Psychosocial stress and musculoskeletal pain among senior workers from nine occupational groups: Cross-sectional findings from the SeniorWorkingLife study

IntroductionMaintaining good health with advancing age is increasingly important as most European countries experience an increase in retirement age. In order to decrease the risk of premature departure from the workforce, identifying groups at increased risk of musculoskeletal pain and psychosocial stress is essential in designing workplace policies. Therefore, the aim of this study was to investigate the relationship between occupational groups differing in terms of physical demands and skill requirement, and the outcomes of stress and pain.MethodsThis cross-sectional study reports associations of nine different occupational groups with stress and pain among 11 474 senior workers; stratified by occupational group and based on the International Standard Classification of Occupations (ISCO). A large-scale questionnaire survey was dispatched to Danish workers; drawn as a probability sample and merged with national registers. Representative estimates were produced using logistic regression controlling for various confounders, combined with model-assisted weights.ResultsThe prevalence of daily pain and high stress among occupational groups ranged between 20.0%–50.5% and 3.9%–10.0%, respectively. Compared with occupations characterised by being mostly sedentary (ISCO group 1–4), those with primarily physical demanding work (ISCO group 5–9) had higher odds of daily pain (OR 1.53, 95% CI 1.37 to 1.70) and a tendency towards higher stress scores (OR 1.20, 95% CI 0.98 to 1.46). Lastly, female workers experience increased odds of daily pain (OR 1.50, 95% CI 1.35 to 1.66) and high stress (OR 1.56, 95% CI 1.29 to 1.89) compared with male workers.ConclusionsOccupational settings characterised by mainly physical work and low skill requirements are more likely to experience daily pain compared with those entailing mainly sedentary work. Likewise, in this sample of senior workers, women are more likely to experience pain and stress. These results highlights the need for improving occupation-specific and sex-specific guidelines in the prevention of musculoskeletal pain and psychological stress in workplaces.Trial registration numberClinicalTrials identifier: NCT03634410

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Musculoskeletal Pain and Impact on Performance in Orchestra Musicians and Actors

Medical Problems of Performing Artists ◽

10.21091/mppa.2004.2009 ◽

2004 ◽

Vol 19 (2) ◽

pp. 55-61

Author(s):

K Engquist ◽

P Ørbaek ◽

K Jakobsson

Keyword(s):

Musculoskeletal Pain ◽

Odds Ratio ◽

Reference Group ◽

Study Groups ◽

Physical Work ◽

Prevalence Odds Ratio ◽

Cross Sectional ◽

Body Regions ◽

Increased Risk ◽

The Impact

We studied the prevalence of musculoskeletal pain and its impact on performance in orchestra musicians and in a reference group of actors, who share the mental stress in a performance situation, but without having the physical work load from an instrument. Swedish musicians (n = 103) from symphony and chamber orchestras and actors (n = 106) participated in a cross-sectional questionnaire study. Musculoskeletal pain was assessed by a further developed Standardized Nordic Questionnaire. The impact of pain on performance (pain affecting playing capacity, decreased playing time, and change of technique) and trouble-related sick leave also was assessed. Pain intensity was assessed by visual analogue scales. Musculoskeletal pain in the neck and shoulders was the most frequently reported problem, with similar prevalence among musicians and actors, around 25% for present pain and 20% for chronic pain (1-year prevalence). Around 10% of the musicians and 5% of the actors reported pain in the hands. Oral pain was reported by 12% of the musicians and 18% of the actors. The number of affected body regions and the intensity of pain were similar in the study groups. The musicians had an increased risk for pain affecting playing capacity. For the neck, the prevalence odds ratio (POR) was 3.0 (95%CI 1.2-7.2; adjusted for age and gender). String instrumentalists had higher risk estimates than nonstring instrumentalists. A gender difference was not observed. Pain in the oral region affecting playing capacity was less common in musicians, with a prevalence odds ratio of 0.4 (95%CI 0.1-0.8). Even though the prevalence of musculoskeletal pain was similar in the two groups of performing artists, the consequences for the work situation were more serious among musicians.

