WOMAC score and arthritis diagnosis predict decreased agricultural productivity.
Agriculture
Arthritis
Disability
Farming
Osteoarthritis
Ranching
WOMAC
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
13 Feb 2021
13 Feb 2021
Historique:
received:
16
06
2020
accepted:
03
02
2021
entrez:
15
2
2021
pubmed:
16
2
2021
medline:
15
5
2021
Statut:
epublish
Résumé
Arthritis and joint pain are highly prevalent in agricultural (ag) workers. Many ag operations are sustained by a small number of workers, and the disability of even one worker thus contributes to economic hardship. This study investigated associations between joint health in Montana ag workers and economic well-being and work capacity. This observational mixed-methods study utilized quantitative survey data and qualitative focus group data. 299 ranchers and farmers in 9 Montana counties completed either an online or paper survey that included participant demographics, joint symptoms, history of arthritis and arthritis type, financial status, work capacity, and the need to rely on others to complete one's work. The Western Ontario and McMaster Universities arthritis index (WOMAC) survey was completed by those with hip or knee pain. Data were entered into REDCap v8.9.2 for analysis with SAS 9.4, using logistic and linear regression models to detect associations between covariables and to calculate odds ratios and confidence intervals. Focus groups were held with ranchers in two Montana counties, discussing similar topics, and the themes expressed were identified. 87.6% of survey respondents reported joint pain, 47.8% a diagnosis of arthritis, and 22.4% osteoarthritis (OA). A 10-point increase in WOMAC was significantly associated with lower work capacity (OR 2.00; 95% CI [1.58, 2.55], p < 0.01), worse financial condition (OR 1.23; 95% CI [1.01,1.48], p = 0.04), and increased reliance on others (OR 1.82; 95% CI [1.32, 2.55], p < 0.01). An arthritis diagnosis was associated with worsening work capacity (OR 4.66; 95% CI [2.71, 8.01], p < 0.01) and increased odds of relying on others (OR 3.23; 95% CI [1.56, 6.66], p < 0.01). A diagnosis of OA was significantly associated with decreased work capacity (OR 3.47; 95% CI [1.97, 6.11], p < 0.01). Unadjusted for age and BMI, we found a significant association between years spent working in agriculture and joint health, which became non-significant after adjusting for age and BMI. Focus group themes included decreased productivity with increased joint symptoms and a tendency for ranchers to avoid interaction with the health care system. Poor joint health is associated with economic risk on Montana ranches and farms.
Sections du résumé
BACKGROUND
BACKGROUND
Arthritis and joint pain are highly prevalent in agricultural (ag) workers. Many ag operations are sustained by a small number of workers, and the disability of even one worker thus contributes to economic hardship. This study investigated associations between joint health in Montana ag workers and economic well-being and work capacity.
METHODS
METHODS
This observational mixed-methods study utilized quantitative survey data and qualitative focus group data. 299 ranchers and farmers in 9 Montana counties completed either an online or paper survey that included participant demographics, joint symptoms, history of arthritis and arthritis type, financial status, work capacity, and the need to rely on others to complete one's work. The Western Ontario and McMaster Universities arthritis index (WOMAC) survey was completed by those with hip or knee pain. Data were entered into REDCap v8.9.2 for analysis with SAS 9.4, using logistic and linear regression models to detect associations between covariables and to calculate odds ratios and confidence intervals. Focus groups were held with ranchers in two Montana counties, discussing similar topics, and the themes expressed were identified.
RESULTS
RESULTS
87.6% of survey respondents reported joint pain, 47.8% a diagnosis of arthritis, and 22.4% osteoarthritis (OA). A 10-point increase in WOMAC was significantly associated with lower work capacity (OR 2.00; 95% CI [1.58, 2.55], p < 0.01), worse financial condition (OR 1.23; 95% CI [1.01,1.48], p = 0.04), and increased reliance on others (OR 1.82; 95% CI [1.32, 2.55], p < 0.01). An arthritis diagnosis was associated with worsening work capacity (OR 4.66; 95% CI [2.71, 8.01], p < 0.01) and increased odds of relying on others (OR 3.23; 95% CI [1.56, 6.66], p < 0.01). A diagnosis of OA was significantly associated with decreased work capacity (OR 3.47; 95% CI [1.97, 6.11], p < 0.01). Unadjusted for age and BMI, we found a significant association between years spent working in agriculture and joint health, which became non-significant after adjusting for age and BMI. Focus group themes included decreased productivity with increased joint symptoms and a tendency for ranchers to avoid interaction with the health care system.
CONCLUSION
CONCLUSIONS
Poor joint health is associated with economic risk on Montana ranches and farms.
Identifiants
pubmed: 33583402
doi: 10.1186/s12891-021-04041-x
pii: 10.1186/s12891-021-04041-x
pmc: PMC7882068
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
181Subventions
Organisme : NIGMS NIH HHS
ID : P20 GM104417
Pays : United States
Organisme : NIGMS NIH HHS
ID : P20GM103474
Pays : United States
Références
J Biomed Inform. 2009 Apr;42(2):377-81
pubmed: 18929686
J Rheumatol. 2018 Apr;45(4):555-562
pubmed: 29419470
Disabil Health J. 2018 Jan;11(1):108-115
pubmed: 28476583
Int Arch Occup Environ Health. 2004 Jun;77(5):345-50
pubmed: 15127209
Scand J Work Environ Health. 2013 Sep 1;39(5):486-94
pubmed: 23595111
Arthritis Res Ther. 2010;12(3):R102
pubmed: 20497530
WMJ. 2003;102(7):38-44
pubmed: 14711023
MMWR Morb Mortal Wkly Rep. 2017 Mar 10;66(9):246-253
pubmed: 28278145
Am J Public Health. 2011 Sep;101(9):1729-34
pubmed: 21778483
J Agromedicine. 2015;20(2):205-16
pubmed: 25906279
J Agromedicine. 2009;14(2):157-63
pubmed: 19437272
Arthritis Rheum. 2008 Jan;58(1):26-35
pubmed: 18163497
Arthritis Rheum. 2001 Oct;45(5):453-61
pubmed: 11642645
J Biomed Inform. 2019 Jul;95:103208
pubmed: 31078660
Arthritis Rheum. 2000 Jul;43(7):1443-9
pubmed: 10902744
Ann Rheum Dis. 2003 Nov;62(11):1100-5
pubmed: 14583575
BMC Musculoskelet Disord. 2018 Jun 1;19(1):182
pubmed: 29859083
Am J Ind Med. 2007 Aug;50(8):604-7
pubmed: 17597473
Int J Occup Environ Health. 2002 Oct-Dec;8(4):339-45
pubmed: 12412852
J Occup Rehabil. 2009 Dec;19(4):345-53
pubmed: 19557505
J Agromedicine. 2015;20(3):292-301
pubmed: 26237719
Occup Environ Med. 2012 May;69(5):325-30
pubmed: 22241844
Int J Epidemiol. 1991 Dec;20(4):1025-31
pubmed: 1800399
Ann Rheum Dis. 2014 Jul;73(7):1323-30
pubmed: 24553908