Psychosocial Factors and Shoulder Symptom Development Among Workers

Details

• Personal Author:
  Bao S ; Fan ZJ ; Johnson PW ; Silverstein BA ; Smith CK ; Bao S ; Fan ZJ ; Johnson PW ; Silverstein BA ; Smith CK
• Description:
  Background: Shoulder injuries are a common cause of pain and discomfort. Many work-related factors have been associated with the onset of shoulder symptoms. The psychosocial concepts in the demand-control model have been studied in association with musculoskeletal symptoms but with heterogeneous findings. The purpose of this study was to assess the relationship between the psychosocial concepts of the demand-control model and the incidence of shoulder symptoms in a working population. Methods: After following 424 subjects for approximately 1 year, 85 incident cases were identified from self-reported data. Cox proportional hazards modeling was used to assess the associations between shoulder symptoms and demand-control model quadrants. Results: Cases were more likely to be female and report other upper extremity symptoms at baseline (P<0.05). From the hazard models, being in either a passive or high strain job quadrant was associated with the incidence of shoulder symptoms. Hazard ratios were 2.17, 95% CI 1.02-4.66 and 2.19, 95% CI 1.08-4.42, respectively. Conclusions: Using self-reporting to determine demand-control quadrants was successful in identifying subjects at risk of developing work-related shoulder symptoms. Research is needed to determine if this relationship holds with clinically diagnosed shoulder and other upper extremity musculoskeletal disorders. This may be part of a simple tool for assessing risk of developing these UEMSDs. [Description provided by NIOSH]
• Subjects:
  Mental Health Musculoskeletal Diseases Occupational Health Risk Assessment Safety Stress, Psychological Women
• Keywords:
  Author Keywords: Demand-control Model Cox Proportional Hazards Model Injuries Injury-prevention Job-stress Mathematical-models Musculoskeletal-system-disorders Musculoskeletal Symptoms Prospective Study Psychological-factors Risk-analysis Shoulder Symptoms Sociological-factors

  More +
• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Pages in Document:
  57-68
• Volume:
  52
• Issue:
  1
• NIOSHTIC Number:
  nn:20034817
• Citation:
  Am J Ind Med 2009 Jan; 52(1):57-68
• Contact Point Address:
  C.K.Smith, PO Box 44330, Olympia,WA 98504-4330
• Email:
  smcb235@lni.wa.gov
• Federal Fiscal Year:
  2009
• NORA Priority Area:
  Disease and Injury: Musculoskeletal Disorders of the Upper Extremities ; Disease and Injury: Musculoskeletal Disorders of the Upper Extremities
• Performing Organization:
  Washington State Department of Labor and Industries
• Peer Reviewed:
  True
• Start Date:
  20000930
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20060929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:663a2ffa6a028f4ca067a40aadf80879516ed763eb2465a5e169501194be64b173b8e8d2c283efeb36b19d2614963fc46664c95cf318ea90ffbdd040d4b17909
• Download URL:
  https://stacks.cdc.gov/view/cdc/186881/cdc_186881_DS1.pdf
• File Type:
  [PDF - 183.94 KB ]