Work characteristics predict the development of multi-site musculoskeletal pain
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Musculoskeletal pain in more than one body region is common and a barrier to sustaining employment. We aimed to examine whether work characteristics predict the development of multi-site pain (MSP), and to determine differences in work-related predictors between age groups.
This study is based on 5136 employees from the Study on Transitions in Employment, Ability and Motivation (STREAM) who reported no MSP at baseline. Measures included physical, emotional, mental, and psychological job demands, social support and autonomy. Predictors of MSP were studied by logistic regression analyses. Univariate and multivariate analyses with age stratification (45–49, 50–54, 55–59, and 60–64 years) were done to explore differences between age groups.
All work characteristics with the exception of autonomy were predictive of the development of MSP, with odds ratios varying from 1.21 (95% CI 1.04–1.40) for mental job demands to 1.63 (95% CI 1.43–1.86) for physical job demands. No clear pattern of age-related differences in the predictors of MSP emerged, with the exception of social support, which was predictive of MSP developing in all age groups except for the age group 60–64 years.
Adverse physical and psychosocial work characteristics are associated with MSP. Organisations need to comprehensively assess work environments to ensure that all relevant workplace hazards, physical and psychosocial, are identified and then controlled for across all age groups.
KeywordsMulti-site pain Ageing Physical hazards Psychosocial hazards Musculoskeletal disorders
Compliance with ethical standards
The Medical Ethical Committee of the VU University Medical Center Amsterdam, the Netherlands, declared that the Dutch Medical Research Involving Human Subjects Act does not apply to STREAM. The Medical Ethical Committee had no objection to the execution of this study.
No funding was received for the development of this paper.
Conflict of interest
The authors declare that they have no conflict of interest.
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