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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00006243naa a2200577 4500
001oai:DiVA.org:umu-199346
003SwePub
008220914s2022 | |||||||||||000 ||eng|
009oai:DiVA.org:hig-38430
009oai:prod.swepub.kib.ki.se:152986467
024a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1993462 URI
024a https://doi.org/10.1016/j.spinee.2022.08.0092 DOI
024a https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-384302 URI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1529864672 URI
040 a (SwePub)umud (SwePub)higd (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Jackson, Jennieu Högskolan i Gävle,Umeå universitet,Avdelningen för hållbar hälsa,Department of Occupational Health Sciences and Psychology, University of Gävle, Gävle, Sweden,Arbetshälsovetenskap,Centrum för belastningsskadeforskning4 aut0 (Swepub:hig)jeejan
2451 0a Risk factors for surgically treated cervical spondylosis in male construction workers :b a 20-year prospective study
264 1b Elsevier,c 2022
338 a electronic2 rdacarrier
520 a BACKGROUND CONTEXT: Degenerative changes due to cervical spondylosis (CS) can detrimentally affect work ability and quality of life yet understanding of how physical exposure affects disease progression is limited.PURPOSE: To assess the associations between occupational physical exposures and occurrence of surgically treated cervical spondylosis (ST-CS) and early exit from the labour market via disability pension.STUDY DESIGN/SETTING: Prospective register study with 20 year follow-up period.PATIENT SAMPLE: Swedish construction workers participating in a national health surveillance project conducted between 1971-1993.OUTCOME MEASURES: Surgically treated cervical spondylosis (ST-CS) and early labour market exit at a minimum rate of 25% time on disability pension.METHODS: Associations between occupational physical exposures (job exposure matrix) and subsequent ST-CS (National Hospital in-patient register) and early labour market exit via disability pension (Swedish Social Insurance Agency register) were assessed in a cohort of male construction workers (n=237,699).RESULTS: A total of 1381 ST-CS cases were present and a 20-year incidence rate of 35.1 cases per 100,000 person years (95% confidence interval (CI) 33.2-36.9). Increased relative risk (RR) for ST-CS was found for workers exposed to non-neutral (RR 1.40, 95% CI 1.15-1.69) and awkward neck postures (1.52, 1.19-1.95), working with the hands above shoulder height (1.30, 1.06-1.60), and high upper extremity loading (1.35, 1.15-1.59). Increased risk was also present for workers who reported frequent neck (3.06, 2.18-4.30) and upper back (3.84, 2.57-5.73) pain in the 12 months prior to survey. Among workers with elevated arm exposure, higher risk was seen in those who also had more frequent neck pain. ST-CS cases took early retirement more often (41.3%) and at a younger age (53 years) than the total study cohort (14.8% and 56 years of age, respectively).CONCLUSIONS: Occupational exposure to non-neutral neck postures, work with hands above shoulders and high loads born through the upper extremities increased the risk for ST-CS and early retirement due to disability. Decreasing postural and load exposure is salient for primary, secondary, and tertiary prevention of CS. Neck pain was shown to be a prognostic factor for ST-CS, which stresses the importance of acting early and taking preventative action to reduce workplace exposure, and the need for systematic medical check-ups within primary or occupational care to mitigate disease progression and early labour market exit due to disability.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Ortopedi0 (SwePub)302112 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Orthopaedics0 (SwePub)302112 hsv//eng
650 7a TEKNIK OCH TEKNOLOGIERx Maskinteknikx Produktionsteknik, arbetsvetenskap och ergonomi0 (SwePub)203072 hsv//swe
650 7a ENGINEERING AND TECHNOLOGYx Mechanical Engineeringx Production Engineering, Human Work Science and Ergonomics0 (SwePub)203072 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Arbetsmedicin och miljömedicin0 (SwePub)303032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Occupational Health and Environmental Health0 (SwePub)303032 hsv//eng
653 a early-retirement
653 a hand tools
653 a job exposure matrix
653 a neck pain
653 a repetitive
653 a static work
653 a upper-back pain
653 a Health-Promoting Work
700a Liv, Per,d 1979-u Umeå universitet,Institutionen för epidemiologi och global hälsa,Faculty of Medicine, Umeå University, Umeå, Sweden.,Department of Epidemiology and Global Health, Faculty of Medicine, Umeå University4 aut0 (Swepub:umu)perliv00
700a Sayed-Noor, Arkan S.u Deparment of Clinical Science and Education, Karolinska Institutet4 aut
700a Punnett, Laurau Department of Biomedical Engineering, University of Massachusetts Lowell4 aut
700a Wahlström, Jens,d 1972-u Umeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University4 aut0 (Swepub:umu)jewa0014
710a Umeå universitetb Avdelningen för hållbar hälsa4 org
773t The spine journald : Elsevierg 23:1, s. 136-145q 23:1<136-145x 1529-9430x 1878-1632
856u https://doi.org/10.1016/j.spinee.2022.08.009y Fulltext
856u https://umu.diva-portal.org/smash/get/diva2:1695542/FULLTEXT02.pdfx primaryx Raw objecty fulltext:print
856u https://hig.diva-portal.org/smash/get/diva2:1652766/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-199346
8564 8u https://doi.org/10.1016/j.spinee.2022.08.009
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-38430
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:152986467

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