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Low Back Pain Prevalence and Related Workplace Psychosocial Risk Factors: A Study Using Data From the 2010 National Health Interview Survey
Open accessAbstract
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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“In addition, increased occupation-related risk for musculoskeletal disorders like back pain is reported for occupations with physically strenuous and manual labor, for instance, in the agricultural sector [8,9,10].”
From Lessons Learned from an Attempted Pragmatic Randomized Controlled Trial for Improvement of Chronic Pain-Associated Disability in Green Professions: Long-Term Effectiveness of a Guided Online-Based Acceptance and Commitment Therapy (PACT-A) (2022) · cites this paper as [10]
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United States Department Of Health And Human Services. Centers For Disease Control And Prevention. National Center For Health Statistics (1993) · ICPSR Data Holdings · doi:10.3886/icpsr06047 · Cited by 9
Origin of a Musculoskeletal Guideline
Delloiacono, N. (2016) · Workplace Health & Safety · doi:10.1177/2165079915623964 · Cited by 6
Musculoskeletal symptoms and occupational stress among nurses in a military hospital
Valecillo, M., Quevedo, A. L., Palma, A. L., dos Santos, A., Montiel, M., Camejo, M., & Sánchez, M. (2009) · Salud de los Trabajadores · Cited by 3
Flagged first, then by citations
2 of the 118 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Clay, 2015, The changing workplace. Researchers at the “Work, Stress and Health 2015” conference explored ways to improve and sustain employees’ well-being, Monitor Psychol, 46
Cited by
Sorted by citations
Lo, J., Chan, L. E., & Flynn, S. (2020) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2020.04.001 · Cited by 419
Study of acupuncture for low back pain in recent 20 years: a bibliometric analysis via CiteSpace
Liang, Y., Li, Y., Zhao, J., Wang, X., Zhu, H., & Chen, X. (2017) · Journal of Pain Research · doi:10.2147/jpr.s132808 · Cited by 282
Wong, C. K. W., Mak, R. Y., Kwok, T. S., Tsang, J. S., Leung, M. Y., Funabashi, M., Macedo, L. G., Dennett, L., & Wong, A. Y. L. (2021) · Journal of Pain · doi:10.1016/j.jpain.2021.07.012 · Cited by 295
Schleip, R., Gabbiani, G., Wilke, J., Naylor, I. L., Hinz, B., Zorn, A., Jäger, H., Breul, R., Schreiner, S. R., & Klingler, W. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.00336 · Cited by 161
Acupuncture and Neural Mechanism in the Management of Low Back Pain—An Update
Lim, T.-K., Ma, Y., Berger, F., & Litscher, G. (2018) · Medicines · doi:10.3390/medicines5030063 · Cited by 145
Metadata
- 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
- Venue
- Journal of Manipulative and Physiological Therapeutics
- Published
- 2016-09
- Volume
- 39
- Issue
- 7
- Pages
- 459-472
- ISSN
- 0161-4754 (ISSN-L)
- 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
- bronze
- doi.org
- 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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