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Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees

Author

Listed:
  • Aapo Hiilamo

    (Finnish Institute of Occupational Health, PO Box 18, 00032 Helsinki, Finland)

  • Anna Huttu

    (Department of Public Health, University of Helsinki, PO Box 20, FI-00014 Helsinki, Finland)

  • Simon Øverland

    (Division of Physical and Mental Health, Norwegian Institute of Public Health, N-0403 Oslo, Norway)

  • Olli Pietiläinen

    (Department of Public Health, University of Helsinki, PO Box 20, FI-00014 Helsinki, Finland)

  • Ossi Rahkonen

    (Department of Public Health, University of Helsinki, PO Box 20, FI-00014 Helsinki, Finland)

  • Tea Lallukka

    (Finnish Institute of Occupational Health, PO Box 18, 00032 Helsinki, Finland
    Department of Public Health, University of Helsinki, PO Box 20, FI-00014 Helsinki, Finland)

Abstract

This study investigates to what extent pain in multiple sites and common risk factors related to work environment, occupational class and health behaviours are associated with cause-specific work disability (WD) development clusters. The study population was derived from the Finnish Helsinki Health Study (n = 2878). Sequence analysis created clusters of similar subsequent cause-specific WD development in an eight-year follow-up period. Cross-tabulations and multinomial logistic regression were used to analyze the extent to which baseline factors, including pain in multiple sites, were associated with the subsequent WD clusters. A solution with five distinct WD clusters was chosen: absence of any WD (40%), low and temporary WD due to various causes (46%), WD due to mental disorders (3%), WD due to musculoskeletal (8%) and WD due to other causes (4%). Half of the employees in the musculoskeletal WD cluster had pain in multiple locations. In the adjusted model the number of pain sites, low occupational class and physical working conditions were linked to the musculoskeletal WD. The identified characteristics of the different WD clusters may help target tailored work disability prevention measures for those at risk.

Suggested Citation

  • Aapo Hiilamo & Anna Huttu & Simon Øverland & Olli Pietiläinen & Ossi Rahkonen & Tea Lallukka, 2021. "Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees," IJERPH, MDPI, vol. 18(7), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3375-:d:523495
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    References listed on IDEAS

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    1. Melchior, M. & Krieger, N. & Kawachi, I. & Berkman, L.F. & Niedhammer, I. & Goldberg, M., 2005. "Work factors and occupational class disparities in sickness absence: Findings from the GAZEL cohort study," American Journal of Public Health, American Public Health Association, vol. 95(7), pages 1206-1212.
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