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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2004

Open Access 01-12-2004 | Research article

Sick leave among home-care personnel: a longitudinal study of risk factors

Authors: Eva L Horneij, Irene B Jensen, Eva B Holmström, Charlotte Ekdahl

Published in: BMC Musculoskeletal Disorders | Issue 1/2004

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Abstract

Background

Sick leave due to neck, shoulder and back disorders (NSBD) is higher among health-care workers, especially nursing aides/assistant nurses, compared with employees in other occupations. More information is needed about predictors of sick leave among health care workers. The aim of the study was to assess whether self-reported factors related to health, work and leisure time could predict: 1) future certified sick leave due to any cause, in nursing aides/assistant nurses (Study group I) and 2) future self-reported sick leave due to NSBD in nursing aides/assistant nurses (Study group II).

Methods

Study group I, comprised 443 female nursing aides/assistant nurses, not on sick leave at baseline when a questionnaire was completed. Data on certified sick leave were collected after 18 months. Study group II comprised 274 of the women, who at baseline reported no sick leave during the preceding year due to NSBD and who participated at the 18 month follow-up. Data on sick leave due to NSBD were collected from the questionnaire at 18 months. The associations between future sick leave and factors related to health, work and leisure time were tested by logistic regression analyses.

Results

Health-related factors such as previous low back disorders (OR: 1.89; 95% CI 1.20–2.97) and previous sick leave (OR 6.40; 95%CI 3.97–10.31), were associated with a higher risk of future sick leave due to any cause. Factors related to health, work and leisure time, i.e. previous low back disorders (OR: 4.45; 95% CI 1.27–15.77) previous sick leave, not due to NSBD (OR 3.30; 95%CI 1.33–8.17), high strain work (OR 2.34; 95%CI 1.05–5.23) and high perceived physical exertion in domestic work (OR 2.56; 95%CI 1.12–5.86) were associated with a higher risk of future sick leave due to NSBD. In the final analyses, previous low back disorders and previous sick leave remained significant in both study groups.