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PUBLIC ATTITUDES TO VISITING SWIMMING POOLS AND WATER PARKS (according to the survey and lab results)

Ukrainian Scientific Medical Youth Journal ◽

10.32345/usmyj.3(125).2021.64-74 ◽

2021 ◽

Vol 125 (3) ◽

pp. 64-74

Author(s):

Kseniia Solomakha

Keyword(s):

Large Scale ◽

Public Attitudes ◽

Good Health ◽

Water Disinfection ◽

Practical Significance ◽

Swimming Pools ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Important Place ◽

Increased Risk

Recreational activities by the water are quite popular today. Swimming is one of the most popular ways of spending free time and sports activities, also swimming has few contraindications and, in general, is usually a good idea at any age. In our country we have a wide network of various water complexes from small spas, baths, swimming pools to large-scale water parks. At the same time, we can notice that visiting swimming pools, water parks, spa centers and other water complexes is associated with an increased risk of infectious and parasitic diseases, injuries, manifestations of allergic reactions in visitors, therefore, constant monitoring of the operation of such complexes is mandatory, as well as control at the design phase, because it`s easier to prevent some moments than to correct them in the future. Water treatment methods occupy an important place in the system of monitoring the parameters of the internal environment of the water complex and the quality of water in the pools, and these methods included filtration, disinfection, and water circulation conditions. The operation of the pool is inevitably associated with water pollution: it can be with pathogenic microorganisms, organic substances and the remains of cosmetics which enter the water with the swimmers. In this case, an insufficient level of culture of visitors, especially young children, who, due to their age, cannot control their physiological needs, also play a negative role. An important point is also the long-term use of water and not frequent sanitization of the pools (with a full drain of water). The unsatisfactory sanitary state of these complexes is also facilitated by the fact that the medical examination of visitors is rather formal, and in spa centers and water parks, which are most often visited by completely different people every day, they are not needed at all, as well as a certificate of good health; that’s why the implementation of sanitary and hygienic standards and modes of operation of pools and other water complexes is mandatory, in practice, unfortunately, in our country it completely depends on the awareness of business owners. However, the issue of safety while visiting such water complexes is important. The main purpose of our research was to analyze how visitors subjectively assess the safety of visiting water complexes, and to identify the main complaints that arise in those complexes where the main method of water disinfection is chlorination. Materials and methods: we did a cross-sectional survey among visitors of swimming pools and water parks during the period from August 2019 to December 2020 as well as the water samples were collected and analyzed. The practical significance of the obtained results was to identify the main trends, problems, and critical moments from the subjective point of view of the visitors and to be able to assess the importance of hygienic education while visiting water complexes. Conclusions: in general, we note the lack of knowledge and awareness of hygiene issues before and after visiting the swimming pool (water park), which should be noted by professionals responsible for the health of visitors of different water complexes.

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Mental Health Status of Adolescents During the COVID-19 Pandemic: A Cross-sectional Survey among the Bangladeshi Graduate Students at Dhaka City

10.1101/2020.11.12.379487 ◽

2020 ◽

Author(s):

Taha Husain ◽

Mohammad Main Uddin ◽

Saber Ahmed Chowdhury ◽

Nazmul Ahsan Kalimullah

Keyword(s):

Mental Health ◽

Health Status ◽

Large Scale ◽

Good Health ◽

Mental Health Status ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Public And Private ◽

As Stress

AbstractObjectivesTo identify the level of Mental Health Status of Adolescents During the COVID-19 Pandemic among the Bangladeshi Graduate Student at DhakaMethodA cross-sectional survey was conducted with 330 students from different public and Private Universities in Dhaka, Bangladesh between April 01, 2020 and July 31, 2020 amid the COVID-19 lockdown period in Bangladesh. A standard, self-administered online questionnaire consisting of questions on socio-demographic variables, mental health status, as well as stress management sent to the respondents through social networking platforms. Data were analyzed using descriptive statistics, t-test, one-way ANOVA and correlation tests.ResultsThe mean score of mental health status was 2.08 based on four points scale. They felt problem in decision making (3.04), in doing the things well (2.92), in enjoying normal day to day life (2.88), in playing a useful part in life (2.85), in doing their task (2.75), living in perfectly well and in good health (2.70). The respondents also developed a suicidal tendency (2.55), felt nervous in strung-up (2.24), took longer time to do things (2.14), felt tightness and pressure in head (2.12), and found themselves pressurized by various stuff (2.05). This study also found a significant positive relationship between mental health status and age, living with parents, and parents’ attitude. Finally, this study revealed that the respondents managed their stress by chatting with their friends, parents and siblings, and by sleeping.ConclusionMental health status of adolescents was found moderate in this study. This study suggests further large-scale study including different socio-economic settings in order to figure out the real scenario of adolescents’ mental health status of the country during the pandemic.

