Musculoskeletal Symptoms Associated with Workplace Physical Exposures Estimated by a Job Exposure Matrix and by Self-Report

Details

• Alternative Title:
  Am J Ind Med
• Personal Author:
  Yung, Marcus ; Dale, Ann Marie ; Buckner-Petty, Skye ; Roquelaure, Yves ; Descatha, Alexis ; Evanoff, Bradley A.
• Description:
  Background:
  
  A job exposure matrix (JEM) is an efficient method to assign physical workplace exposures based on job titles. JEMs offer the possibility of linking work exposures to outcome data from national health registers that contain job titles. The French CONSTANCES JEM was constructed from self-reported physical work exposures of asymptomatic workers participating in a large general population study. We validated this general population JEM by testing its ability to demonstrate exposure-outcome associations for MSD symptoms.
  
  Methods:
  
  The CONSTANCES JEM was evaluated by assigning exposure estimates to a validation sample of new participants in the CONSTANCES study (final n = 38,730). We used weighted kappas to compare the level of agreement between JEM-assigned and self-reported exposures across job codes for each of 27 physical exposure variables. We computed prevalence ratios (PR) and 95% confidence intervals using Poisson regression models adjusted for age and sex for pain at 6 body locations associated with work exposures estimated via individual self-report and by the JEM.
  
  Results:
  
  Agreement between individual self-reported and JEM-assigned exposures ranged from κ = 0.16 to 0.71; generally, the level of agreement was fair to good. We observed consistent and significant associations between pain and both self-reported and JEM-assigned exposures at all body locations.
  
  Conclusions:
  
  The CONSTANCES JEM replicated known associations between physical risk factors and prevalent MSD symptoms. Physical exposure JEMs can reduce some types of information bias, and open new avenues of research in the prevention of MSDs and other health conditions related to workplace physical activities.
  
  
• Subjects:
  Adolescent Adult Aged Article Exposure Assessment Female France Hand Pain Humans Job Exposure Matrix Male Middle Aged Musculoskeletal Diseases Musculoskeletal Disorders Occupational Diseases Occupational Exposure Risk Factors Self Report Workplace Workplace Physical Exposures

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• Source:
  Am J Ind Med. 63(1):51-59
• Pubmed ID:
  31691989
• Pubmed Central ID:
  PMC9134319
• Document Type:
  Journal Article
• Funding:
  Caisse Nationale d'Assurance Maladie des Travailleurs Salariés (CNAMTS)International/ ; R01OH011076/ACL/ACL HHSUnited States/ ; ANR-11-INBS-0002/Agence Nationale de la RechercheInternational/ ; Institut de Recherché en Santé Publique/Institut Thématique Santé PubliqueInternational/ ; R01 OH011076/OH/NIOSH CDC HHSUnited States/ ; Ministère de la santé et des sports, Ministère délégué à la recherche, Institut national de la santé et de la recherche médicale, Institut national du cancer et Caisse nationale de solidarité pour l'autonomie, as well as Institute for research in public health (IReSP, CapaciT project)International/
• Volume:
  63
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:351c24425abc0bf7a943dcd19b31e4290efedf402c5038182c11807b0059fd85
• Download URL:
  https://stacks.cdc.gov/view/cdc/117911/cdc_117911_DS1.pdf
• File Type:
  [PDF - 406.20 KB ]