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Cited by 34Musculoskeletal pain and rehabilitationOccupational Health and Safety in WorkplacesErgonomics and Musculoskeletal Disorders

Low back pain among textile workers: a cross-sectional study

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Paudyal, P., Ayres, J. G., Semple, S., Macfarlane, G. J.·2013·Occupational Medicine
DOI 10.1093/occmed/kqs231
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Abstract

BACKGROUND: Low back pain (LBP) is one of the most prevalent occupational health problems in industrialized countries. Little is known about the epidemiology of LBP in developing countries. AIMS: To determine the prevalence of LBP among Nepalese textile workers and to investigate the influence of exposure to mechanical and other factors on LBP reporting. METHODS: Interviewers completed questionnaires with study subjects, and work-related mechanical exposures were measured by self-completed questionnaires. Associations of LBP with mechanical factors and somatic symptoms were determined by logistic regression and reported as odds ratios (ORs) with 95% confidence intervals (CI). RESULTS: Nine hundred and thirty-eight workers took part, a participation rate of 92%. The 1 month period prevalence of LBP was 35% (n = 324), being higher in females than males (45% versus 28%; P < 0.001). Several work-related mechanical factors were associated with increased odds of reporting LBP: lifting heavy weights with one hand (OR 1.7; 95% CI 1.1-2.8), pushing weights (OR 1.6; 95% CI 1.2-2.3 and pulling weights (OR 1.6; 95% CI 1.1-2.1). No association was found with working posture. Strong associations were found for reporting one (OR 2.4; 95% CI 1.7-3.4) or two somatic symptoms (OR 2.7; 95% CI 1.4-5.1). On multivariable analysis, reporting of somatic symptoms (OR 2.8; 95% CI 1.5-5.4), female gender (OR 2.2; 95% CI 1.5-3.1) and increasing age were significantly associated with increased risk of reporting LBP (OR 1.7; 95% CI 1.2-2.5), but no associations were found with mechanical factors. CONCLUSIONS: This study suggests that mechanical load may not be the leading cause of LBP and adds to evidence that psychological factors play an important role in LBP in non-industrialized countries.

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  1. McBeth J, Macfarlane GJ, Benjamin S, Silman AJ. Features of somatization predict the onset of chronic widespread pain: results of a large population-based study. Arthritis Rheum 2001;44:940-946.

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Authors
Paudyal, P., Ayres, J. G., Semple, S., & Macfarlane, G. J.
Affiliations
  • University of Plymouth (GB)
  • University of Birmingham (GB)
  • University of Aberdeen (GB)
ORCID
Venue
Occupational Medicine
Publisher
Oxford University Press (OUP)
Published
2013-01-28
Volume
63
Issue
2
Pages
129-134
ISSN
  • 0962-7480 (ISSN-L)
  • 1471-8405
DOI
10.1093/occmed/kqs231
OpenAlex
W2128489152
Cited by
34
References
31
Citations by year
2025: 2 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 4 · 2019: 4 · 2018: 6 · 2017: 3 · 2016: 2 · 2015: 4 · 2014: 4 · 2013: 1
FWCI
2.69
Type
journal article
Language
en
Open access
Locations
  • Occupational Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Figshare (submittedVersion, cc-by)
Funders
National Institute for Health and Care Research
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
  • Social Sciences › Psychology › Social Psychology › Ergonomics and Musculoskeletal Disorders
Keywords
low back pain, textile workers, occupational health, mechanical loading, heavy weight lifting, somatic symptoms, prevalence, gender differences, age, psychological factors, Nepal
MeSH terms
Adult, Cross-Sectional Studies, Developing Countries, Female, Humans, Male, Nepal, Occupational Diseases, Surveys and Questionnaires, Textiles, Work, Occupational Exposure, Low Back Pain, Self Report

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