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Prevalence and associated factors of playing-related musculoskeletal disorders among music students in Europe. Baseline findings from the Risk of Music Students (RISMUS) longitudinal multicentre study

PLoS ONE ◽

10.1371/journal.pone.0242660 ◽

2020 ◽

Vol 15 (12) ◽

pp. e0242660

Author(s):

Cinzia Cruder ◽

Marco Barbero ◽

Pelagia Koufaki ◽

Emiliano Soldini ◽

Nigel Gleeson

Keyword(s):

Multicentre Study ◽

Musculoskeletal Disorders ◽

Associated Factors ◽

Large Scale ◽

Perceived Exertion ◽

Music Students ◽

Cross Sectional ◽

Effective Prevention ◽

Targeted Interventions ◽

Increased Risk

Musculoskeletal (MSK) conditions among professional musicians and music students are frequent and may have significant physical and psychosocial consequences on their lives and/or on their playing abilities. The Risk of Music Students (RISMUS) research project was set up in 2018 to longitudinally identify factors associated with increased risk of playing-related musculoskeletal disorders (PRMDs) in a large sample of music students enrolled in pan-European institutions. The aim of this cross-sectional study was to describe the prevalence of playing-related musculoskeletal disorders (PRMDs) in this novel population at baseline of the RISMUS project. A further goal was to begin to identify variables that might be associated with the self-reported presence of PRMDs among music students. Eight hundred and fifty students from fifty-six conservatories and music universities in Europe completed a web-based questionnaire on lifestyle and physical activity participation levels, musical practice habits, health history and PRMDs, psychological distress, perfectionism and fatigue. A total of 560 (65%) out of 850 participants self-reported a positive history of painful MSK conditions in the last 12 months, 408 (48%) of whom self-reported PRMDs. Results showed that coming from West Europe, being a first- or a second-year Masters student, having more years of experience and higher rates of perceived exertion after 45 minutes of practice without breaks were factors significantly associated with self-reported presence of PRMDs. According to the authors’ knowledge, a large-scale multicentre study investigating prevalence and associated factors for PRMDs among music students at different stages of their education (from Pre-college to Masters levels) has not been conducted before. The high prevalence of PRMDs among music students, especially those studying at university-level, has been confirmed in this study and associated factors have been identified, highlighting the need for relevant targeted interventions as well as effective prevention and treatment strategies.

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Association of low birth weight with thinness and severe obesity in children aged 3–12 years: a large-scale population-based cross-sectional study in Shanghai, China

BMJ Open ◽

10.1136/bmjopen-2018-028738 ◽

2019 ◽

Vol 9 (5) ◽

pp. e028738 ◽

Cited By ~ 2

Author(s):

Chang Chen ◽

Zhijuan Jin ◽

You Yang ◽

Fan Jiang ◽

Hong Huang ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Large Scale ◽

Severe Obesity ◽

Multinomial Logistic Regression ◽

Population Based ◽

Cross Sectional ◽

Increased Risk ◽

Grade 3 ◽

Obesity In Children

ObjectivesLow birth weight (BW) is a general symbol of inadequate intrauterine conditions that elicit abnormal fetal growth and development. The aim of current study is to investigate the relationship between low BW and thinness or severe obesity during maturation.DesignA large-scale cross-sectional population-based survey.Setting134 kindergartens and 70 elementary schools.Participants70 284 Chinese children aged 3–12 years.Outcome measuresInternational Obesity Task Force body mass index (BMI) cut-offs were used to define grade 1, grade 2 and grade 3 thinness, overweight, obesity and severe obesity. Multinomial logistic regression was used to estimate the association between BW and BMI category.ResultsA total of 70 284 children participated in the survey. The percentage of grade 1 thinness and severe obesity in children with low BW is significantly higher than that in children with normal BW (p<0.05). Low BW was associated with an increased risk of grade 1 thinness (OR 1.56, 95% CI 1.38 to 1.75), grade 2 thinness (OR 1.34, 95% CI 1.10 to 1.64), grade 3 thinness (OR 1.99, 95% CI 1.63 to 2.42) and severe obesity (OR 1.27, 95% CI 1.03 to 1.55) but was not associated with obesity (OR 0.85, 95% CI 0.67 to 1.06).ConclusionThere is a positive association between low BW and thinness or severe obesity risk.

