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首页> 外文期刊>Occupational and environmental medicine >Do self-reported psychosocial working conditions predict low back pain after adjustment for both physical work load and depressive symptoms? A prospective study among female eldercare workers
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Do self-reported psychosocial working conditions predict low back pain after adjustment for both physical work load and depressive symptoms? A prospective study among female eldercare workers

机译:自我报告的社会心理工作状况是否可以在调整身体工作负荷和抑郁症状后预测腰痛?女性老年护理工作者的前瞻性研究

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Objectives: To investigate whether psychosocial working conditions predict the development of low back pain (LBP) in female eldercare workers while adjusting for physical workload and depressive symptoms. Methods: We investigated risk for developing LBP for between 1 and 30 days in the past year and developing LBP for more than 30 days in the past year at follow-up in 1537 female eldercare workers with no LBP in the year before baseline. Data were analysed using logistic regression analysis adjusted for sociodemographic variables, health behaviours, physical workload and depressive symptoms at baseline. Follow-up ranged from 18 to 22 months. Results: High emotional demands, high and medium role conflicts and low influence predicted risk for reporting LBP for between 1 and 30 days in the past year at follow-up after adjustment for sociodemographics, health behaviours and physical workload. All associations became statistically nonsignificant when adjusted for depressive symptoms. Low and medium influence at work and high emotional demands predicted risk of reporting LBP for more than 30 days in the past year at follow-up, after adjustment for sociodemographics, health behaviours and physical workload. For employees with low (OR 4.16; 95% CI I.36 to 12.75) and medium (OR 3.93; 95% CI 1.37 to II.22) influence, this risk remained statistically significant after adjustment for depressive symptoms. Conclusions: Most psychosocial working conditions in this study were no longer associated with risk of LBP after adjustment for depressive symptoms. However, low and medium influence at work predicted risk for LBP for more than 30 days after adjustment for both physical workload and depressive symptoms.
机译:目的:调查心理社会工作条件是否可以预测女性老年护理工作者的下背痛(LBP)的发展,同时调整身体的工作量和抑郁症状。方法:我们对基线前一年无LBP的1537名女性老年护理工作者进行了随访,调查了过去一年中LBP发生在1至30天之间以及LBP超过30天发生在过去一年中的风险。使用针对社会人口统计学变量,健康行为,身体工作量和基线抑郁症状进行调整的逻辑回归分析对数据进行分析。随访时间为18到22个月。结果:在对社会人口统计学,健康行为和身体工作量进行调整后,在随访中,在过去一年中,情绪要求高,角色冲突高和中度冲突,影响力低预计在上一年报告LBP的风险为1到30天。调整抑郁症状后,所有关联在统计学上均无统计学意义。在对社会人口统计学,健康行为和身体负荷进行了调整之后,在工作中的中低影响力和强烈的情感需求预计在过去一年中,有超过30天报告LBP的风险。对于影响较低(OR 4.16; 95%CI I.36至12.75)和中等(OR 3.93; 95%CI 1.37至II.22)的员工,在调整了抑郁症状后,该风险仍具有统计学意义。结论:在调整抑郁症状后,本研究中大多数社会心理工作条件不再与LBP风险相关。然而,在对工作量和抑郁症状进行调整后,中低影响的工作预计会导致LBP风险超过30天。

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