Conclusion

The results suggest a focus on previous low back disorders and previous sick leave for the design of early prevention programmes aiming at reducing future sick leave due to any cause, as well as due to NSBD, among nursing aides/assistant nurses. A multifactorial approach may be of importance in the early prevention of sick leave due to NSBD.
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Literature
1.
2.
Cohen-Mansfield J, Culpepper WJ, Carter P: Nursing staff back injuries. Prevalence and costs in long tem care facilities. AAOOHN J. 1996, 44: 9-17.
3.
4.
Silverstein B, Viikari-Juntura E, Kalat J: Use of a prevention index to identify industries at high risk for work-related musculoskeletal disorders of the neck back, and upper-extremity in Washington state, 1990–1998. Am J Ind Med. 2002, 41: 149-169. 10.1002/ajim.10054.CrossRefPubMed
5.
Alexopoulos EC, Burdorf A, Kalokerinou A: Risk factors for musculoskeletal disorders among nursing personnel in Greek hospitals. Int Arch Occup Environ Health. 2003, 76: 289-294.PubMed
6.
Josephson M, Hagberg M, Wigaeus Hjelm E: Self-reported physical exertion in geriatric care – a risk indicator for low back symptoms?. Spine. 1996, 21: 2781-2785. 10.1097/00007632-199612010-00014.CrossRefPubMed
7.
Gonge H, Donbæk Jensen L, Bonde JP: Do psychosocial strain and physical exertion predict onset of low-back pain among nursing aides?. Scand J Wok Environ Health. 2001, 27: 388-394.CrossRef
8.
Feyer AM, Herbison P, Williamson AM, de Silva I, Mandryk J, Hendrie L, Hely MCG: The role of physical and psychological factors in occupational low back pain: a prospective cohort study. Occup Environ Med. 2000, 57: 116-120. 10.1136/oem.57.2.116.CrossRefPubMedPubMedCentral
9.
Maul I, Läubli T, Klipstein A, Krueger H: Course of low back pain among nurses: a longitudinal study across eight years. Occup Environ Med. 2003, 60: 497-503. 10.1136/oem.60.7.497.CrossRefPubMedPubMedCentral
10.
Waddell G: The clinical course of low back pain. In The back pain revolution. Edited by: Law M. 1998, Edingburgh: Churchill Livingstone, 103-117.
11.
12.
Turner JA, Franklin G, Turk DC: Predictors of chronic disability in injured workers: a systematic literature synthesis. Am J Ind Med. 2000, 38: 707-722. 10.1002/1097-0274(200012)38:6<707::AID-AJIM10>3.0.CO;2-9.CrossRefPubMed
13.
Hofman F, Stössel U, Michaelis M, Nübling M, Siegel A: Low back pain and lumbago-sciatica in nurses and a reference group of clerks: results of a comparative prevalence study in Germany. Int Arch Occup Environ Health. 2002, 75: 484-490. 10.1007/s00420-002-0332-6.CrossRef
14.
The Swedish Council on Technology Assessment in Health Care: Prescribed sick leave – causes, consequences and practices. A systematic review SBU. 2003, 2003 Gothenburg
15.
Natvig B, Eriksen W, Bruusgaard D: Low back pain as predictor of long-term work disability. Scand J Public Health. 2002, 30: 288-292. 10.1080/14034940210133951.CrossRefPubMed
16.
Eriksen W, Bruusgaard D, Knardahl S: Work factors as predictors of sickness absence: a three month prospective study of nurses' aides. Occup Environ Med. 2003, 60: 271-278. 10.1136/oem.60.4.271.CrossRefPubMedPubMedCentral
17.
Krause N, Dasinger LK, Deegan LJ, Rudolph L, Brand RJ: Psychosocial job factors and return-to-work after compensated low back injury: a disability phase-specific analysis. Am J Ind Med. 2001, 40: 374-92. 10.1002/ajim.1112.CrossRefPubMed
18.
Fransen M, Woodward M, Norton R, Coggan C, Dawe M, Sheridan N: Risk factors associated with the transition from acute to chronic occupational back pain. Spine. 2002, 27: 92-98. 10.1097/00007632-200201010-00022.CrossRefPubMed
19.
Bourbonnais R, Mondor M: Job strain and sickness absence among nurses in the province of Quebec. Am J Ind Med. 2001, 39: 194-202. 10.1002/1097-0274(200102)39:2<194::AID-AJIM1006>3.0.CO;2-K.CrossRefPubMed
20.
Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM: Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine. 2000, 25: 2114-2125. 10.1097/00007632-200008150-00017.CrossRefPubMed
21.
Lancourt J, Kettelhut M: Predicting return to work for lower back pain patients receiving workers' compensation. Spine. 1992, 17: 629-640.CrossRefPubMed
22.
Mortimer M, Ahlberg G, and the MUSIC-Norrtälje study group: To seek or not to seek? Care-seeking behaviour among people with low-back pain. Scand J Publ Health. 2003, 31: 194-203. 10.1080/14034940210134086.CrossRef
23.
Hildebrandt VH, Bongers PM, Dul J, van Dijk FJH, Kemper HCG: The relationship between leisure time, physical activities and musculoskeletal symptoms and disability in worker population. Int Arch Environ Health. 2000, 73: 507-518. 10.1007/s004200000167.CrossRef
24.
Eriksen W, Bruusgaard D: Physical leisure-time activities and long-term sick leave: a 15-month prospective study of nurses' aides. J Occup Environ Med. 2002, 44: 530-538.CrossRefPubMed