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Child Labor and Musculoskeletal Disorders: The Pelotas (Brazil) Epidemiological Survey

Public Health Reports ◽

10.1177/003335490512000615 ◽

2005 ◽

Vol 120 (6) ◽

pp. 665-673 ◽

Cited By ~ 22

Author(s):

Anaclaudia Gastal Fassa ◽

Luiz Augusto Facchini ◽

Marinel Mór Dall'Agnol ◽

David C. Christiani

Keyword(s):

Back Pain ◽

Musculoskeletal Disorders ◽

Musculoskeletal Pain ◽

Child Labor ◽

Low Income ◽

Work Conditions ◽

Physical Work ◽

Occupational Risk Factors ◽

Increased Risk ◽

Awkward Posture

Objectives. This article describes the prevalence of musculoskeletal pain in several anatomic sites in children and teens, and investigates, while adjusting for potential confounders, the association between musculoskeletal pain and back pain and the following: age, gender, sports practice, use of computer/video games/television, school attendance, intensity of involvement in household domestic activities, care of other children, care of sick/elderly family members, work activities, and workloads. Methods. We conducted a cross-sectional study interviewing 3,269 children aged 10–17 years in the low-income areas of Pelotas, Brazil. Results. The prevalence of pain in the neck, knee, wrist or hands, and upper back exceeded 15%. Workers in manufacturing had a significantly increased risk for musculoskeletal pain (prevalence ratio [PR]=1.31) and for back pain (PR=1.69), while workers in domestic service had 17% more musculoskeletal pain and 23% more back pain than nonworkers. Awkward posture (PR=1.15) and heavy physical work (PR=1.07) were associated with musculoskeletal pain, while monotonous work (PR=1.34), awkward posture (PR=1.31), and noise (PR=1.25) were associated with back pain. Conclusions. Musculoskeletal pain is common among working children and teens. Knowledge of occupational risk factors can support actions to restructure work conditions to reduce or eliminate childhood exposure to hazardous conditions. Our results suggest that strategies to prevent musculoskeletal disorders in child workers should be developed.

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Musculoskeletal pain in multiple body sites and work ability in the general working population: cross-sectional study among 10,000 wage earners

Scandinavian Journal of Pain ◽

10.1515/sjpain-2018-0304 ◽

2019 ◽

Vol 19 (1) ◽

pp. 131-137 ◽

Cited By ~ 9

Author(s):

Mohammad Bayattork ◽

Markus D. Jakobsen ◽

Emil Sundstrup ◽

Foad Seidi ◽

Hans Bay ◽

...

Keyword(s):

Pain Intensity ◽

Musculoskeletal Pain ◽

Work Ability ◽

The Body ◽

Physical Work ◽

Work Demands ◽

Work Activity ◽

Body Regions ◽

Increased Risk ◽

Wage Earners

Abstract Background and aims Musculoskeletal pain may negatively affect work ability, especially when work demands are high and/or physical capacity of the worker is low. This study investigated the association between intensity of musculoskeletal pain in multiple body regions and work ability among young and old workers with sedentary and physical demanding jobs. Methods Currently employed wage earners (n=10,427) replied to questions about pain intensity, work ability, and physical work demands. The odds ratio (OR) for having a lower level of work ability in relation to the physical demands at work were modeled using logistic regression controlled for various confounders. Results The OR for lower work ability increased with higher pain intensity in all regions among workers with sedentary and physical work. The same pattern was observed among workers <50 years and ≥50 years in both work types. The association was quite consistent across age and work activity groups, although it tended to be more pronounced among those with physically demanding work in some of pain regions. Conclusions This study shows that increasing pain intensity in multiple sites of the body is associated with lower work ability. This was seen for both younger and older workers as well as those with sedentary and physical work. Implications Physical workers with multiple-site pain may especially be at increased risk of the consequences of reduced work ability. Therefore, extra attention is needed and this group may benefit from better targeted preventive measures.

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Burnout and its Association with Musculoskeletal Pain among Primary Care Providers

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1541931213601735 ◽

2017 ◽

Vol 61 (1) ◽

pp. 1010-1014 ◽

Cited By ~ 1

Author(s):

Xuanxuan Zhang ◽

Mark C. Schall ◽

Richard Sesek ◽

Sean Gallagher ◽

Jesse Michel

Keyword(s):

Primary Care ◽

Musculoskeletal Pain ◽

Healthcare Providers ◽

Primary Care Providers ◽

Care Providers ◽

Cross Sectional ◽

Body Regions ◽

Increased Risk ◽

The Right

Burnout is a growing concern among primary care providers (PCPs). The condition may lead to diminished quality of patient care as well as reduced quality of life. Although self-reported musculoskeletal pain is common among healthcare providers, the relationship between burnout and musculoskeletal pain among PCPs has been studied very little. We describe a cross-sectional pilot survey conducted among 38 PCPs (MDs, DOs, PAs, and NPs) in the Midwestern United States. Self-reported feelings of burnout and musculoskeletal pain in different body regions were analyzed using regression models. Results suggested that increasing number of hours worked per day, severity of pain in the neck / shoulder area, and severity of pain in the right wrist were associated with an increased risk of burnout. On the contrary, burnout decreased with increasing age. The findings suggest that additional research is needed to understand the risk factors for burnout among PCPs, particularly during the early stages of their career.

