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首页> 外文期刊>Occupational and environmental medicine >Work-related psychosocial and mechanical risk factors for low back pain: A 3-year follow-up study of the general working population in Norway
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Work-related psychosocial and mechanical risk factors for low back pain: A 3-year follow-up study of the general working population in Norway

机译：下腰痛与工作有关的社会心理和机械危险因素：对挪威普通劳动人口的为期三年的随访研究

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Aims: This study examines the impact of work-related psychosocial and mechanical exposure on the development of low back pain (LBP) in the general working population. Methods: A randomly drawn cohort from the general population in Norway aged 18-66 years was followed up for 3 years (n=12 550, response rate at baseline=67%). Eligible respondents were in paid work during a reference week in 2006 and 2009, or temporarily absent from such work (n=6745). Five work-related psychosocial factors and seven mechanical exposures were measured. Outcomes of interest were moderate or severe LBP at follow-up adjusted for baseline LBP. Results: In total, 12.8% (861 individuals) reported LBP during the last month at follow-up. Work-related psychosocial predictors of LBP were high job demands (OR 1.41, 95% CI 1.16 to 1.72) and low job control (OR 1.26, 95% CI 1.01 to 1.57). Mechanical factors were prolonged standing (OR 1.48, 95% CI 1.20 to 1.83), awkward lifting (OR 1.55, 95% CI 1.28 to 1.88) and squatting/kneeling (OR 1.29, 95% CI 1.04 to 1.61). The estimated population risk attributable to these factors was approximately 42%. The risk for LBP associated with psychosocial exposure was not influenced by adjustment for mechanical risk factors, and vice versa. There was no substantial confounding related to age, gender, education, occupation or psychological distress. Conclusions: Highly demanding jobs, prolonged standing and awkward lifting appear as the most consistent and important predictors of LBP.
机译：目的：这项研究探讨了与工作有关的社会心理和机械暴露对一般劳动人口下腰痛（LBP）发展的影响。方法：从挪威18-66岁的普通人群中随机抽取一组，随访3年（n = 12550，基线时的应答率= 67％）。符合条件的受访者在2006年和2009年的参考周内从事有偿工作，或暂时缺席（n = 6745）。测量了五个与工作有关的社会心理因素和七个机械暴露。感兴趣的结果是根据基线LBP进行了随访的中度或重度LBP。结果：在随访的最后一个月中，总共有12.8％（861人）报告了LBP。 LBP与工作相关的社会心理预测因素是高工作要求（OR 1.41，95％CI 1.16至1.72）和低工作控制（OR 1.26，95％CI 1.01至1.57）。机械因素包括站立时间延长（OR 1.48，95％CI 1.20至1.83），笨拙的举重（OR 1.55，95％CI 1.28至1.88）和下蹲/跪着（OR 1.29，95％CI 1.04至1.61）。归因于这些因素的估计人口风险约为42％。与心理社会暴露相关的LBP风险不受机械风险因素调整的影响，反之亦然。没有与年龄，性别，教育程度，职业或心理困扰有关的实质性混淆。结论：高要求的工作，长期站立和笨拙的举动似乎是LBP的最一致和最重要的预测因素。

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