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Temporal relationsh...
Temporal relationships between job strain and low-back pain
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- Magnusson Hanson, Linda L. (författare)
- Stockholms universitet,Stressforskningsinstitutet
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Madsen, Ida E. H. (författare)
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Rugulies, Reiner (författare)
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- Peristera, Paraskevi (författare)
- Stockholms universitet,Stressforskningsinstitutet
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- Westerlund, Hugo (författare)
- Stockholms universitet,Stressforskningsinstitutet
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Descatha, Alexis (författare)
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(creator_code:org_t)
- 2017-06-21
- 2017
- Engelska.
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Ingår i: Scandinavian Journal of Work, Environment and Health. - : Scandinavian Journal of Work, Environment and Health. - 0355-3140 .- 1795-990X. ; 43:5, s. 396-404
- Relaterad länk:
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https://doi.org/10.5...
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https://www.sjweh.fi...
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https://urn.kb.se/re...
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https://doi.org/10.5...
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Abstract
Ämnesord
Stäng
- Objectives Psychosocial working conditions are suggested risk factors for low-back pain, but it is unclear whether these associations are causal. The present study examined whether there are lagged and bidirectional associations between job strain and low-back pain and further controlled for unmeasured time-invariant confounding.Methods The study was based on four biennial waves of data from the Swedish Longitudinal Occupational Survey of Health (SLOSH), including 3084 men and women. Cross-lagged analyses using structural equation modeling (SEM) were conducted on job strain, a combination of high job demands and low control, and any as well as low-back pain severity (how much any problems affected the respondents life). Analogous SEM (dynamic panel) models with fixed effects were also fitted to remove confounding from time-invariant factors (such as non-observed individual and environmental factors, eg, genetics, childhood conditions, personality).Results The SEM models indicated bidirectional associations between job strain and any back pain over a 2-year time lag (β=0.21 and 0.19, P<0.05), when adjusting for a range of covariates. Job strain was also associated with an increase in low-back pain severity and vice versa. However, the SEM models with fixed-effects showed no statistically significant lagged relationships between job strain and any or low-back pain severity (β=-0.05 and β=0.00, respectively).Conclusions This study suggests that associations between job strain and low-back pain with a lag of years may be due to residual confounding by time invariant characteristics. Further studies are, however, needed to elucidate short-term relationships.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
Nyckelord
- cross-lagged panel analysis
- fixed effect
- longitudinal study
- occupational health
- psychosocial work environment
- structural equation modeling
- work stress
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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