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Published in: BMC Musculoskeletal Disorders 1/2018

Open Access 01-12-2018 | Research article

Factors associated with the prevalence of back pain and work absence in shipyard workers

Published in: BMC Musculoskeletal Disorders | Issue 1/2018

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Abstract

Background

We conducted a questionnaire survey of shipyard workers to identify difficulties experienced due to orthopedic or musculoskeletal disorders.

Methods

The subjects were 375 workers (male, 361; female, 14) who worked for a single shipbuilding company. Questionnaire items covered the working environment, including work environment, working posture, and the weight of objects that the subject dealt with, as well as physical and lifestyle characteristics, namely smoking habits, drinking habits, sleeping hours, medications, exercise habits, and any weight gain of 20 kg or more since the age of 20. Subjects were also asked to indicate if they regularly experienced any of 17 listed difficulties in their daily lives, and to use an illustration of the human body to mark any body parts that were painful or hard to move.

Results

The mean age was 41.8 years (19–73 years). The lower and/or upper back was the most frequent site of pain (46.5%), followed by the shoulders (11.4%), knees (9.6%), and neck (5.3%). Maintaining a half-sitting posture was the most problematic activity of daily living. Back pain was less frequent in subjects who exercised regularly, and more common in those who worked with heavy loads or in narrow spaces. A multinomial logistic regression analysis showed that absence from work was more common in subjects with back pain who had gained weight since their youth, who smoked, who used fire while welding metal, or who worked in a lying posture. While 35.4% of subjects had experienced absence from work due to musculoskeletal pain, only 5.1% were permitted by their employer to alter their work content or reduce their workload.

