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Cited by 216Musculoskeletal pain and rehabilitationWorkplace Health and Well-beingOccupational Health and Safety in Workplaces

Low Back Pain Prevalence and Related Workplace Psychosocial Risk Factors: A Study Using Data From the 2010 National Health Interview Survey

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Yang, Haiou, Haldeman, Scott, Lu, Ming-Lun, Baker, Dean·2016·Journal of Manipulative and Physiological Therapeutics
DOI 10.1016/j.jmpt.2016.07.004PMC PMC5530370
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Abstract

OBJECTIVES: The objectives of this study were to estimate prevalence of low back pain, to investigate associations between low back pain and a set of emerging workplace risk factors, and to identify worker groups with an increased vulnerability for low back pain in the United States. METHODS: The data used for this cross-sectional study came from the 2010 National Health Interview Survey, which was designed to collect data on health conditions and related risk factors from the US civilian population. The variance estimation method was used to compute weighted data for prevalence of low back pain. Multivariable logistic regression analyses stratified by sex and age were performed to determine the odds ratios (ORs) and the 95% confidence interval (CI) for low back pain. The examined work-related psychosocial risk factors included work-family imbalance, exposure to a hostile work environment, and job insecurity. Work hours, occupation, and other work organizational factors (nonstandard work arrangements and alternative shifts) were also examined. RESULTS: The prevalence of self-reported low back pain in the previous 3 months among workers in the United States was 25.7% in 2010. Female or older workers were at increased risk of experiencing low back pain. We found significant associations between low back pain and a set of psychosocial factors, including work-family imbalance (OR 1.27, CI 1.15-1.41), exposure to hostile work (OR 1.39, CI 1.25-1.55), and job insecurity (OR 1.44, CI 1.24-1.67), while controlling for demographic characteristics and other health-related factors. Older workers who had nonstandard work arrangements were more likely to report low back pain. Women who worked 41 to 45 hours per week and younger workers who worked >60 hours per week had an increased risk for low back pain. Workers from several occupation groups, including male health care practitioners, female and younger health care support workers, and female farming, fishing, and forestry workers, had an increased risk of low back pain. CONCLUSIONS: This study linked low back pain to work-family imbalance, exposure to a hostile work environment, job insecurity, long work hours, and certain occupation groups. These factors should be considered by employers, policymakers, and health care practitioners who are concerned about the impact of low back pain in workers.

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  1. [43]Alterman T Luckhaupt SE Dahlhamer JM Ward BW Calvert GM Prevalence rates of work organization characteristics among workers in the U.S.: Data from the 2010 National Health Interview Survey Am J Ind Med 8 2012 PMC4557703 22911666
  2. [64]Commission on Behavioral and Social Sciences and Education DoBaSSaENRC The Changing Nature of Work: Implications for Occupational Analysis Washington, DC The National Academies Press 1999
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  4. [100]National Research Council and Institute of Medicine Musculoskeletal Disorders and the Workplace: Low back and upper extremities Washington DC Academy Press 2001 25057544
  5. [116]Hammer LB Sauter S Total worker health and work-life stress J Occup Environ Med 12 2013 55 12 Suppl S25 29 24284759

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Authors
Yang, H., Haldeman, S., Lu, M.-L., & Baker, D.
Affiliations
  • University of California, Irvine (US)
  • University of California, Los Angeles (US)
  • National Institute for Occupational Safety and Health (US)
Corresponding author
Yang, Haiou
ORCID
Venue
Journal of Manipulative and Physiological Therapeutics
Publisher
National University of Health Sciences
Published
2016-09
Volume
39
Issue
7
Pages
459-472
ISSN
0161-4754 (ISSN-L)
DOI
10.1016/j.jmpt.2016.07.004
PMC
PMC5530370
OpenAlex
W2510274048
Cited by
215
References
118
Citations by year
2026: 10 · 2025: 12 · 2024: 24 · 2023: 29 · 2022: 31 · 2021: 46 · 2020: 26 · 2019: 21 · 2018: 10 · 2017: 5 · 2016: 1
FWCI
9.97
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Manipulative and Physiological Therapeutics (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
National Institutes of Health (CC999999)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
Keywords
low back pain, prevalence, psychosocial risk factors, hostile work environment, job insecurity, non-standard employment, long working hours, occupational risk, sex differences, age differences, healthcare workers, farm workers
MeSH terms
Occupational Stress, Adolescent, Adult, Cross-Sectional Studies, Female, Health Surveys, Humans, Male, Middle Aged, Occupational Diseases, Risk Factors, Stress, Psychological, United States, Prevalence, Low Back Pain, Young Adult

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