Associations of sickness absence for pain in the low back, neck and shoulders with wider propensity to pain.
epidemiology
longitudinal studies
musculoskeletal
Journal
Occupational and environmental medicine
ISSN: 1470-7926
Titre abrégé: Occup Environ Med
Pays: England
ID NLM: 9422759
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
08
09
2019
revised:
09
12
2019
accepted:
24
12
2019
pubmed:
23
2
2020
medline:
25
6
2020
entrez:
22
2
2020
Statut:
ppublish
Résumé
To explore the association of sickness absence ascribed to pain at specific anatomical sites with wider propensity to musculoskeletal pain. As part of the CUPID (Cultural and Psychosocial Influences on Disability) study, potential risk factors for sickness absence from musculoskeletal pain were determined for 11 922 participants from 45 occupational groups in 18 countries. After approximately 14 months, 9119 (78%) provided follow-up information about sickness in the past month because of musculoskeletal pain, including 8610 who were still in the same job. Associations with absence for pain at specific anatomical sites were assessed by logistic regression and summarised by ORs with 95% CIs. 861 participants (10%) reported absence from work because of musculoskeletal pain during the month before follow-up. After allowance for potential confounders, risk of absence ascribed entirely to low back pain (n=235) increased with the number of anatomical sites other than low back that had been reported as painful in the year before baseline (ORs 1.6 to 1.7 for ≥4 vs 0 painful sites). Similarly, associations with wider propensity to pain were observed for absence attributed entirely to pain in the neck (ORs up to 2.0) and shoulders (ORs up to 3.4). Sickness absence for pain at specific anatomical sites is importantly associated with wider propensity to pain, the determinants of which extend beyond established risk factors such as somatising tendency and low mood. Better understanding of why some individuals are generally more prone to musculoskeletal pain might point to useful opportunities for prevention.
Identifiants
pubmed: 32079717
pii: oemed-2019-106193
doi: 10.1136/oemed-2019-106193
pmc: PMC7231440
doi:
Substances chimiques
Pilocarpine
01MI4Q9DI3
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
301-308Subventions
Organisme : Versus Arthritis
ID : 20665
Pays : United Kingdom
Organisme : Medical Research Council
ID : G0400490
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_12011/5
Pays : United Kingdom
Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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