The Association of Socioeconomic Status and Psychosocial and Physical Workplace Factors with Musculoskeletal Injury in Hospital Workers

Details

• Personal Author:
  Blanc, Paul ; Burian D ; Font A ; Frank J ; Gillen, Matthew ; Janowitz I ; Mullen K ; Quinlan PA ; Rugulies R ; Ryan G ; Swig L ; Trupin L ; Yen IH
• Description:
  BACKGROUND: The combined effect of socioeconomic, organizational, psychosocial, and physical factors on work-related musculoskeletal disorders (WRMSDs) were studied in a heterogeneous, socioeconomically diverse sample (cases and their matched referents) of hospital workers. METHODS: Cases were defined by a new acute or cumulative work-related musculoskeletal injury; referents were matched by job group, shift length, or at random. Information was obtained through telephone interviews and on-site ergonomics observation. Questionnaire items included sociodemographic variables, lost work time, work effectiveness, health status, pain/disability, and psychosocial working conditions using Effort Reward Imbalance (ERI) and Demand-Control (DC) models. Two multivariate models were tested: Model 1 included occupation as a predictor; Model 2 included education-income as a predictor. RESULTS: Cases reported greater pain, disability, lost time, and decreased work effectiveness than the referents. Model 1 was statistically significant for neck/upper extremity injury (Chi-square = 19.3, P = 0.01), back/lower extremity injury (Chi-square = 14.0, P = 0.05), and all injuries combined (Chi-square = 25.4, P = 0.001). "Other Clinical" occupations (34% mental health workers) had the highest risk of injury (OR 4.5: 95%CI, 1.7-12.1) for all injuries. The ERI ratio was a significant predictor for neck and upper extremity (OR 1.5: 95%CI, 1.1-1.9) and all injuries (OR 1.3; 95%CI, 1.04-1.5), per SD change in score. CONCLUSIONS: In this study, the risk of WRMSDs was more strongly influenced by specific psychosocial and physical job-related exposures than by broad socioeconomic factors such as education and income. [Description provided by NIOSH]
• Subjects:
  Demography Emergency Responders Engineering Environmental Monitoring Ergonomics Hazardous Substances Health Care Facilities Workforce And Services Health Personnel Hospitals Mental Health Musculoskeletal Diseases Musculoskeletal System Occupational Exposure Occupational Health Risk Assessment Risk Factors Safety Stress, Psychological Surveys And Questionnaires Workplace

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• Keywords:
  Author Keywords: Work-related Musculoskeletal Disorders Biological-effects Demand-control Model Demographic-characteristics Effort-reward Imbalance Emergency-care Emergency-responders Emergency-treatment Exposure-assessment Exposure-levels Exposure-methods Health-care-facilities Health-care-personnel Health-hazards Hospital Occupations Hospitals Injury-prevention Medical-facilities Medical-monitoring Medical-personnel Medical-services Medical-surveys Musculoskeletal-system Musculoskeletal-system-disorders Occupational-exposure Occupational-hazards Occupational-health-services Occupational-psychology Occupational-sociology Occupations Physiological-effects Physiological-measurements Physiological-response Psychological-effects Psychological-factors Psychological-responses Psychological-stress Questionnaires Risk-analysis Risk-factors Socioeconomic Status Statistical-analysis Work-areas Work-environment Work-practices

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  245-260
• Volume:
  50
• Issue:
  4
• NIOSHTIC Number:
  nn:20037253
• Citation:
  Am J Ind Med 2007 Apr; 50(4):245-260
• Contact Point Address:
  Marion Gillen, Department of Community Health Systems, University of California, San Francisco, School of Nursing, 2 Koret Way, Box 0608, San Francisco, CA 94143-0608
• Email:
  marion.gillen@nursing.ucsf.edu
• Federal Fiscal Year:
  2007
• Performing Organization:
  University of California, Berkeley
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:25e21b8670c96a33b4264e42db2725dbf7df58191c346b6b20e0ca42f25811bb665f9f65968a7d328e55c8f3ea44a4436285f80dd060b7b7d402c5af418fe199
• Download URL:
  https://stacks.cdc.gov/view/cdc/188371/cdc_188371_DS1.pdf
• File Type:
  [PDF - 232.85 KB ]