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Influence of work a...
Influence of work ability and smoking on the prognosis of long-duration activity-limiting neck/back pain : A cohort study of a Swedish working population
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- Bohman, Tony (författare)
- Karolinska Institutet,Högskolan Dalarna,Medicinsk vetenskap,Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden,Karolinska Inst, Inst Environm Med, Stockholm, Sweden.;Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Dalarna, Sweden.
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- Holm, Lena W (författare)
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden,Karolinska Inst, Inst Environm Med, Stockholm, Sweden.
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- Lekander, Mats, 1959- (författare)
- Karolinska Institutet,Stockholms universitet,Stressforskningsinstitutet,Stress Research Institute, Stockholm University, Stockholm, Sweden; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden,Stockholm Univ, Stress Res Inst, Stockholm, Sweden.;Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.
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- Hallqvist, Johan, 1950- (författare)
- Uppsala universitet,Allmänmedicin och preventivmedicin
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- Skillgate, Eva, 1963- (författare)
- Karolinska Institutet,Sophiahemmet Högskola,Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; Department of Health Promotion Science, Sophiahemmet University, Stockholm, Sweden,Karolinska Inst, Inst Environm Med, Stockholm, Sweden.;Sophiahemmet Univ, Dept Hlth Promot Sci, Stockholm, Sweden.
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(creator_code:org_t)
- 2022-04-12
- 2022
- Engelska.
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Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 12:4
- Relaterad länk:
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https://shh.diva-por... (primary) (Raw object)
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- OBJECTIVES: Long-duration activity-limiting neck/back pain is common, but the knowledge of what work and lifestyle factors that influence the prognosis is sparse. The objective was therefore to evaluate if two factors, good self-perceived work ability and no daily smoking, are associated with a favourable prognosis of long-duration activity-limiting neck/back pain in a working population, and if these exposures have a synergistic prognostic effect.DESIGN: A prospective cohort study based on three subsamples from the Stockholm Public Health Cohort.SETTINGS: A working population in Stockholm County, Sweden.PARTICIPANTS: Individuals, 18-61 years old, reporting long-duration activity-limiting neck/back pain the previous 6 months at baseline in 2010 (n=5177).MEASURES: The exposures were: self-perceived work ability (categorised into good, moderate and poor) and daily smoking (no/yes). The outcome in 2014 was 'absence of long-duration activity-limiting neck/back pain' the previous 6 months representing a favourable prognosis of reported problems at baseline in 2010. Risk ratios (RRs) and risk differences (RDs) with 95% CI was estimated by general linear regressions, and the synergistic effect was estimated by the synergy index (SI) with 95% CI.RESULTS: Participants with moderate or good work ability, respectively, had an adjusted RR for a favourable prognosis of 1.37 (95% CI 1.11 to 1.69), and 1.80 (1.49 to 2.17) in comparison with participants with poor work ability. The corresponding adjusted RD were 0.07 (0.02 to 0.11) and 0.17 (0.12 to 0.22). Participants not smoking on daily basis had an adjusted RR of 1.21 (1.02 to 1.42), and an adjusted RD of 0.05 (0.01 to 0.10) for a favourable outcome compared with daily smokers. The adjusted SI was 0.92 (0.60 to 1.43).CONCLUSION: For participants with long-duration activity-limiting neck/back pain, moderate or good self-perceived work ability and not being a daily smoker were associated with a favourable prognosis but having both exposures seemed to have no synergistic prognostic effect.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
Nyckelord
- Back pain
- Epidemiology
- Musculoskeletal disorders
- Public Health
- Spine
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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