Social disparities in musculoskeletal disorders and associated mental malaise : findings from a population-based survey in France

Autor: Myriam, Khlat, Nearkasen, Chau, N, Chau, F, Guillemin, J F, Ravaud, J, Sanchez, S, Guillaume, J P, Michaely, C Otero, Sierra, B, Legras, A, Dazord, M, Choquet, L, Méjean, N, Tubiana-Rufi, J P, Meyer, Y, Schléret, J M, Mur
Přispěvatelé: Institut national d'études démographiques (INED), CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société (CERMES3 - UMR 8211 / U988 / UM 7), École des hautes études en sciences sociales (EHESS)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Male
Musculoskeletal disorders
Occupational safety and health
Occupational demands
[SHS]Humanities and Social Sciences
0302 clinical medicine
Musculoskeletal disorder
Surveys and Questionnaires
Adaptation
Psychological

030212 general & internal medicine
Musculoskeletal Diseases
Depression (differential diagnoses)
Fatigue
media_common
Mental malaise
Depression
Mental Disorders
General Medicine
Middle Aged
030210 environmental & occupational health
3. Good health
Sadness
Occupational Diseases
Female
France
medicine.symptom
Social status
Adult
medicine.medical_specialty
Adolescent
media_common.quotation_subject
education
Malaise
03 medical and health sciences
Young Adult
medicine
Humans
Occupations
Psychiatry
Aged
Cognitive disability
Duke questionnaire
business.industry
Public Health
Environmental and Occupational Health

medicine.disease
Comorbidity
Psychophysiologic Disorders
Developmental disorder
Socioeconomic Factors
business
Cognition Disorders
Zdroj: Scandinavian Journal of Public Health
Scandinavian Journal of Public Health, SAGE Publications, 2010, 38 (5), pp.495-501. ⟨10.1177/1403494810371246⟩
ISSN: 1403-4948
Popis: International audience; Aims:Various types of musculoskeletal disorders (MSDs) have comorbid mental disorders, which may in turn have a negative influence on disease course and role impairment, but the contribution of social factors to this type of comorbidity is a much under-researched area. This study investigates whether there is a socially patterned association of MSDs with different dimensions of mental malaise. Methods: The sample included 3,368 economically active participants aged 18—64 years, randomly selected from the Lorraine region in north-eastern France. Information was provided through a post-mailed questionnaire on fatigue, sadness/depression (Duke questionnaire) and cognitive disability during the last eight days. Results: MSDs were significantly more prevalent in manual workers, clerks and other occupations than in upper and intermediate professionals, and similar occupational disparities were found for cognitive disability, fatigue and sadness/ depression. Stratifying the sample, we found the occupational disparities in cognitive disability to be much stronger among participants suffering from MSDs than among participants not suffering from MSDs, and the occupational disparities in fatigue and sadness/depression to be limited to the subsample of subjects suffering from MSDs. Conclusions: The findings demonstrate that the association of MSDs with mental malaise is much stronger in the lower occupational groups than in the higher groups. Given that psychological factors are implicated in disease prognosis and in the development of disabilities, awareness of the social dimension of the association and treatment of the comorbid mental disorders could open a promising avenue for reducing social inequalities in disability related to MSDs.
Databáze: OpenAIRE