Temporal relationships between job pressure and low-back ache.
Scand J Work Environ Well being. 2017 Sep 01;43(5):396-404
Authors: Magnusson Hanson LL, Madsen IE, Rugulies R, Peristera P, Westerlund H, Descatha A
Aims Psychosocial working situations are prompt danger elements for low-back ache, however it’s unclear whether or not these associations are causal. The current research examined whether or not there are lagged and bidirectional associations between job pressure and low-back ache and additional managed for unmeasured time-invariant confounding. Strategies The research was based mostly on 4 biennial waves of knowledge from the Swedish Longitudinal Occupational Survey of Well being (SLOSH), together with 3084 women and men. Cross-lagged analyses utilizing structural equation modeling (SEM) have been carried out on job pressure, a mixture of excessive job calls for and low management, and any in addition to low-back ache severity (how a lot any issues affected the respondents life). Analogous SEM (dynamic panel) fashions with mounted results have been additionally fitted to take away confounding from time-invariant elements (reminiscent of non-observed particular person and environmental elements, eg, genetics, childhood situations, character). Outcomes The SEM fashions indicated bidirectional associations between job pressure and any again ache over a 2-year time lag (?=Zero.21 and Zero.19, P<Zero.05), when adjusting for a spread of covariates. Job pressure was additionally related to a rise in low-back ache severity and vice versa. Nevertheless, the SEM fashions with fixed-effects confirmed no statistically vital lagged relationships between job pressure and any or low-back ache severity (?=-Zero.05 and ?=Zero.00, respectively). Conclusions This research means that associations between job pressure and low-back ache with a lag of years could also be on account of residual confounding by time invariant traits. Additional research are, nevertheless, wanted to elucidate short-term relationships.
PMID: 28636724 [PubMed – indexed for MEDLINE]