25.
Kjellberg K: Work technique in lifting and patient transfer tasks. PhD thesis. 2003, The Sahlgrenska Academy at Göteborg University, Department of Occupational Medicine, National Institute for Working Life, Department for Work and Health
26.
Marras WS, Davis KG, Kirking BC, Bertsche PK: A comprehensive analysis of low-back disorder risk and spinal loading during the transferring and repositioning of patients using different techniques. Ergonomics. 1999, 42: 904-926. 10.1080/001401399185207.CrossRefPubMed
27.
Josephson M, Gustafsson H, Ahlberg-Hultén G, Härenstam A, Theorell T, Wiktorin C, Vingård E, and MUSIC_Norrtälje study group: Paid and unpaid work, and its relation to care seeking for low back and neck/shoulder disorders among women. Women Health. 2003, 37: 17-30. 10.1300/J013v37n02_02.CrossRefPubMed
28.
Kuorinka I, Jonsson B, Kilbom Å, Vinterberg H, Biering-Sørensen F, Andersson G, Jørgensen K: Standardised Nordic Questionnaire for the analyses of musculoskeletal symptoms. Appl Ergonomics. 1987, 18: 233-237. 10.1016/0003-6870(87)90010-X.CrossRef
29.
Zigmond AS, Snaith RP: The Hospital Anxiety and depression scale. Acta Psychiatr Scand. 1983, 67: 361-370.CrossRefPubMed
30.
Evans O, Steptoe A: The contribution of gender-role orientation, work factors and home stressors of psychological well-being and sickness absence in male-and female-dominated occupational groups. Soc Sci Med. 2002, 54: 481-492. 10.1016/S0277-9536(01)00044-2.CrossRefPubMed
31.
Lundqvist C, Sjösteen A, Blomstrand C, Lind B, Sullivan M: Spinal cord injuries. Clinical, functional and emotional status. Spine. 1991, 16: 78-83.CrossRefPubMed
32.
Wiktorin C, Wigaeus Hjelm E, Winkel J, Köster M, and Stockholm MUSIC I study group: Reproducibility of a questionnaire for assessment of physical load during work and leisure time. J Occup Med. 1996, 38: 190-201. 10.1097/00043764-199602000-00017.CrossRef
33.
Borg G: Perceived exertion as an indicator of somatic stress. Scand J Rehab Med. 1970, 2: 92-98.
34.
Johansson JÅ: Psychosocial work factors, physical work load and associated musculoskeletal symptoms among home care workers. Scand J Psychol. 1995, 36: 113-129.CrossRefPubMed
35.
Johansson JÅ: The impact of decision latitude, psychological load and social support at work on musculoskeletal symptoms. Eur J Public Heath. 1995, 5: 169-174.CrossRef
36.
Karasek R, Theorell T: Healthy work. Stress, productivity, and the reconstruction of working life. 1990, New York: Basic Books, Inc
37.
Berglund G, Elmstadt S, Janzon L, Larsson SA: The Malmo Diet and Cancer Study. Design and feasibility. J Intern Med. 1993, 233: 45-51.CrossRefPubMed
38.
Sullivan M, Karlsson J, Bengtsson C, Furunes B, Lapidus L, Lissner L: The Göteborg Quality of Life Instrument" – A psychometric evaluation of assessments of symptoms and well-being among women in general population. Scand J Prim Care. 1993, 11: 267-275.CrossRef
39.
Horneij E, Hemborg B, Jensen I, Ekdahl C: No significant differences between intervention programmes on neck, shoulder and low back pain: a prospective randomized study among home-care personnel. J Rehabil Med. 2001, 33: 170-176. 10.1080/165019701750300636.CrossRefPubMed
40.
Florvall Müller C, Monrad T, Biering Sørensen F, Darre E, Deis A, Kryger P: The influence of previous low back trouble, general health, and working conditions on future sick-listing because of low back trouble. A 15-year follow-up study of risk indicators for self-reported sick-listing caused by low back trouble. Spine. 1999, 24: 1562-1570. 10.1097/00007632-199908010-00010.CrossRef
41.
Marras WS, Davis KG, Heaney CA, Maronitis AB, Allread WG: The influence of psychological stress, gender, and personality on mechanical loading of the lumbar spine. Spine. 2000, 25: 3045-3054. 10.1097/00007632-200012010-00012.CrossRefPubMed
42.
Torgen M, Kilbom Å: Physical work load between 1970 and 1993 – did it change?. Scand J Work Environ Health. 2000, 26: 161-168.CrossRefPubMed
43.
van Poppel MN, de Wet HC, Koes BW, Smid T, Bouter LM: Measuring sick leave: a comparison of self-reported data on sick leave and data from company records. Occup Med. 2002, 52: 485-490. 10.1093/occmed/52.8.485.CrossRef
44.
Lagerström M, Hagberg M: Evaluation of a 3 year education and training program for nursing personnel at a Swedish hospital. AAOHN J. 1997, 45: 83-92.PubMed
Metadata
Title
Sick leave among home-care personnel: a longitudinal study of risk factors
Authors
Eva L Horneij
Irene B Jensen
Eva B Holmström
Charlotte Ekdahl
Publication date
01-12-2004
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2004
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-5-38

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