scholarly journals What Are the Key Workplace Influences on Pathways of Work Ability? A Six-Year Follow Up

Author(s):  
Jodi Oakman ◽  
Subas Neupane ◽  
K.C. Prakash ◽  
Clas-Håkan Nygård

Objective: To study the trajectories of work ability and investigate the impact of multisite pain and working conditions on pathways of work ability over a six-year period. Methods: The longitudinal study was conducted with Finnish food industry workers (n = 866) with data collected every 2 years from 2003–2009. Questions covered musculoskeletal pain, physical and psychosocial working conditions (physical strain, repetitive movements, awkward postures; mental strain, team support, leadership, possibility to influence) and work ability. Latent class growth analysis and logistic regression were used to analyse the impact of multisite pain and working conditions on work ability trajectories (pathways). Results: Three trajectories of work ability emerged: decreasing (5%), increasing (5%), and good (90%). In the former two trajectories, the mean score of work ability changed from good to poor and poor to good during follow-up, while in the latter, individuals maintained good work ability during the follow-up. In the multivariable adjusted model, number of pain sites was significantly associated with higher odds of belonging to the trajectory of poor work ability (Odds ratio (OR) 4 pain sites 2.96, 1.25–7.03). Conclusions: A substantial number of employees maintained good work ability across the follow up. However, for employees with poor work ability, multisite musculoskeletal pain has an important influence, with effective prevention strategies required to reduce its prevalence.

2014 ◽  
Vol 45 (3) ◽  
pp. 586-591 ◽  
Author(s):  
Subas Neupane ◽  
Pekka Virtanen ◽  
Tiina Luukkaala ◽  
Anna Siukola ◽  
Clas-Håkan Nygård

2021 ◽  
pp. 140349482110336
Author(s):  
Clara Onell ◽  
Lena W. Holm ◽  
Tony Bohman ◽  
Cecilia Magnusson ◽  
Mats Lekander ◽  
...  

Aims: Psychological distress is a global public health concern with individual and societal implications causing work-related disability and loss of productivity. It is less known how much work ability contributes to the development of psychological distress. This study aimed to assess the association between self-perceived physical and mental work ability in relation to job demands, and the incidence of psychological distress in a Swedish working population. Methods: Data were obtained from three subsamples of the Stockholm Public Health Cohort with baseline in 2010 and follow-up in 2014, based on a working population in Stockholm County aged 18–60 years, with no or mild psychological distress at baseline ( n=29,882). Self-perceived physical and mental work ability in relation to job demands were assessed at baseline with a subscale from the Work Ability Index. Study participants scoring 4 or more on the General Health Questionnaire 12 at follow-up were classified as having developed psychological distress during the study period. Poisson log linear regression was used to calculate crude and adjusted rate ratios with 95% confidence intervals. Results: At follow-up, 2543 participants (12%) had developed psychological distress. Reporting poor physical and/or poor mental work ability in relation to job demands at baseline was associated with an almost doubled rate ratio of psychological distress at follow-up, compared to reporting good work ability (rate ratio 1.8; 95% confidence interval 1.6–2.0). Conclusions: Poor work ability is associated with a higher incidence of future psychological distress compared to good work ability.


2020 ◽  
Author(s):  
Inger Arvidsson ◽  
Jenny Gremark Simonsen ◽  
Agneta Lindegård Andersson ◽  
Jonas Björk ◽  
Catarina Nordander

Abstract Background Musculoskeletal pain is common in the general population and constitutes a major public health problem. A large proportion of these conditions may be work related. This study aimed to explore the relative importance of physical, psychosocial and personal factors, for musculoskeletal single- and multisite pain, among women in ordinary professions with a broad variety of occupational exposures. Methods A cohort of 1115 women responded to a questionnaire of ergonomic, psychosocial, personal and life-style factors, and musculoskeletal pain (based on frequency and intensity of complaints in nine anatomical sites), at baseline and at follow-up (mean 28 months later). Sum-scores of ergonomic- and psychosocial factors were created. The importance of the exposures at baseline for multisite pain (≥four pain-sites) at follow-up were estimated using ordinal regression. Multi-exposure Poisson regression models of exposures at baseline were used for outcomes of single-site pain at follow-up, in the neck, the shoulders, the hands, the lower back and the feet. Results High sum-scores of ergonomic- and psychosocial factors at baseline were of importance for multisite pain at follow-up, although the strongest risk factor was the presence of multisite pain at baseline. There was a large fluctuation in number of pain-sites between the two time-points, on the individual level. Eighteen percent of the study population reported multisite pain both at baseline and at follow-up, while only eleven percent did not report any pain, neither at baseline nor at follow-up. Among the single-site outcomes, a high sum-score of ergonomic factors was a risk factor of pain in the neck, the hands and the feet. A high sum-score of psychosocial factors was a risk factor of neck- and shoulder pain. The strongest risk factor was, however, pain in the actual anatomical site at baseline. Only a few of the personal and life-style factors were of importance for subsequent single- and multisite pain. Conclusions An overwhelming majority of the women in common occupations were affected by musculoskeletal pain. Both ergonomic- and psychosocial factors were predictive of single- and multisite pain. The findings points to the need of actions on individual, organizational and societal level.


