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Sick leave due to musculoskeletal pain : determinants of distinct trajectories over 1 year
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.ORCID iD: 0000-0002-2741-1868
National Research Centre for the Working Environment, Copenhagen, Denmark.
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research. Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.ORCID iD: 0000-0001-7543-4397
National Research Centre for the Working Environment, Copenhagen, Denmark.
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2019 (English)In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 92, no 8, p. 1099-1108Article in journal (Refereed) Published
Abstract [en]

Purpose

This study aimed to identify sub-groups of workers with different trajectories of sick leave due to musculoskeletalpain over 1 year, and to investigate the extent to which the identified trajectories are associated with personal, occupational,lifestyle, and pain-related factors at baseline.

Methods

Data on 981 blue- and white-collar workers were analyzed in the DPHACTO cohort (2012–2014). The numberof days on sick leave due to pain was reported using text messages at 4-week intervals across 1 year. Latent class growthanalysis was used to distinguish sub-groups with different trajectories of sick leave. A web-based questionnaire at baselinewas used to assess personal, occupational (physical and psychosocial), lifestyle, and pain-related factors. Multinomial regressionmodels were constructed to determine associations between baseline factors and trajectories of sick leave (referencingno sick leave), with adjustment for potential confounders.

Results

Four distinct sub-groups were identified, with trajectories of sick leave due to pain ranging from no sick leave(prevalence 76%; average 0.5 days/year) to some days and increasing sick leave due to pain over 1 year (2%; 89 days/year).The increasing trajectory of sick leave was associated with higher perceived physical exertion, more time in manual work,less social community and influence at work, less leisure-time physical activity, smoking, and more severe symptoms (e.g.,multisite pain, low back pain intensity, and pain interference).

Conclusions

We identified four distinct trajectories of sick leave due to musculoskeletal pain. The sub-group with increasingsick leave due to pain was associated with several modifiable physical and psychosocial factors at work and outside work,which may have implications for prevention.

Place, publisher, year, edition, pages
2019. Vol. 92, no 8, p. 1099-1108
Keywords [en]
Longitudinal, Risk factors, Sickness absence, Workers
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:hig:diva-29674DOI: 10.1007/s00420-019-01447-yPubMedID: 31165308Scopus ID: 2-s2.0-85067077539OAI: oai:DiVA.org:hig-29674DiVA, id: diva2:1320783
Part of project
Forte-centre Working Life: The Body at Work - from problem to potential, Forte
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-01761
Note

Danish Working Environment Research Fund Grant no. 01-2015-09

Available from: 2019-06-05 Created: 2019-06-05 Last updated: 2019-11-05Bibliographically approved

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Hallman, DavidBjörklund, MartinGupta, Nidhi

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