Predictors of work-related repetitive strain injuries in a population cohort.

OBJECTIVES We assessed predictors of work-related repetitive strain injuries using data from 4 waves of the Canadian National Population Health Survey. METHODS Participants were 2806 working adults who completed an abbreviated version of the Job Content Questionnaire in 1994-1995 and did not experience repetitive strain injuries prior to 2000-2001. Potential previous wave predictors of work-related repetitive strain injuries were modeled via multivariate logistic regression. RESULTS Female gender (odds ratio [OR] = 1.98; 95% confidence interval [CI]=1.24, 3.18), some college or university education (OR=1.98; 95% CI=1.06, 3.70), job insecurity (OR=1.76; 95% CI=1.07, 2.91), high physical exertion levels (OR = 2.00; 95% CI = 1.29, 3.12), and high levels of psychological demands (OR = 1.61; 95% CI = 1.02, 2.52) were all positively associated with work-related repetitive strain injuries, whereas working less than 30 hours per week exhibited a negative association with such injuries (OR=0.2; 95% CI=0.1, 0.7). CONCLUSIONS Modifiable job characteristics are important predictors of work-related repetitive strain injuries.

[1]  Todd P. Stitik,et al.  Work Related Musculoskeletal Disorders (WMSDs): A Reference Book for Prevention , 1996 .

[2]  R W Norman,et al.  Biomechanical and psychosocial risk factors for low back pain at work. , 2001, American journal of public health.

[3]  M. Tjepkema Repetitive strain injury. , 2003, Health reports.

[4]  H. Mantel,et al.  VARIANCE ESTIMATION FOR THE NATIONAL POPULATION HEALTH SURVEY , 2002 .

[5]  S Greenland,et al.  Modeling and variable selection in epidemiologic analysis. , 1989, American journal of public health.

[6]  I Nuwayhid,et al.  Patterns and predictors of employer risk-reduction activities (ERRAs) in response to a work-related upper extremity cumulative trauma disorder (UECTD): reports from workers' compensation claimants. , 2000, American journal of industrial medicine.

[7]  M. Beaudet,et al.  Work stress and health. , 1998, Health reports.

[8]  R P Wells,et al.  Disability resulting from occupational low back pain. Part I: What do we know about primary prevention? A review of the scientific evidence on prevention before disability begins. , 1996, Spine.

[9]  A. Silman,et al.  Role of mechanical and psychosocial factors in the onset of forearm pain: prospective population based study , 2000, BMJ : British Medical Journal.

[10]  C. Bombardier,et al.  Describing the Burden of Upper-Extremity Musculoskeletal Disorders in Newspaper Workers: What Difference do Case Definitions Make? , 2000, Journal of Occupational Rehabilitation.

[11]  G. Catlin,et al.  Sample design of the national population health survey. , 1995, Health reports.

[12]  D. Cole,et al.  Work correlates of back problems and activity restriction due to musculoskeletal disorders in the Canadian national population health survey (NPHS) 1994–5 data , 2001, Occupational and environmental medicine.

[13]  T Morse,et al.  Biomechanical, psychosocial, and organizational risk factors for WRMSD: population-based estimates from the Connecticut upper-extremity surveillance project (CUSP). , 2000, Journal of occupational health psychology.

[14]  Eun Sul Lee,et al.  Analyzing Complex Survey Data , 1989 .

[15]  B. Bernard,et al.  Musculoskeletal disorders and workplace factors: a critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back , 1997 .

[16]  A. Silman,et al.  Psychosocial Factors in the Workplace‐Do They Predict New Episodes of Low Back Pain?: Evidence From the South Manchester Back Pain Study , 1997, Spine.

[17]  L. Fine,et al.  Elements Of Ergonomics Programs: A Primer Based On Workplace Evaluations Of Musculoskeletal Disorders , 1997 .

[18]  J M Smith,et al.  Upper limb work-related musculoskeletal disorders among newspaper employees: cross-sectional survey results. , 1997, American journal of industrial medicine.

[19]  N. Kawakami,et al.  The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. , 1998, Journal of occupational health psychology.

[20]  R. Lennox,et al.  Conventional wisdom on measurement: A structural equation perspective. , 1991 .

[21]  David W. Hosmer,et al.  Applied Logistic Regression , 1991 .

[22]  P. Chappell,et al.  Hand and arm injuries associated with repetitive manual work in industry: a review of disorders, risk factors and preventive measures. , 1999, Ergonomics.

[23]  A. Yassi Repetitive strain injuries , 1997, The Lancet.

[24]  R. McGorry,et al.  The relation between pain intensity, disability, and the episodic nature of chronic and recurrent low back pain. , 2000, Spine.

[25]  S. A. Almeida,et al.  Epidemiological patterns of musculoskeletal injuries and physical training. , 1999, Medicine and science in sports and exercise.

[26]  P M Bongers,et al.  Psychosocial stressors at work and musculoskeletal problems. , 1994, Scandinavian journal of work, environment & health.

[27]  Chris Jensen,et al.  Risk factors for neck-shoulder and wrist-hand symptoms in a 5-year follow-up study of 3,990 employees in Denmark , 2002, International archives of occupational and environmental health.