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Do organisational and ward-level factors explain the variance in multi-site musculoskeletal pain in eldercare workers? A multi-level cross-sectional study
Centre for Ergonomics and Human Factors, School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
National Research Centre for the Working Environment, Copenhagen, Denmark.
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.ORCID iD: 0000-0002-2741-1868
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2020 (English)In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose

Multi-site musculoskeletal pain (MSP) is highly prevalent among eldercare workers, leading to increased incidence of sickness absence and early retirement. Most research on MSP in eldercare workers has focused on individual-level factors reported by the employees, with limited focus at the organisation and ward level. To address this gap, the aim of this study was to investigate whether organisation and ward-level factors explain the variance in MSP among Danish eldercare workers.

Methods

A multi-level cross-sectional study was conducted among 20 Danish nursing homes, containing 126 wards, and 418 workers who participated in measurements of organisational factors, working environment factors, and MSP (classified as reporting pain in 2 or more body regions). Data were collected at the level of the organisation, ward, and individual. The proportion of variance in MSP explained by each level was estimated using variance components analysis. The association between factors at each level of the organisation and MSP was investigated using generalised linear mixed-effects regression.

Results

Sixty seven percent of participants reported having MSP. The organisational and ward-level factors explained 0% of the variance in MSP, while the individual-level factors explained 100% of the variance in MSP. Moreover, no factors at the organisational and ward levels showed statistically significant associations with MSP. Individual-level perceived physical exertion and quantitative demands had a statistically significant association with a higher prevalence of MSP.

Conclusions

The organisation and ward levels did not contribute to explaining any of the variance in MSP. All variance in MSP was explained at the individual level.

Place, publisher, year, edition, pages
Springer , 2020.
Keywords [en]
Aged care, Eldercare, Hierarchical, Multi-site pain, Musculoskeletal pain, Physical demands
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work
Identifiers
URN: urn:nbn:se:hig:diva-32196DOI: 10.1007/s00420-020-01540-7ISI: 000527500400002PubMedID: 32306179Scopus ID: 2-s2.0-85083893409OAI: oai:DiVA.org:hig-32196DiVA, id: diva2:1425791
Available from: 2020-04-22 Created: 2020-04-22 Last updated: 2020-05-07Bibliographically approved

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