The natural history and risk factors of musculoskeletal conditions resulting in disability among US Army personnel

Details

• Personal Author:
  Amoroso PJ ; Bell NS ; Lincoln AE ; Smith GS
• Description:
  We describe the natural history of 13 musculoskeletal conditions requiring hospitalization and identify demographic, behavioral, psychosocial, occupational, and clinical characteristics most strongly associated with disability discharge from the Army. Subjects included 15,268 active-duty personnel hospitalized for a common musculoskeletal condition between the years 1989-1996 who were retrospectively followed through 1997. Back conditions had the greatest 5-year cumulative risk of disability (21%, 19%, and 17% for intervertebral disc displacement, intervertebral disc degeneration, and nonspecific low back pain, respectively). Cox proportional hazards models identified the following risk factors for disability among males: lower pay grade, musculoskeletal diagnosis, shorter length of service, older age, occupational category, lower job satisfaction, recurrent musculoskeletal hospitalizations, more cigarette smoking, greater work stress, and heavier physical demands. Among females, fewer covariates reached statistical significance, although lower education level was significant in more than one model. Modifiable risk factors related to work (job satisfaction, work stress, physical demands, occupation) and health behaviors (smoking) suggest possible targets for intervention. [Description provided by NIOSH]
• Subjects:
  Coal Coal Mining Engineering Hearing Loss, Noise-Induced Manufacturing And Industrial Facilities Mining Noise Noise, Occupational Occupational Health Power Plants Safety

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• Keywords:
  Author Keywords: Musculoskeletal Conditions Back Injuries Behavior Cigarette Smoking Demographic Characteristics Disability Disabled Workers Education Employee Health Epidemiology Epidemology Injuries Injury Job Stress Medical Treatment Men Military Personnel Musculoskeletal System Disorders Natural History Occupation Physical Capacity Psychological Factors Risk Analysis Risk Factors Smoking Sociological Factors Women

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• ISSN:
  1051-9815
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; Massachusetts ; OSHA Region 1 ; OSHA Region 3
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  99-113
• Volume:
  18
• Issue:
  2
• NIOSHTIC Number:
  nn:20041016
• Citation:
  Work 2002 Mar/Apr; 18(2):99-113
• Contact Point Address:
  Andrew E. Lincoln, ScD, The Johns Hopkins Center for Injury Research and Policy, 624 N. Broadway, #512, Baltimore, MD 21205, USA
• Email:
  alincoln@jhsph.edu
• Federal Fiscal Year:
  2002
• Performing Organization:
  Johns Hopkins University - Baltimore
• Peer Reviewed:
  True
• Start Date:
  19990901
• Source Full Name:
  Work
• End Date:
  20020831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fe55bc8b8f61e713d169a11af16dfe9f1bfe9db32c6a4e0cff82c77cced20a6e1aef625fd4058559d867e21b718493809c7b0e95b1847c5e4db5ec7f8a4a6b30
• Download URL:
  https://stacks.cdc.gov/view/cdc/193690/cdc_193690_DS1.pdf
• File Type:
  [PDF - 110.52 KB ]