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The Epidemiological Boehringer Ingelheim Employee Study—Part I: Impact of Overweight and Obesity on Cardiometabolic Risk

Journal of Obesity ◽

10.1155/2013/159123 ◽

2013 ◽

Vol 2013 ◽

pp. 1-10 ◽

Cited By ~ 8

Author(s):

Kerstin Kempf ◽

Stephan Martin ◽

Carmen Döhring ◽

Klaus Dugi ◽

Carolin Wolfram von Wolmar ◽

...

Keyword(s):

Risk Factors ◽

Large Scale ◽

Cardiometabolic Risk ◽

Intima Media Thickness ◽

Roc Curves ◽

Overweight And Obesity ◽

Cardiometabolic Risk Factors ◽

Cross Sectional ◽

The Metabolic Syndrome ◽

Increased Risk

Objective.Obesity-dependent diseases cause economic burden to companies. Large-scale data for working populations are lacking. Prevalence of overweight and obesity in the Boehringer Ingelheim (BI) Employee cohort and the relationship between body mass index (BMI) and cardiometabolic risk factors and diseases were estimated.Design and Methods.Employees (≥38 years, employed in Ingelheim ≥2 years;n=3151) of BI Pharma GmbH & Co. KG were invited by the medical corporate department to participate in intensive health checkups. Cross-sectional analysis of baseline data collected through 2006–2011 was performed.Results.90% of eligible subjects participated (n=2849). Prevalences of overweight and obesity were 40% and 18% and significantly higher in men and participants ≥50 years. Cardiometabolic risk factor levels and prevalences of cardiometabolic diseases significantly increased with BMI and were higher in overweight and obese participants. Cut-points for increased risk estimated from ROC curves were≈25 kg/m2for hypertension, hypercholesterolemia, arteriosclerosis, and hypertriglyceridemia and 26.7–28.0 kg/m2for the metabolic syndrome, insulin resistance, hyperinsulinemia, increased intima media thickness, and type 2 diabetes.Conclusion.This is the first large-scale occupational health care cohort from a single company. Cardiometabolic risk factors and diseases accumulate with increasing BMI. Occupational weight reduction programs seem to be reasonable strategies.

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Hesitancy of Arab Healthcare Workers towards COVID-19 Vaccination: A Large-Scale Multinational Study

Vaccines ◽

10.3390/vaccines9050446 ◽

2021 ◽

Vol 9 (5) ◽

pp. 446

Author(s):

Eyad Qunaibi ◽

Iman Basheti ◽

Mohamed Soudy ◽

Iyad Sultan

Keyword(s):

Role Models ◽

Large Scale ◽

Online Survey ◽

Arab World ◽

Arab Countries ◽

Vaccine Hesitancy ◽

Cross Sectional ◽

Increased Risk ◽

Vaccine Type ◽

Arabic Speaking

Background: Health care workers (HCWs) are at increased risk of acquiring and transmitting COVID-19 infection. Moreover, they present role models for communities with regards to attitudes towards COVID-19 vaccination. Hence, hesitancy of HCWs towards vaccination can crucially affect the efforts aiming to contain the pandemic. Previously published studies paid little attention to HCWs in Arab countries, which have a population of over 440 million. Objectives: To assess the rates of COVID-19 vaccine hesitancy in Arabic-speaking HCWs residing in and outside Arab countries, and their perceived barriers towards vaccination. Methods: A cross-sectional study based on an online survey was conducted from 14–29 January 2021, targeting Arabic-speaking HCWs from all around the world. Results: The survey recruited 5708 eligible participants (55.6% males, 44.4% females, age 30.6 ± 10 years) from 21 Arab countries (87.5%) and 54 other countries (12.5%). Our analysis showed a significant rate of vaccine hesitancy among Arabic-speaking HCWs residing in and outside of Arab countries (25.8% and 32.8%, respectively). The highest rates of hesitancy were among participants from the western regions of the Arab world (Egypt, Morocco, Tunisia, and Algeria). The most cited reasons for hesitancy were concerns about side effects and distrust of the expedited vaccine production and healthcare policies. Factors associated with higher hesitancy included age of 30–59, previous or current suspected or confirmed COVID-19, female gender, not knowing the vaccine type authorized in the participant’s country, and not regularly receiving the influenza vaccine. Conclusion: This is the first large-scale multinational post-vaccine-availability study on COVID-19 vaccine hesitancy among HCWs. It reveals high rates of hesitancy among Arab-speaking HCWs. Unless addressed properly, this hesitancy can impede the efforts for achieving widespread vaccination and collective immunity.

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