Determinants of international variation in the prevalence of disabling wrist and hand pain.

Autor: Coggon D; Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK. dnc@mrc.soton.ac.uk.; Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK. dnc@mrc.soton.ac.uk., Ntani G; Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.; Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK., Walker-Bone K; Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.; Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK., Felli VE; School of Nursing, University of São Paulo, São Paulo, Brazil., Harari F; Corporación para el Desarrollo de la Producción y el Medio Ambiente Laboral - IFA (Institute for the Development of Production and the Work Environment), Quito, Ecuador., Barrero LH; Department of Industrial Engineering, School of Engineering, Pontificia Universidad Javeriana, Bogotá, Colombia., Felknor SA; Southwest Center for Occupational and Environmental Health, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.; Center for Disease Control and Prevention/National Institute for Occupational Safety and Health, Atlanta, USA., Rojas M; Program Health, Work and Environment in Central America, Institute for Studies on Toxic Substances (IRET), National University of Costa Rica, Heredia, Costa Rica., Cattrell A; North East London NHS Foundation Trust, Goodmayes Hospital, Ilford, Essex, UK., Serra C; Center for Research in Occupational Health (CiSAL), Universitat Pompeu Fabra, Barcelona, Spain.; CIBER of Epidemiology and Public Health, Barcelona, Spain.; IMIM (Hospital del Mar Research Institute), Barcelona, Spain.; Occupational Health Service, Parc de Salut MAR, Barcelona, Spain., Borchini R; EPIMED Research Center, University of Insubria, Varese, Italy., Solidaki E; Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece., Merisalu E; Institute of Technology, Estonian University of Life Sciences, Tartu, Estonia., Habib RR; Department of Environmental Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon., Sadeghian F; Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran., Kadir MM; Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan., Peiris-John RJ; Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand., Matsudaira K; Department for Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, Faculty of Medicine, The University of Tokyo Hospital, Tokyo, Japan., Nyantumbu-Mkhize B; National Health Laboratory Service, National Institute for Occupational Health, Johannesburg, South Africa.; Faculty of Health Sciences, School of Public Health, University of Witwatersrand, Johannesburg, South Africa., Kelsall HL; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Harcombe H; Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
Jazyk: angličtina
Zdroj: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2019 Sep 18; Vol. 20 (1), pp. 436. Date of Electronic Publication: 2019 Sep 18.
DOI: 10.1186/s12891-019-2791-x
Abstrakt: Background: Previous research has indicated that wide international variation in the prevalence of disabling low back pain among working populations is largely driven by factors predisposing to musculoskeletal pain more generally. This paper explores whether the same applies to disabling wrist/hand pain (WHP).
Methods: Using data from the Cultural and Psychosocial Influences on Disability (CUPID) study, we focused on workers from 45 occupational groups (office workers, nurses and other workers) in 18 countries. Among 11,740 participants who completed a baseline questionnaire about musculoskeletal pain and potential risk factors, 9082 (77%) answered a further questionnaire after a mean interval of 14 months, including 1373 (15%) who reported disabling WHP in the month before follow-up. Poisson regression was used to assess associations of this outcome with baseline risk factors, including the number of anatomical sites other than wrist/hand that had been painful in the 12 months before baseline (taken as an index of general propensity to pain).
Results: After allowance for other risk factors, the strongest associations were with general pain propensity (prevalence rate ratio for an index ≥6 vs. 0: 3.6, 95% confidence interval 2.9-4.4), and risk rose progressively as the index increased. The population attributable fraction for a pain propensity index > 0 was 49.4%. The prevalence of disabling WHP by occupational group ranged from 0.3 to 36.2%, and correlated strongly with mean pain propensity index (correlation coefficient 0.86).
Conclusion: Strategies to prevent disability from WHP among working populations should explore ways of reducing general propensity to pain, as well as improving the ergonomics of occupational tasks.
Databáze: MEDLINE
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