Risk factors for neck and shoulder disorders: a nested case-control study covering a 24-year period
| Autor: | Allan Toomingas, Carina Bildt Thorbjörnsson, Laura Punnett, Lars Alfredsson, Margareta Torgén, Åsa Kilbom, Kerstin Fredriksson |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male Risk medicine.medical_specialty Shoulder Time Factors Cumulative Trauma Disorders Population Occupational medicine Fingers Leisure Activities Sex Factors Risk Factors Epidemiology Medicine Humans Musculoskeletal Diseases Risk factor education Workplace Retrospective Studies Sweden education.field_of_study business.industry Public Health Environmental and Occupational Health Case-control study Middle Aged Hand Relative risk Case-Control Studies Nested case-control study Physical therapy business Psychosocial Neck |
| Zdroj: | American journal of industrial medicine. 38(5) |
| ISSN: | 0271-3586 |
| Popis: | Background In 1969 a population-based study was conducted in the Stockholm region. From the 2,579 randomly selected participants (18–65 years of age in 1969), the youngest subset were asked to participate in a reexamination in 1993. Information regarding working conditions, conditions outside work, and neck and shoulder disorders was collected retrospectively for the period 1970–1993. Methods Of 783 eligible subjects (42–59 years of age in 1993), 484 responded. Cases of neck/shoulder disorders were defined by past sickleave or medical attention or recent symptoms, depending on available information. For each case (n = 271) two controls were randomly selected, matched by age and gender. Variables regarding both physical and psychosocial conditions were included in the matched analyses. Results Among women mainly psychosocial factors and among men mainly physical factors were associated with neck/shoulder disorders. The only gender common risk indicator found was repetitive hand work (OR ∼ 1.5). Interactive effects were also observed. Conclusions The impact on neck/shoulder disorders from separate factors was moderate but combinations of physical and psychosocial factors, as well as of work-related and non-work-related factors, produced relative risks above 2. Am. J. Ind. Med. 38:516–528, 2000. © 2000 Wiley-Liss, Inc. |
| Databáze: | OpenAIRE |
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