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Job strain and neck-shoulder symptoms: a prevalence study of women and men white-collar workers.
Occup Med (Lond) 2006; 56(2):102-9OM

Abstract

BACKGROUND

Neck-shoulder symptoms are frequent among workers. Psychosocial factors at work have been associated with neck-shoulder symptoms, but few studies have examined job strain, the combined effect of high psychological demands (PD) and low decision latitude (DL).

AIMS

To examine the association between psychosocial factors at work and the prevalence of self-reported neck-shoulder symptoms among white-collar workers.

METHODS

In a cross-sectional study of 1543 white-collar workers, PD and DL at work were measured with Karasek's questionnaire. Prevalent cases were workers for whom neck-shoulder symptoms were present for >or=3 days during the previous 7 days and for whom pain intensity was greater than half the visual analogue scale. Gender and social support at work were evaluated as potential effect modifiers.

RESULTS

Workers exposed to high job strain had a higher prevalence of neck-shoulder symptoms [adjusted prevalence ratio (PR): 1.54, 95% confidence interval (CI): 1.00-2.37]. No modifying effect of gender was observed in this association. The effect of job strain was stronger in workers with low social support (adjusted PR: 1.84, 95% CI: 0.92-3.68). These associations tended to be stronger and/or more precise when using alternative exposures and case definition. Namely, a stronger job strain effect was observed when a tertile cut-off was used to classify exposure (adjusted PR: 2.47, 95% CI: 1.15-5.32).

CONCLUSION

These results suggest that primary prevention of neck-shoulder symptoms among white-collar workers should consider the exposure to job strain, especially when workers are exposed to low social support at work.

Authors+Show Affiliations

Unité de recherche en santé des populations, Centre hospitalier affilié universitaire de Québec, Hôpital du Saint-Sacrement, 1050 chemin Sainte-Foy, Québec, G1S 4L8, Canada. ileroux@uresp.ulaval.ca

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

16371400

Citation

Leroux, Isabelle, et al. "Job Strain and Neck-shoulder Symptoms: a Prevalence Study of Women and Men White-collar Workers." Occupational Medicine (Oxford, England), vol. 56, no. 2, 2006, pp. 102-9.
Leroux I, Brisson C, Montreuil S. Job strain and neck-shoulder symptoms: a prevalence study of women and men white-collar workers. Occup Med (Lond). 2006;56(2):102-9.
Leroux, I., Brisson, C., & Montreuil, S. (2006). Job strain and neck-shoulder symptoms: a prevalence study of women and men white-collar workers. Occupational Medicine (Oxford, England), 56(2), pp. 102-9.
Leroux I, Brisson C, Montreuil S. Job Strain and Neck-shoulder Symptoms: a Prevalence Study of Women and Men White-collar Workers. Occup Med (Lond). 2006;56(2):102-9. PubMed PMID: 16371400.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Job strain and neck-shoulder symptoms: a prevalence study of women and men white-collar workers. AU - Leroux,Isabelle, AU - Brisson,Chantal, AU - Montreuil,Sylvie, Y1 - 2005/12/21/ PY - 2005/12/24/pubmed PY - 2006/9/20/medline PY - 2005/12/24/entrez SP - 102 EP - 9 JF - Occupational medicine (Oxford, England) JO - Occup Med (Lond) VL - 56 IS - 2 N2 - BACKGROUND: Neck-shoulder symptoms are frequent among workers. Psychosocial factors at work have been associated with neck-shoulder symptoms, but few studies have examined job strain, the combined effect of high psychological demands (PD) and low decision latitude (DL). AIMS: To examine the association between psychosocial factors at work and the prevalence of self-reported neck-shoulder symptoms among white-collar workers. METHODS: In a cross-sectional study of 1543 white-collar workers, PD and DL at work were measured with Karasek's questionnaire. Prevalent cases were workers for whom neck-shoulder symptoms were present for >or=3 days during the previous 7 days and for whom pain intensity was greater than half the visual analogue scale. Gender and social support at work were evaluated as potential effect modifiers. RESULTS: Workers exposed to high job strain had a higher prevalence of neck-shoulder symptoms [adjusted prevalence ratio (PR): 1.54, 95% confidence interval (CI): 1.00-2.37]. No modifying effect of gender was observed in this association. The effect of job strain was stronger in workers with low social support (adjusted PR: 1.84, 95% CI: 0.92-3.68). These associations tended to be stronger and/or more precise when using alternative exposures and case definition. Namely, a stronger job strain effect was observed when a tertile cut-off was used to classify exposure (adjusted PR: 2.47, 95% CI: 1.15-5.32). CONCLUSION: These results suggest that primary prevention of neck-shoulder symptoms among white-collar workers should consider the exposure to job strain, especially when workers are exposed to low social support at work. SN - 0962-7480 UR - https://www.unboundmedicine.com/medline/citation/16371400/Job_strain_and_neck_shoulder_symptoms:_a_prevalence_study_of_women_and_men_white_collar_workers_ DB - PRIME DP - Unbound Medicine ER -