Open AccessAssociations of Psychosocial and Individual Factors with Three Different Categories of Back Disorder among Nursing Staff
Author(s) -
Violante Francesco S.,
Fiori Marina,
Fiorentini Cristiana,
Risi Alessandro,
Garagnani Giacomo,
Bonfiglioli Roberta,
Mattioli Stefano
Publication year - 2004
Publication title -
journal of occupational health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.664
H-Index - 59
ISSN - 1348-9585
DOI - 10.1539/joh.46.100
Subject(s) - medicine , low back pain , psychosocial , physical therapy , back pain , lumbar , psychiatry , surgery , alternative medicine , pathology
Associations of Psychosocial and Individual Factors with Three Different Categories of Back Disorder among Nursing Staff: Francesco S. Violante, et al. Alma Mater Studiorum—University of Bologna, Occupational Medicine Unit, Sant’Orsola‐Malpighi Hospital, Italy —Although back disorders are a major occupational problem for nursing staff, few studies distinguish different types. By means of a structured questionnaire, we performed a cross‐sectional study on the prevalence of diagnosed lumbar disc hernia, chronic low‐back pain (LBP) (at least 90 d in the preceding 12 months) and acute LBP (intense pain for at least 1 d) with respect to physical, individual and psychosocial factors among female nurses (n=587), nursing aides (n=228) and head‐nurses (n=43) working in a university hospital (95% of the female workforce). Almost all respondents reported known high‐risk occupational activities. Overall prevalence of reported back disorders was 44% (acute LBP 19%, chronic LBP 17%, lumbar hernia 8%). On multinomial logistic regression analysis, scoliosis and commonly stress‐related psychosomatic symptoms were associated with all three types of back disorder; trauma/ fractures of the spine, pelvis and/or legs and a global work‐environment/job‐satisfaction score with acute LBP; increasing age with lumbar disc hernia. While confirming the relevance of considering different definitions of back disorder, our data indicate items for investigation in cohort studies. These include: identification of specific risk factors for lumbar hernia; avoidance of possible work‐environment risk factors such as hurried execution of different tasks at the same time; and influence on job suitability of underlying spinal pathologies such as scoliosis.