Author(s):  
Kathryn Badarin ◽  
Tomas Hemmingsson ◽  
Lena Hillert ◽  
Katarina Kjellberg

Abstract Objective We investigated the separate and combined effects of musculoskeletal pain (MSP) and strenuous work (heavy physical workload (PWL)/low-decision authority) on poor physical work ability (WA). Methods This study uses baseline data from the 2010 Stockholm Public Health Questionnaire (SPHQ) including 9419 workers with good physical WA. Exposure to PWL and decision authority were estimated using sex-specific job-exposure matrices linked to occupations. Exposures (high/low) were combined with the presence of MSP. Follow-up data on physical WA were taken from the 2014 SPHQ and dichotomised (the responses: “moderate”, “rather poor” and “very poor” indicated poor WA). Logistic regression models calculated sex-specific odds ratios adjusting for age, education and health and lifestyle factors. Interaction between MSP and strenuous work was examined using the synergy index (SI). Analyses were conducted using SPSS.27. Results MSP, heavy PWL and low-decision authority were separately associated with poor WA. MSP was associated with higher odds of poor WA than strenuous work for women, the opposite for men. Combinations of MSP and strenuous work often resulted in higher risks of poor WA than when adding the effects of the single exposures (e.g., MSP and heavy PWL men: AOR 4.04 95% CI 2.00–8.15, women: AOR: 3.25 95% CI 1.81–5.83). The SI was non-significant for both sexes. Conclusion Workers with MSP and strenuous work often had higher risks of poor WA than would be expected from adding the effects of the single exposures. To decrease poor WA in this group, strenuous work should be lowered, and MSP addressed in workplaces.


2015 ◽  
Vol 44 (3) ◽  
pp. 300-310 ◽  
Author(s):  
Tiina Pensola ◽  
Eija Haukka ◽  
Leena Kaila-Kangas ◽  
Subas Neupane ◽  
Päivi Leino-Arjas

2021 ◽  
Vol 45 (1) ◽  
pp. 3-16
Author(s):  
Rachel A. Chambers ◽  
Dane Hautala ◽  
Anne Kenney ◽  
Summer Rosenstock ◽  
Marissa Begay ◽  
...  

Objectives: In this study, we assess the impact of a home-based diabetes prevention program, Together on Diabetes (TOD), on adolescent responsibility-taking for tasks related to diabetes risk. Methods: Participants were Native American youth ages 10-19 with or at risk of type 2 diabetes who participated in a 12-session, 6-month diabetes prevention program with an adult caretaker. Assessments completed at baseline, 6-month, and 12-month follow-up include demographics and the Diabetes and Obesity Task Sharing (DOTS) Questionnaire. We used latent class analysis (LCA) at baseline to examine heterogeneity in DOTS responses. We identified 3 classes (adolescent, shared, caretaker). We used latent transition analysis to examine stability and change in latent status at baseline, 6- and 12-month follow-up. Results: At baseline, the mean age of participants was 13.6 years and 55.9% were boys. From baseline to 6-month follow-up, the adolescent class was most stable, whereas the shared and caretaker classes were less stable. For participants who transition from the adolescent class, most transition to shared class compared to caretaker class. Conclusions: TOD helps to empower Native American adolescents to take responsibility for their health and engage with their caregivers in these decisions.


2018 ◽  
Vol 75 (10) ◽  
pp. 752-758 ◽  
Author(s):  
Ida E H Madsen ◽  
Nidhi Gupta ◽  
Esben Budtz-Jørgensen ◽  
Jens Peter Bonde ◽  
Elisabeth Framke ◽  
...  

ObjectivesDetermining exposure to occupational factors by workers’ job titles is extensively used in epidemiological research. However, the correspondence of findings regarding associations to health between job exposure matrices (JEMs) and individual-level exposure data is largely unknown. We set out to examine the prospective associations of physical work demands and psychosocial working conditions with musculoskeletal pain, comparing JEMs with individual-level self-reported exposures.MethodsWe analysed data of 8132 participants from the Work Environment and Health in Denmark cohort study. Using random intercept multilevel modelling, we constructed age-specific and sex-specific JEMs estimating predicted exposures in job groups. We analysed associations between working conditions (individual and JEM level) at baseline and musculoskeletal pain at follow-up using multilevel modelling stratified by sex, adjusting for age, education and baseline pain.ResultsAny consistent associations present in the individual-level analysis were also found in the JEM-level analysis. Higher pain levels at follow-up was seen for employees with higher baseline physical work demands, women exposed to violence and men with lower decision authority, whether measured at the individual or JEM level. Higher JEM-level quantitative demands were associated with less pain, but no association was seen at the individual level.ConclusionsWe found predominately comparable prospective associations between working conditions and pain, whether using JEMs or individual level exposures, with the exception of quantitative demands. The results suggest that, with few notable exceptions, findings obtained using JEMs may be comparable with those obtained when using self-reported exposures.


Author(s):  
Pia Hovbrandt ◽  
Per-Olof Östergren ◽  
Catarina Canivet ◽  
Maria Albin ◽  
Gunilla Carlsson ◽  
...  

Social participation is important for health, and it is well known that high strain jobs impact negatively on mental and physical health. However, knowledge about the impact of psychosocial working conditions on social participation from a long-term perspective is lacking. The purpose of this study was to investigate the associations between different job types and social participation from a long-term perspective. A comprehensive public health questionnaire “The Scania Public Health Survey”, was used, and psychosocial working conditions were measured with a Swedish translation of the Job Content Questionnaire. Based on data from 1098 working respondents aged 55 at baseline and a 10-year follow-up when the respondents were not working, the analyses revealed that social participation varied by job type. Jobs with high decision latitude, as in active and relaxed jobs, seem to predict high social participation, even after cessation of employment. Besides that, the result suggests that high social participation during working life is a predictor of high social participation from a long-term perspective which promotes healthy aging. Incentives for working longer are strongly related to good working conditions. A supportive work environment with possibilities for employees to participate in decision making, i.e., high control, is vital for a sustainable working life. This may contribute to an extended working life and may also support social participation prior to retirement as well as after retirement and thus to healthy aging.


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