Conclusions

These results indicate that a large number of shipyard workers have difficulties in their work and daily life activities due to back pain. To prevent worsening of pain and to reduce work absence, it is important to provide appropriate training to minimize the risk factors for back pain that were identified in this study.
Literature
1.
go back to reference Driscoll T, Jacklyn G, Orchard J, Passmore E, Vos T, Freedman G, Lim S, Punnett L. The global burden of occupationally related low back pain: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(6):975–81.CrossRefPubMed Driscoll T, Jacklyn G, Orchard J, Passmore E, Vos T, Freedman G, Lim S, Punnett L. The global burden of occupationally related low back pain: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(6):975–81.CrossRefPubMed
2.
go back to reference Hoy DG, Smith E, Cross M, Sanchez-Riera L, Blyth FM, Buchbinder R, Woolf AD, Driscoll T, Brooks P, March LM. Refl. Reflecting on the global burden of musculoskeletal conditions: lessons learnt from the global burden of disease 2010 study and the next steps forward. Ann Rheum Dis. 2015;74(1):4–7.CrossRefPubMed Hoy DG, Smith E, Cross M, Sanchez-Riera L, Blyth FM, Buchbinder R, Woolf AD, Driscoll T, Brooks P, March LM. Refl. Reflecting on the global burden of musculoskeletal conditions: lessons learnt from the global burden of disease 2010 study and the next steps forward. Ann Rheum Dis. 2015;74(1):4–7.CrossRefPubMed
3.
go back to reference Andersen LL, Clausen T, Mortensen OS, Burr H, Holtermann AA. Prospective cohort study on musculoskeletal risk factors for long-term sickness absence among healthcare workers in eldercare. Int Arch Occup Environ Health. 2012;85:615–22.CrossRefPubMed Andersen LL, Clausen T, Mortensen OS, Burr H, Holtermann AA. Prospective cohort study on musculoskeletal risk factors for long-term sickness absence among healthcare workers in eldercare. Int Arch Occup Environ Health. 2012;85:615–22.CrossRefPubMed
4.
go back to reference Baldwin ML. Reducing the costs of work-related musculoskeletal disorders: targeting strategies to chronic disability cases. J Electromyogr Kinesiol. 2004;14:1433–41.CrossRef Baldwin ML. Reducing the costs of work-related musculoskeletal disorders: targeting strategies to chronic disability cases. J Electromyogr Kinesiol. 2004;14:1433–41.CrossRef
5.
go back to reference Morken T, Riise T, Moen B, Hauge SH, Holien S, Langedrag A, Pedersen S, Saue IL, Seljebø GM, Thoppil V. Low back pain and widespread pain predict sickness absence among industrial workers. BMC Musculoskelet Disord. 2003;4:21.CrossRefPubMedPubMedCentral Morken T, Riise T, Moen B, Hauge SH, Holien S, Langedrag A, Pedersen S, Saue IL, Seljebø GM, Thoppil V. Low back pain and widespread pain predict sickness absence among industrial workers. BMC Musculoskelet Disord. 2003;4:21.CrossRefPubMedPubMedCentral
6.
go back to reference Bernard C, Courouve L, Bouee S, Adjemian A, Cheretien J-C, Niedhammer I. Biomechanical and psychosocial work exposures and musculoskeletal symptoms among vineyard workers. J Occup Health. 2011;53:297–311.CrossRefPubMed Bernard C, Courouve L, Bouee S, Adjemian A, Cheretien J-C, Niedhammer I. Biomechanical and psychosocial work exposures and musculoskeletal symptoms among vineyard workers. J Occup Health. 2011;53:297–311.CrossRefPubMed
7.
go back to reference Macfarlane GJ, Pall’ewatte N, Paudyal P, Blyth FM, Coggon D, Crombez G, Linton S, Leino-Arjas P, Silman AJ, Smeets RJ, Windt D. Evaluation of work-related psychosocial factors and regional musculoskeletal pain: results from a EULAR task force. Ann Rheum Dis. 2009;68:885–91.CrossRefPubMed Macfarlane GJ, Pall’ewatte N, Paudyal P, Blyth FM, Coggon D, Crombez G, Linton S, Leino-Arjas P, Silman AJ, Smeets RJ, Windt D. Evaluation of work-related psychosocial factors and regional musculoskeletal pain: results from a EULAR task force. Ann Rheum Dis. 2009;68:885–91.CrossRefPubMed
8.
go back to reference Andersen JH, Haahr JP, Frost P. Risk factors for more sever regional musculoskeletal symptoms. Arthritis Rheum. 2007;56:1355–64.CrossRefPubMed Andersen JH, Haahr JP, Frost P. Risk factors for more sever regional musculoskeletal symptoms. Arthritis Rheum. 2007;56:1355–64.CrossRefPubMed
9.
go back to reference Andersen LL, Mortensen OS, Hansen JV, Burr H. A prospective cohort study on severe pain as a risk factor for long-term sickness absence in blue- and white-collar workers. Occup Environ Med. 2011;68:590–2.CrossRefPubMed Andersen LL, Mortensen OS, Hansen JV, Burr H. A prospective cohort study on severe pain as a risk factor for long-term sickness absence in blue- and white-collar workers. Occup Environ Med. 2011;68:590–2.CrossRefPubMed
