IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0041287.html
   My bibliography  Save this article

Threshold of Musculoskeletal Pain Intensity for Increased Risk of Long-Term Sickness Absence among Female Healthcare Workers in Eldercare

Author

Listed:
  • Lars L Andersen
  • Thomas Clausen
  • Hermann Burr
  • Andreas Holtermann

Abstract

Purpose: Musculoskeletal disorders increase the risk for absenteeism and work disability. However, the threshold when musculoskeletal pain intensity significantly increases the risk of sickness absence among different occupations is unknown. This study estimates the risk for long-term sickness absence (LTSA) from different pain intensities in the low back, neck/shoulder and knees among female healthcare workers in eldercare. Methods: Prospective cohort study among 8,732 Danish female healthcare workers responding to a questionnaire in 2004–2005, and subsequently followed for one year in a national register of social transfer payments (DREAM). Using Cox regression hazard ratio (HR) analysis we modeled risk estimates of pain intensities on a scale from 0–9 (reference 0, where 0 is no pain and 9 is worst imaginable pain) in the low back, neck/shoulders and knees during the last three months for onset of LTSA (receiving sickness absence compensation for at least eight consecutive weeks) during one-year follow-up. Results: During follow-up, the 12-month prevalence of LTSA was 6.3%. With adjustment for age, BMI, smoking and leisure physical activity, the thresholds of pain intensities significantly increasing risk of LTSA for the low back (HR 1.44 [95%CI 1.07–1.93]), neck/shoulders (HR 1.47 [95%CI 1.10–1.96]) and knees (HR 1.43 [95%CI 1.06–1.93]) were 5, 4 and 3 (scale 0–9), respectively, referencing pain intensity of 0. Conclusion: The threshold of pain intensity significantly increasing the risk for LTSA among female healthcare workers varies across body regions, with knee pain having the lowest threshold. This knowledge may be used in the prevention of LTSA among health care workers.

Suggested Citation

  • Lars L Andersen & Thomas Clausen & Hermann Burr & Andreas Holtermann, 2012. "Threshold of Musculoskeletal Pain Intensity for Increased Risk of Long-Term Sickness Absence among Female Healthcare Workers in Eldercare," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-6, July.
  • Handle: RePEc:plo:pone00:0041287
    DOI: 10.1371/journal.pone.0041287
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0041287
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0041287&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0041287?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Niels-Peter Brøchner Nygaard & Gert Frank Thomsen & Jesper Rasmussen & Lars Rauff Skadhauge & Bibi Gram, 2021. "Workability in the Ageing Workforce—A Population-Based Cross-Sectional Study," IJERPH, MDPI, vol. 18(23), pages 1-15, November.
    2. Charlotte L. Brakenridge & Yee Ying Chong & Elisabeth A.H. Winkler & Nyssa T. Hadgraft & Brianna S. Fjeldsoe & Venerina Johnston & Leon M. Straker & Genevieve N. Healy & Bronwyn K. Clark, 2018. "Evaluating Short-Term Musculoskeletal Pain Changes in Desk-Based Workers Receiving a Workplace Sitting-Reduction Intervention," IJERPH, MDPI, vol. 15(9), pages 1-12, September.
    3. Hjördís Sigursteinsdóttir & Hafdís Skúladóttir & Thórey Agnarsdóttir & Sigrídur Halldórsdóttir, 2020. "Stressful Factors in the Working Environment, Lack of Adequate Sleep, and Musculoskeletal Pain among Nursing Unit Managers," IJERPH, MDPI, vol. 17(2), pages 1-12, January.
    4. Jeppe ZN Ajslev & Jeppe L Møller & Roger Persson & Lars L Andersen, 2017. "Trading health for money: agential struggles in the (re)configuration of subjectivity, the body and pain among construction workers," Work, Employment & Society, British Sociological Association, vol. 31(6), pages 887-903, December.
    5. Lars Louis Andersen & Jonas Vinstrup & Ebbe Villadsen & Kenneth Jay & Markus Due Jakobsen, 2019. "Physical and Psychosocial Work Environmental Risk Factors for Back Injury among Healthcare Workers: Prospective Cohort Study," IJERPH, MDPI, vol. 16(22), pages 1-10, November.
    6. Joaquín Calatayud & Adrian Escriche-Escuder & Carlos Cruz-Montecinos & Lars L. Andersen & Sofía Pérez-Alenda & Ramón Aiguadé & José Casaña, 2019. "Tolerability and Muscle Activity of Core Muscle Exercises in Chronic Low-back Pain," IJERPH, MDPI, vol. 16(19), pages 1-11, September.
    7. Bingke Zhu & Hao Fan & Bingbing Xie & Ran Su & Chaofeng Zhou & Jianping He, 2020. "Mapping the Scientific Research on Healthcare Workers’ Occupational Health: A Bibliometric and Social Network Analysis," IJERPH, MDPI, vol. 17(8), pages 1-22, April.
    8. Kenneth Jay & Maria Kristine Friborg & Gisela Sjøgaard & Markus Due Jakobsen & Emil Sundstrup & Mikkel Brandt & Lars Louis Andersen, 2015. "The Consequence of Combined Pain and Stress on Work Ability in Female Laboratory Technicians: A Cross-Sectional Study," IJERPH, MDPI, vol. 12(12), pages 1-9, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0041287. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.