The combined effect of physical,psychosocial/organisational and/or environmental risk factors on the presence of work-related musculoskeletal symptoms and its consequences |
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Authors: | Baiduri Widanarko Stephen Legg Jason Devereux Mark Stevenson |
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Affiliation: | 1. Centre for Ergonomics, Occupational Safety and Health, School of Public Health, College of Health, Massey University, Palmerston North, New Zealand;2. Department of Occupational Health and Safety, Faculty of Public Health, University of Indonesia, Depok 16424, Indonesia;3. Lloyd''s Register Consulting, London, UK;4. Business Psychology Unit, University College London, London, UK;5. EpiCentre, Institute of Veterinary, Animal and Biological Sciences, College of Sciences, Massey University, Palmerston North, New Zealand |
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Abstract: | This study assessed the combined effect of physical and psychosocial/organisational and/or environmental factors on the presence of musculoskeletal symptoms (MSS) and its consequences (reduced activities and absenteeism due to MSS) in a random sample of 3003 workers in New Zealand. By telephone interview, participants reported their current workplace exposures and MSS (neck/shoulder, arm/elbow, wrist and low back) and its consequences. Data were analysed using multivariable logistic regression. Combined exposure to physical and psychosocial/organisational and/or environmental factors increased the odds of MSS in the neck/shoulder (OR 3.14, 95% CI 1.79–5.52), arms/elbow regions (OR 4.14, 95% CI 2.21–7.76) and low back (OR 1.74, 95% CI 1.28–2.37) and its consequences, i.e. reduced activities due to neck/shoulder symptoms (OR 5.45, 95% CI 2.28–13.00), absenteeism due to neck/shoulder symptoms (OR 5.19, 95% CI 2.24–12.01) and absenteeism due to low back symptoms (OR 4.37, 95% CI 2.92–6.53). In contrast, favourable psychosocial/organisational work conditions reduced the odds of wrist symptoms due to poor physical work conditions (OR 2.19, 95% CI 1.44–3.34). We conclude that to reduce MSS and its consequences, employers need to adopt a multifaceted approach: concentrate on improving physical conditions as well as the psychosocial/organisational and environmental aspects of the working environment. |
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Keywords: | Back pain Interaction Work stress |
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