10.
go back to reference Froud R, Patterson S, Eldridge S, Seale C, Pincus T, Rajendran D, Fossum C, Underwood M. A systematic review and meta-synthesis of the impact of low back pain on people's lives. BMC Musculoskelet Disord. 2014;15:50.CrossRefPubMedPubMedCentral Froud R, Patterson S, Eldridge S, Seale C, Pincus T, Rajendran D, Fossum C, Underwood M. A systematic review and meta-synthesis of the impact of low back pain on people's lives. BMC Musculoskelet Disord. 2014;15:50.CrossRefPubMedPubMedCentral
11.
go back to reference Nordstoga AL, Nilsen TIL, Vasseljen O, Unsquaard-Tøndel M, Moerk PJ. The influence of multisite pain and psychological comorbidity on prognosis of chronic low back pain: longitudinal data from the Norwegian HUNT study. BMJ Open. 2017;7(5):e015312.CrossRefPubMedPubMedCentral Nordstoga AL, Nilsen TIL, Vasseljen O, Unsquaard-Tøndel M, Moerk PJ. The influence of multisite pain and psychological comorbidity on prognosis of chronic low back pain: longitudinal data from the Norwegian HUNT study. BMJ Open. 2017;7(5):e015312.CrossRefPubMedPubMedCentral
12.
go back to reference Yoshimoto T, Oka H, Katsuhira J, Fujii T, Masuda K, Tanaka S, Matsudaira K. Prognostic psychosocial factors for disabling low back pain in Japanese hospital workers. PLoS One. 2017;12(5):e0177908.CrossRefPubMedPubMedCentral Yoshimoto T, Oka H, Katsuhira J, Fujii T, Masuda K, Tanaka S, Matsudaira K. Prognostic psychosocial factors for disabling low back pain in Japanese hospital workers. PLoS One. 2017;12(5):e0177908.CrossRefPubMedPubMedCentral
13.
go back to reference Rashid M, Kristofferzon ML, Nilsson A, Heiden M. Factors associated with return to work among people on work absence due to long-term neck or back pain: a narrative systematic review. BMJ Open. 2017;7(6):e014939.CrossRefPubMedPubMedCentral Rashid M, Kristofferzon ML, Nilsson A, Heiden M. Factors associated with return to work among people on work absence due to long-term neck or back pain: a narrative systematic review. BMJ Open. 2017;7(6):e014939.CrossRefPubMedPubMedCentral
14.
go back to reference Marin TJ, Van Eerd D, Irvin E, Couban R, Koes BW, Malmivaara A, van Tulder MW, Kamper SJ. Multidisciplinary biopsychosocial rehabilitation for subacute low back pain. Cochrane Database Syst Rev. 2017;6:CD002193. Marin TJ, Van Eerd D, Irvin E, Couban R, Koes BW, Malmivaara A, van Tulder MW, Kamper SJ. Multidisciplinary biopsychosocial rehabilitation for subacute low back pain. Cochrane Database Syst Rev. 2017;6:CD002193.
15.
go back to reference Sjøgaard G, Justesen JB, Murray M, Dalager T, Søgaard KA. Conceptual model for worksite intelligent physical exercise training - IPET- intervention for decreasing life style health risk indicators among employees: a randomized controlled trial. BMC Public Health. 2014;14:652.CrossRefPubMedPubMedCentral Sjøgaard G, Justesen JB, Murray M, Dalager T, Søgaard KA. Conceptual model for worksite intelligent physical exercise training - IPET- intervention for decreasing life style health risk indicators among employees: a randomized controlled trial. BMC Public Health. 2014;14:652.CrossRefPubMedPubMedCentral
16.
go back to reference Wertli MM, Rasmussen-Barr E, Weiser S, Bachmann LM, Brunner F. The role of fear avoidance beliefs as a prognostic factor for outcome in patients with nonspecific low back pain: a systematic review. Spine J. 2014;14(5):816–36.CrossRefPubMed Wertli MM, Rasmussen-Barr E, Weiser S, Bachmann LM, Brunner F. The role of fear avoidance beliefs as a prognostic factor for outcome in patients with nonspecific low back pain: a systematic review. Spine J. 2014;14(5):816–36.CrossRefPubMed
17.
go back to reference Cherniack M, Morse TF, Brammer AJ, Lundstrom R, Meyer JD, Nilsson T, Peterson D, Toppila E, Warren N, Fu R, Bruneau H, Croteau M. Vibration exposure and disease in a shipyard: a 13-year revisit. Am J Ind Mes. 2004;45(69):500–12.CrossRef Cherniack M, Morse TF, Brammer AJ, Lundstrom R, Meyer JD, Nilsson T, Peterson D, Toppila E, Warren N, Fu R, Bruneau H, Croteau M. Vibration exposure and disease in a shipyard: a 13-year revisit. Am J Ind Mes. 2004;45(69):500–12.CrossRef
18.
go back to reference Chung TH, Lee J, Kim MC. Impact of night-shift work on the prevalence of erosive esophagitis in shipyard male workers. Int Arch Occup Environ Health. 2016;89(6):961–6.CrossRefPubMedPubMedCentral Chung TH, Lee J, Kim MC. Impact of night-shift work on the prevalence of erosive esophagitis in shipyard male workers. Int Arch Occup Environ Health. 2016;89(6):961–6.CrossRefPubMedPubMedCentral
19.
go back to reference Patterson L, Irvine N, Wilson A, Doherty L, Loughrey A, Jessop L. Outbreak of invasive pneumococcal disease at a Belfast shipyard in men exposed to welding fumes, Northern Ireland, April-may 2015: preliminary report. Euro Surveill. 2015;20(21). Patterson L, Irvine N, Wilson A, Doherty L, Loughrey A, Jessop L. Outbreak of invasive pneumococcal disease at a Belfast shipyard in men exposed to welding fumes, Northern Ireland, April-may 2015: preliminary report. Euro Surveill. 2015;20(21).
20.
go back to reference Alexopoulos EC, Tanagra D, Konstantinou E, Burdorf A. Musculoskeletal disorders in shipyard industry: prevalence, health care use, and absenteeism. BMC Musculoskelet Disord. 2006;7:88.CrossRefPubMedPubMedCentral Alexopoulos EC, Tanagra D, Konstantinou E, Burdorf A. Musculoskeletal disorders in shipyard industry: prevalence, health care use, and absenteeism. BMC Musculoskelet Disord. 2006;7:88.CrossRefPubMedPubMedCentral
21.
go back to reference Park BC, Cheong HK, Kim EA, Kim SG. Risk factors of work-related upper extremity musculoskeletal disorders in male shipyard workers: structural equation model analysis. Saf Health Work. 2010;1(2):124–33.CrossRefPubMedPubMedCentral Park BC, Cheong HK, Kim EA, Kim SG. Risk factors of work-related upper extremity musculoskeletal disorders in male shipyard workers: structural equation model analysis. Saf Health Work. 2010;1(2):124–33.CrossRefPubMedPubMedCentral
22.
go back to reference IJzelenberg W, Burdorf A. Risk factors for musculoskeletal symptoms and ensuing health care use and sick leave. Spine. 2005;30:1550–6.CrossRefPubMed IJzelenberg W, Burdorf A. Risk factors for musculoskeletal symptoms and ensuing health care use and sick leave. Spine. 2005;30:1550–6.CrossRefPubMed
23.
go back to reference Oleske DM, Neelakantan J, Andersson GB, Hinrichs BG, Lavender SA, Morrissey MJ. Factors affecting recovery from work-related, low back disorders in autoworkers. Arch Phys Med Rehabil. 2004;85:1362–4.CrossRefPubMed Oleske DM, Neelakantan J, Andersson GB, Hinrichs BG, Lavender SA, Morrissey MJ. Factors affecting recovery from work-related, low back disorders in autoworkers. Arch Phys Med Rehabil. 2004;85:1362–4.CrossRefPubMed
24.
go back to reference Lund T, Labriola M, Christensen KB, Bultmann U, Villadsen E. Physical work environment risk factors for long term sickness absence: prospective findings among a cohort of 5,357 employees in Denmark. BMJ. 2006;332:449–52.CrossRefPubMedPubMedCentral Lund T, Labriola M, Christensen KB, Bultmann U, Villadsen E. Physical work environment risk factors for long term sickness absence: prospective findings among a cohort of 5,357 employees in Denmark. BMJ. 2006;332:449–52.CrossRefPubMedPubMedCentral
25.
go back to reference Harkness EF, Macfarlane GJ, Nahit ES, Silman AJ, McBeth J. Risk factors for new-onset low back pain amongst cohorts of newly employed workers. Rheumatology. 2003;42:959–68.CrossRefPubMed Harkness EF, Macfarlane GJ, Nahit ES, Silman AJ, McBeth J. Risk factors for new-onset low back pain amongst cohorts of newly employed workers. Rheumatology. 2003;42:959–68.CrossRefPubMed
26.
go back to reference Matsudaira K, Konishi H, Miyoshi K, Isomura T, Takeshita K, Hara N, Yamada K, Machity H. Potential risk factors for new-onset of back pain disability in Japanese workers: findings from the japan epidemiological research of occupation-related back pain (JOB) study. Spine. 2012;37:1324–33.CrossRefPubMed Matsudaira K, Konishi H, Miyoshi K, Isomura T, Takeshita K, Hara N, Yamada K, Machity H. Potential risk factors for new-onset of back pain disability in Japanese workers: findings from the japan epidemiological research of occupation-related back pain (JOB) study. Spine. 2012;37:1324–33.CrossRefPubMed
27.
go back to reference Rivinoja AE, Paananen MV, Taimela SP, Solovieva S, Okuloff A, Zitting P, Järvellin MR, Leino-Arjas P, Karppinen JI. Sports, smoking, and overweight during adolescence as predictors of sciatica in adulthood: a 28-year follow-up study of a birth cohort. Am J Epidemiol. 2011;173:890–7.CrossRefPubMed Rivinoja AE, Paananen MV, Taimela SP, Solovieva S, Okuloff A, Zitting P, Järvellin MR, Leino-Arjas P, Karppinen JI. Sports, smoking, and overweight during adolescence as predictors of sciatica in adulthood: a 28-year follow-up study of a birth cohort. Am J Epidemiol. 2011;173:890–7.CrossRefPubMed
