Journal of Occupational Health
Online ISSN : 1348-9585
Print ISSN : 1341-9145
Associations of Psychosocial and Individual Factors with Three Different Categories of Back Disorder among Nursing Staff
Francesco S ViolanteMarina FioriCristiana FiorentiniAlessandro RisiGiacomo GaragnaniRoberta BonfiglioliStefano Mattioli
Author information

Volume 46 (2004) Issue 2 Pages 100-108

Download PDF (109K) Contact us

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.

Information related to the author
2004 by the Japan Society for Occupational Health
Previous article Next article

Recently visited articles

Sangyo Igaku