for work-related illness and financial support for health-related incapacity for work appeared to have little influence on the occurrence of symptoms. Our findings indicate large international variation in the prevalence of disabling forearm and back pain among occupational groups carrying out similar tasks, which is only partially explained by the personal and socioeconomic risk factors that were analysed.

Original languageEnglish
Pages (from-to)856-863
Number of pages8
JournalPain
Volume154
Issue number6
DOIs
Publication statusPublished - Jun 2013

Fingerprint

Musculoskeletal Pain
Pain
Low Back Pain
Wrist
Occupational Groups
Hand
Population
Nurses
Exercise
Financial Support
Health
Back Pain
Compensation and Redress
Forearm
Cross-Sectional Studies

Keywords

  • Forearm
  • International
  • Low back
  • Pain
  • Psychosocial
  • Socioeconomic

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine
  • Neurology
  • Pharmacology

Cite this

Coggon, D., Ntani, G., Palmer, K. T., Felli, V. E., Harari, R., Barrero, L. H., ... Gray, A. (2013). Disabling musculoskeletal pain in working populations: Is it the job, the person, or the culture? Pain, 154(6), 856-863. https://doi.org/10.1016/j.pain.2013.02.008

Disabling musculoskeletal pain in working populations : Is it the job, the person, or the culture? / Coggon, David; Ntani, Georgia; Palmer, Keith T.; Felli, Vanda E.; Harari, Raul; Barrero, Lope H.; Felknor, Sarah A.; Gimeno, David; Cattrell, Anna; Serra, Consol; Bonzini, Matteo; Solidaki, Eleni; Merisalu, Eda; Habib, Rima R.; Sadeghian, Farideh; Masood Kadir, M.; Warnakulasuriya, Sudath S P; Matsudaira, Ko; Nyantumbu, Busisiwe; Sim, Malcolm R.; Harcombe, Helen; Cox, Ken; Marziale, Maria H.; Sarquis, Leila M.; Harari, Florencia; Freire, Rocio; Harari, Natalia; Monroy, Magda V.; Quintana, Leonardo A.; Rojas, Marianela; Salazar Vega, Eduardo J.; Harris, E. Clare; Vargas-Prada, Sergio; Martinez, J. Miguel; Delclos, George; Benavides, Fernando G.; Carugno, Michele; Ferrario, Marco M.; Pesatori, Angela C.; Chatzi, Leda; Bitsios, Panos; Kogevinas, Manolis; Oha, Kristel; Sirk, Tuuli; Sadeghian, Ali; Peiris-John, Roshini J.; Sathiakumar, Nalini; Wickremasinghe, A. Rajitha; Yoshimura, Noriko; Kelsall, Helen L.; Hoe, Victor C W; Urquhart, Donna M.; Derrett, Sarah; McBride, David; Herbison, Peter; Gray, Andrew.

In: Pain, Vol. 154, No. 6, 06.2013, p. 856-863.

Research output: Contribution to journalArticle

Coggon, D, Ntani, G, Palmer, KT, Felli, VE, Harari, R, Barrero, LH, Felknor, SA, Gimeno, D, Cattrell, A, Serra, C, Bonzini, M, Solidaki, E, Merisalu, E, Habib, RR, Sadeghian, F, Masood Kadir, M, Warnakulasuriya, SSP, Matsudaira, K, Nyantumbu, B, Sim, MR, Harcombe, H, Cox, K, Marziale, MH, Sarquis, LM, Harari, F, Freire, R, Harari, N, Monroy, MV, Quintana, LA, Rojas, M, Salazar Vega, EJ, Harris, EC, Vargas-Prada, S, Martinez, JM, Delclos, G, Benavides, FG, Carugno, M, Ferrario, MM, Pesatori, AC, Chatzi, L, Bitsios, P, Kogevinas, M, Oha, K, Sirk, T, Sadeghian, A, Peiris-John, RJ, Sathiakumar, N, Wickremasinghe, AR, Yoshimura, N, Kelsall, HL, Hoe, VCW, Urquhart, DM, Derrett, S, McBride, D, Herbison, P & Gray, A 2013, 'Disabling musculoskeletal pain in working populations: Is it the job, the person, or the culture?', Pain, vol. 154, no. 6, pp. 856-863. https://doi.org/10.1016/j.pain.2013.02.008
Coggon D, Ntani G, Palmer KT, Felli VE, Harari R, Barrero LH et al. Disabling musculoskeletal pain in working populations: Is it the job, the person, or the culture? Pain. 2013 Jun;154(6):856-863. https://doi.org/10.1016/j.pain.2013.02.008
Coggon, David ; Ntani, Georgia ; Palmer, Keith T. ; Felli, Vanda E. ; Harari, Raul ; Barrero, Lope H. ; Felknor, Sarah A. ; Gimeno, David ; Cattrell, Anna ; Serra, Consol ; Bonzini, Matteo ; Solidaki, Eleni ; Merisalu, Eda ; Habib, Rima R. ; Sadeghian, Farideh ; Masood Kadir, M. ; Warnakulasuriya, Sudath S P ; Matsudaira, Ko ; Nyantumbu, Busisiwe ; Sim, Malcolm R. ; Harcombe, Helen ; Cox, Ken ; Marziale, Maria H. ; Sarquis, Leila M. ; Harari, Florencia ; Freire, Rocio ; Harari, Natalia ; Monroy, Magda V. ; Quintana, Leonardo A. ; Rojas, Marianela ; Salazar Vega, Eduardo J. ; Harris, E. Clare ; Vargas-Prada, Sergio ; Martinez, J. Miguel ; Delclos, George ; Benavides, Fernando G. ; Carugno, Michele ; Ferrario, Marco M. ; Pesatori, Angela C. ; Chatzi, Leda ; Bitsios, Panos ; Kogevinas, Manolis ; Oha, Kristel ; Sirk, Tuuli ; Sadeghian, Ali ; Peiris-John, Roshini J. ; Sathiakumar, Nalini ; Wickremasinghe, A. Rajitha ; Yoshimura, Noriko ; Kelsall, Helen L. ; Hoe, Victor C W ; Urquhart, Donna M. ; Derrett, Sarah ; McBride, David ; Herbison, Peter ; Gray, Andrew. / Disabling musculoskeletal pain in working populations : Is it the job, the person, or the culture?. In: Pain. 2013 ; Vol. 154, No. 6. pp. 856-863.
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AU - Harari, Raul

AU - Barrero, Lope H.

AU - Felknor, Sarah A.

AU - Gimeno, David

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AU - Yoshimura, Noriko

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