Associations of sickness absence for pain in the low back, neck and shoulders with wider propensity to pain
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- dc.contributor.author Coggon, David
- dc.contributor.author Serra, Consol
- dc.contributor.author Harcombe, Helen
- dc.date.accessioned 2020-06-17T06:46:39Z
- dc.date.available 2020-06-17T06:46:39Z
- dc.date.issued 2020
- dc.description.abstract Objectives: To explore the association of sickness absence ascribed to pain at specific anatomical sites with wider propensity to musculoskeletal pain. Methods: As part of the CUPID (Cultural and Psychosocial Influences on Disability) study, potential risk factors for sickness absence from musculoskeletal pain were determined for 11 922 participants from 45 occupational groups in 18 countries. After approximately 14 months, 9119 (78%) provided follow-up information about sickness in the past month because of musculoskeletal pain, including 8610 who were still in the same job. Associations with absence for pain at specific anatomical sites were assessed by logistic regression and summarised by ORs with 95% CIs. Results: 861 participants (10%) reported absence from work because of musculoskeletal pain during the month before follow-up. After allowance for potential confounders, risk of absence ascribed entirely to low back pain (n=235) increased with the number of anatomical sites other than low back that had been reported as painful in the year before baseline (ORs 1.6 to 1.7 for ≥4 vs 0 painful sites). Similarly, associations with wider propensity to pain were observed for absence attributed entirely to pain in the neck (ORs up to 2.0) and shoulders (ORs up to 3.4). Conclusions: Sickness absence for pain at specific anatomical sites is importantly associated with wider propensity to pain, the determinants of which extend beyond established risk factors such as somatising tendency and low mood. Better understanding of why some individuals are generally more prone to musculoskeletal pain might point to useful opportunities for prevention.
- dc.format.mimetype application/pdf
- dc.identifier.citation Coggon D, Ntani G, Walker-Bone K, Felli VE, Harari R, Barrero LH, et al. Associations of sickness absence for pain in the low back, neck and shoulders with wider propensity to pain. Occup Environ Med. 2020 May; 77(5):301-8. DOI: 10.1136/oemed-2019-106193
- dc.identifier.doi http://dx.doi.org/10.1136/oemed-2019-106193
- dc.identifier.issn 1351-0711
- dc.identifier.uri http://hdl.handle.net/10230/44990
- dc.language.iso eng
- dc.publisher BMJ Publishing Group
- dc.relation.ispartof Occupational and Environmental Medicine. 2020 May;77(5):301-8.
- dc.rights Copyright © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri https://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Epidemiology
- dc.subject.keyword Longitudinal studies
- dc.subject.keyword Musculoskeletal
- dc.title Associations of sickness absence for pain in the low back, neck and shoulders with wider propensity to pain
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion