nach oben

International Archives of Occupational and Environmental Health

Erschienen in:

01.04.2009 | Original Article

Level of education and back pain in France: the role of demographic, lifestyle and physical work factors

verfasst von: Annette Leclerc, Julie Gourmelen, Jean-François Chastang, Sandrine Plouvier, Isabelle Niedhammer, Jean-Louis Lanoë

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 5/2009

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To investigate the pathways from level of education to low back pain (LBP) in the adult population, especially concerning the role of physical working constraints, and personal factors (overweight, tobacco consumption, and tallness).

Methods

The study population consisted of 15,534 subjects from the National Health Survey, with data on LBP, level of education, personal factors, and physical working constraints. Logistic models for LBP (pain more than 30 days during the previous 12 months) were compared in order to check the consistency of the data with specific causal pathways.

Results

Low back pain was strongly associated with level of education. This association was almost completely explained if present or past exposure to tiring work postures and handling of heavy loads were taken into account. For men, the OR for “no diploma”, adjusted only for age, was 1.75; it was 1.02 after additional adjustment on physical work factors. Personal factors played also a role, especially overweight for women. Among them, the OR associated with a body mass index = 27 or more was 1.58 after adjustment on all the other factors.

Conclusions

In this national population the main pathways from education to LBP were through occupational exposure and lifestyle factors.

Aittomäki A, Lahelma E, Rahkonen O, Leino-Arjas P, Martikainen P (2007) The contribution of musculoskeletal disorders and physical workload to socioeconomic inequalities in health. Eur J Public Health 17(2):145–150. doi:10.1093/eurpub/ckl121 PubMedCrossRef

Andersson GBJ (1999) Epidemiological features of chronic low-back pain. Lancet 354:581–585. doi:10.1016/S0140-6736(99)01312-4 PubMedCrossRef

Blane D (2003) Commentary: explanations of the difference in mortality risk between different educational groups. Int J Epidemiol 32:355–356. doi:10.1093/ije/dyg078 PubMedCrossRef

Buchbinder R, Jolley D, Wyatt M (2001) Population based interventions to change back pain beliefs and disability: three part evaluation. BMJ 322:1516–1520. doi:10.1136/bmj.322.7301.1516 PubMedCrossRef

Cavelaars AE, Kunst AE, Geurts JJ, Crialesi R, Grötvedt L, Helmert U et al (2000) Persistent variations in average height between countries and between socioeconomic groups: an overview of 10 European countries. Ann Hum Biol 27(4):407–421. doi:10.1080/03014460050044883 PubMedCrossRef

Croft PR, Rigby AS (1994) Socioeconomic influences on back problems in the community in Britain. J Epidemiol Community Health 48:166–170PubMedCrossRef

Dersh J, Mayer T, Theodore BR, Polatin P, Gatchel RJ (2007) Do psychiatric disorders first appear preinjury or postinjury in chronic disabling occupational spinal disorders? Spine 32:1045–1051. doi:10.1097/01.brs.0000261027.28779.52 PubMedCrossRef

Dionne CE, Von Korff M, Koepsell TD, Deyo RA, Barlow WE, Checkoway H (2001) Formal education and back pain: a review. J Epidemiol Community Health 55:455–468. doi:10.1136/jech.55.7.455 PubMedCrossRef

d’Errico A, Punnett L, Cifuentes M, Boyer J, Tessler J, Gore R, Scollin P, Promoting Healthy Safe Employment in Healthcare Research Team (2007) Hospital injury rates in relation to socioeconomic status and working conditions. Occup Environ Med 64:325–333PubMedCrossRef

Goldberg MS, Scott SC, Mayo NE (2000) A review of the association between cigarette smoking and the development of nonspecific back pain and related outcomes. Spine 25:995–1014PubMedCrossRef

Griffith LA, Hogg-Johnson S, Cole DC, Krause N, Hayden J, Burdorf A, Leclerc Coggon D, Bongers P, Walter SD, Shannon HS (2007) Low-back pain definitions in occupational studies were categorized for a meta-analysis using Delphi concensus methods. J Clin Epidemiol 60:625–633PubMedCrossRef

Hagen K, Zwart JA, Svebak S, Bovim G, Jacob Stovner L (2005) Low socioeconomic status is associated with chronic musculoskeletal complains among 46, 901 adults in Norway. Scand J Public Health 33(4):268–375PubMedCrossRef

Hagen KB, Tambs K, Bjerkedal T (2006) What mediates the inverse association between education and occupational disability from back pain?—A prospective cohort study from the North-Trondelag health study in Norway. Soc Sci Med 36:1267–1275CrossRef

Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM (1999) Physical load during work and leisure time as risk factors for back pain. Scand J Work Environ Health 25:387–403PubMed

Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM (2000) Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine 25(16):2114–2125PubMedCrossRef

Hurwitz EL, Morgenstern H, Yu F (2003) Cross-sectional and longitudinal associations of low back pain and related disability with psychological distress among patients enrolled in the UCLA low-back study. J Clin Epidemiol 56:463–471PubMedCrossRef

Jacobsson L, Lindgarde F, Manthorpe R, Ohlsson K (1992) Effect of education, occupation and some lifestyle factors on common rheumatic complains in a Swedish group aged 50–70 years. Ann Rheum Dis 51(7):835–843PubMedCrossRef

Khatun M, Ahlgren C, Hammarstrom A (2004) The influence of factors identified in adolescence and early adulthood on social class inequities of musculoskeletal disorders at age 30: a prospective population-based cohort study. Int J Epidemiol 33(6):1353–1360PubMedCrossRef

Kopek JA, Sayre EC, Esdaile JM (2004) Predictors of back pain in a general population cohort. Spine 29(1):70–77CrossRef

Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G et al (1987) Standardised Nordic questionnaire for the analysis of musculoskeletal symptoms. Appl Ergon 18(3):233–237PubMedCrossRef

Lake JK, Power C, Cole TJ (2000) Back pain and obesity in the 1958 british birth cohort: cause or effect? J Clin Epidemiol 53:245–250PubMedCrossRef

Lanoë JL, Makdessi-Raynaud Y (2005) L’état de santé en France en 2003 santé perçue, morbidité déclarée et recours aux soins à travers l’enquête décennale santé. Etudes et résultats 436:1–12

Latza U, Kohlmann T, Deck R, Raspe H (2000) Influence of occupational factors on the relation between socioeconomic status and self-reported back pain in a population-based sample of German adults with back pain. Spine 25(11):1390–1397PubMedCrossRef

Leclerc A, Chastang JF, Ozguler A, Ravaud JF (2006) Chronic back problems among persons 30 to 64 years old in France. Spine 31:479–484PubMedCrossRef

Leboeuf-Yde C (1999) Smoking and low back pain: a systematic literature review of 41 journal articles reporting 47 epidemiologic studies. Spine 24:1463–1470PubMedCrossRef

Leino-Arjas P, Hanninen K, Puska P (1998) Socioeconomic variation in back and joint pain in Finland. Eur J Epidemiol 14(1):79–87PubMedCrossRef

Liira JP, Shannon HS, Chambers LW, Haines TA (1996) Long-term back problems and physical work exposures in the 1990 Ontario Health Survey. Am J Public Health 86(3):382–387PubMedCrossRef

Linton SJ (2000) A review of psychological risk factors in back and neck pain. Spine 25:1148–1156PubMedCrossRef

Lund T, Labriola M, Christensen KB, Bultmann U, Villadsen E (2006) Physical work environment risk factors for long term sickness absence: prospective findings among a cohort of 5357 employees in Denmark. BMJ 332(7539):449–452PubMedCrossRef

Mustard CA, Kalcevich C, Frank JW, Boyle M (2005) Childhood and early adult predictors of risk of incident back pain: Ontario Child Health Study 2001 follow-up. Am J Epidemiol 162(8):779–786PubMedCrossRef

Ozguler A, Leclerc A, Landre MF, Pietri-Taleb F, Niedhammer I (2000) Individual and occupational determinants of low back pain according to various definitions of low back pain. J Epidemiol Commun Health 54:215–220CrossRef

Power C, Frank J, Hertzman C, Schierhout G, Li L (2001) Predictors of low back pain onset in a prospective British study. Am J Public Health 91(10):1671–1678PubMedCrossRef

Sainio P, Martelin T, Koskinen S, Heliövaara M (2007) Educational differences in mobility: the contribution of physical workload, obesity, smoking and chronic conditions. J Epidemiol Commun Health 61:401–408CrossRef

Schmidt CO, Raspe H, Pfingsten M, Hasenbring M, Basler HD, Eich W, Kohlmann T (2007) Back pain in the German adult population: prevalence, severity, and sociodemographic correlates in a multiregional survey. Spine 32(18):2005–2011PubMedCrossRef

Schneider S, Schmitt H, Zoller S, Schiltenwolf M (2005) Workplace stress, lifestyle and social factors as correlates of back pain: a representative study of the German working population. Int Arch Occup Environ Health 78(4):253–269PubMedCrossRef

Skovron ML, Szpalski M, Nordin M, Melot C, Cukier D (1994) Sociocultural factors and back pain. A population-based study in Belgian adults. Spine 19(2):129–137PubMedCrossRef

Stock SR, Fernandes R, Delisle A, Vézina N (2005) Reproducibility and validity of worker’s self-reports of physical work demands. Scand J Work Environ Health 31:409–437PubMed

Stronks K, Van De Mheen H, Van Den Bos J, Mackenbach JP (1997) The interrelationship between income, health and employment status. Int J Epidemiol 26:592–600PubMedCrossRef

van Tulder M, Kovacs F, Muller G et al (2002) European guidelines for the management of low back pain. Acta Orthop Scand 73(305):20–25

Titel: Level of education and back pain in France: the role of demographic, lifestyle and physical work factors
verfasst von: Annette Leclerc
Julie Gourmelen
Jean-François Chastang
Sandrine Plouvier
Isabelle Niedhammer
Jean-Louis Lanoë
Publikationsdatum: 01.04.2009
Verlag: Springer-Verlag
Erschienen in: International Archives of Occupational and Environmental Health / Ausgabe 5/2009
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-008-0375-4

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2009

Prostate cancer and driving occupations: could whole body vibration play a role?

Parametric hazard rate models for long-term sickness absence

Cytological damage of nasal epithelium associated with decreased glutathione peroxidase in residents from a heavily polluted city

Different effects of PM10 exposure on preterm birth by gestational period estimated from time-dependent survival analyses

Reproducibility and validity of heart rate variability and respiration rate measurements in participants with prolonged fatigue complaints

Effectiveness of skin protection creams in the prevention of occupational dermatitis: results of a randomized, controlled trial