A Cross-Sectional Study of Risk Factors for Musculoskeletal Symptoms in the Workplace Using Data From the General Social Survey (GSS)

Objective: Assessments of potential risk factors for musculoskeletal disorders (MSDs) from large, national study populations using personal interviews are critical to our understanding of exposure-response relationships. To address this need, we analyzed two outcome measures—self-reported back pain and upper extremity pain—from the quality of work life (QWL) module of the General Social Survey (GSS). We investigated several individual, psychosocial, and physical factors for their relationship to these outcome measures. Methods: The study population included US adults, noninstitutionalized, English-speaking, aged 18 years or older, and employed at least part time (≥20 hr/wk). Final sample size was 1484 workers. Results: Variables of physical exposure significantly increased the risk of both low back pain and upper extremity pain. Multiple injuries and some psychosocial factors were associated with MSDs, and there was an additive effect on risk of MSDs with exposure to both physical exposure and work stress. Conclusions: A relationship between physical loads and musculoskeletal disorders was indicated by the results, which will enable creating a database for tracking reports of MSDs in the US working population.

[1]  Grant D. Huang,et al.  Measurement Properties of a Self-Report Index of Ergonomic Exposures for Use in an Office Work Environment , 2002, Journal of occupational and environmental medicine.

[2]  Charles R. McClure,et al.  Encyclopedia of occupational health and safety: Third Edition, 2 Volumes Geneva: International Labour Office, 1983, 2538 pages, $155.00. ISBN 92-2-103291-4 , 1985 .

[3]  How-Ran Guo,et al.  Prevalence of Musculoskeletal Disorder among Workers in Taiwan: A Nationwide Study , 2004, Journal of occupational health.

[4]  W. G. Allread,et al.  The Role of Dynamic Three-Dimensional Trunk Motion in Occupationally-Related Low Back Disorders: The Effects of Workplace Factors, Trunk Position, and Trunk Motion Characteristics on Risk of Injury , 1993, Spine.

[5]  A. Leclerc,et al.  Incidence of shoulder pain in repetitive work. , 2004, Occupational and environmental medicine.

[6]  W. E. Hoogendoorn,et al.  Systematic Review of Psychosocial Factors at Work and Private Life as Risk Factors for Back Pain , 2000, Spine.

[7]  A. Garg,et al.  Epidemiology of low-back pain in industry. , 1992, Occupational medicine.

[8]  Paulien M Bongers,et al.  Are psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist?: A review of the epidemiological literature. , 2002, American journal of industrial medicine.

[9]  A Kilbom,et al.  Risk factors for neck and shoulder disorders: a nested case-control study covering a 24-year period. , 2000, American journal of industrial medicine.

[10]  T. Waters,et al.  Evaluation of the revised NIOSH lifting equation. A cross-sectional epidemiologic study. , 1999, Spine.

[11]  Eric Tucker,et al.  Occupational Health and Safety Act , 2003 .

[12]  S E Mathiassen,et al.  Assessment of physical work load in epidemiologic studies: concepts, issues and operational considerations. , 1994, Ergonomics.

[13]  A. Silman,et al.  Predicting the onset of forearm pain: a prospective study across 12 occupational groups. , 2003, Arthritis and rheumatism.

[14]  V. H. Hildebrandt,et al.  Psychosocial factors at work and musculoskeletal disease. , 1993, Scandinavian journal of work, environment & health.

[15]  M Feuerstein,et al.  Job stress, upper extremity pain and functional limitations in symptomatic computer users. , 2000, American journal of industrial medicine.

[16]  P. Cartwright,et al.  Occupational health and safety. , 1977, Community health.

[17]  Hsin-Yi Lee,et al.  Prevalence and Psychosocial Risk Factors of Upper Extremity Musculoskeletal Pain in Industries of Taiwan: A Nationwide Study , 2005, Journal of occupational health.

[18]  J S Moore,et al.  Upper extremity disorders in a pork processing plant: relationships between job risk factors and morbidity. , 1994, American Industrial Hygiene Association journal.

[19]  W S Marras,et al.  A literature review of low back disorder surveillance measures and risk factors. , 1997, Clinical biomechanics.