28.
go back to reference Heuch I, Hagen K, Heuch I, Nygaard Ø、Zward JA. The impact of body mass index on the prevalence of low back pain: the HUNT study. Spine 2010; 35: 764-768.CrossRefPubMed Heuch I, Hagen K, Heuch I, Nygaard Ø、Zward JA. The impact of body mass index on the prevalence of low back pain: the HUNT study. Spine 2010; 35: 764-768.CrossRefPubMed
29.
go back to reference Tsai SP, Bhojani FA, Wendt JK. Risk factors for illness absence due to musculoskeletal disorders in a 4-year prospective study of a petroleum-manufacturing population. J Occup Environ Med. 2011;53:434–40.CrossRefPubMed Tsai SP, Bhojani FA, Wendt JK. Risk factors for illness absence due to musculoskeletal disorders in a 4-year prospective study of a petroleum-manufacturing population. J Occup Environ Med. 2011;53:434–40.CrossRefPubMed
30.
go back to reference Wai EK, Rodriguez S, Dagenais S, Hall H. Evidence-informed management of chronic low back pain with physical activity, smoking cessation, and weight loss. Spine J. 2008;8:195–202.CrossRefPubMed Wai EK, Rodriguez S, Dagenais S, Hall H. Evidence-informed management of chronic low back pain with physical activity, smoking cessation, and weight loss. Spine J. 2008;8:195–202.CrossRefPubMed
31.
go back to reference Miranda H, Viikari-Juntura E, Punnett L, Riihimäki H. Occupational loading, health behavior and sleep disturbance as predictors of low back pain. Scand J Work Environ Health. 2008;34:411–9.CrossRefPubMed Miranda H, Viikari-Juntura E, Punnett L, Riihimäki H. Occupational loading, health behavior and sleep disturbance as predictors of low back pain. Scand J Work Environ Health. 2008;34:411–9.CrossRefPubMed
32.
go back to reference Alexopoulos EC, Konstantinou EC, Bakoyannis G, Tanagra D, Burdorf A. Risk factors for sickness absence due to low back pain and prognostic factors for return to work in a cohort of shipyard workers. Eur. Spine J. 2008;17:1185–92.CrossRef Alexopoulos EC, Konstantinou EC, Bakoyannis G, Tanagra D, Burdorf A. Risk factors for sickness absence due to low back pain and prognostic factors for return to work in a cohort of shipyard workers. Eur. Spine J. 2008;17:1185–92.CrossRef
33.
go back to reference Nahit ES, Hunt IM, Lunt M, Dunn G, Silman AJ, Macfarlane GJ. Effects of psychosocial and individual psychological factors on the onset of musculoskeletal pain: common and site-specific effects. Ann Rheum Dis. 2003;62:755–60. Nahit ES, Hunt IM, Lunt M, Dunn G, Silman AJ, Macfarlane GJ. Effects of psychosocial and individual psychological factors on the onset of musculoskeletal pain: common and site-specific effects. Ann Rheum Dis. 2003;62:755–60.
34.
go back to reference Coste J, Lefrancois G, Guillemin F, Pouchot J. Prognosis and quality of life in pateints with acute low back pain: insights from a comprehensive inception cohort study. Arthritis Rheum. 2004;51:168–76. Coste J, Lefrancois G, Guillemin F, Pouchot J. Prognosis and quality of life in pateints with acute low back pain: insights from a comprehensive inception cohort study. Arthritis Rheum. 2004;51:168–76.
35.
go back to reference Campbell P, Wynne-Jones G, Muller S, Dunn KM. The influence of employment social support for risk and prognosis in nonspecific back pain: a systematic review and critical synthesis. Int Arch Occup Environ Health. 2013;86:119–37.CrossRefPubMed Campbell P, Wynne-Jones G, Muller S, Dunn KM. The influence of employment social support for risk and prognosis in nonspecific back pain: a systematic review and critical synthesis. Int Arch Occup Environ Health. 2013;86:119–37.CrossRefPubMed
36.
go back to reference Fisker A, Langberg H, Petersen T, Mortensen OS. Early coordinated multidisciplinary intervention to prevent sickness absence and labour market exclusion in patients with low back pain: study protocol of a randomized controlled trial. BMC Musculoskelet Disord. 2013;14:93.CrossRefPubMedPubMedCentral Fisker A, Langberg H, Petersen T, Mortensen OS. Early coordinated multidisciplinary intervention to prevent sickness absence and labour market exclusion in patients with low back pain: study protocol of a randomized controlled trial. BMC Musculoskelet Disord. 2013;14:93.CrossRefPubMedPubMedCentral
Metadata
Title
Factors associated with the prevalence of back pain and work absence in shipyard workers
Publication date
01-12-2018
Published in
BMC Musculoskeletal Disorders / Issue 1/2018
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-018-1931-z

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