Department of Public Health, University of Helsinki, Helsinki, Finland.
Eur J Pain. 2011 Jul;15(6):584-90. doi: 10.1016/j.ejpain.2010.11.008. Epub 2010 Dec 15.
To study the effects of occupational class, physical and psychosocial working conditions, health behaviours, and pain in the low back and the neck on sciatic pain among middle-aged employees.
The participants were municipal employees without previous sciatica, aged 40, 45, 50, 55, and 60 years at baseline (n=5261, 80% women). Sciatica was defined as low back pain radiating to the calf or the foot. Data on occupational class, physical and psychosocial working conditions, body mass index, smoking, leisure-time physical activity, neck pain, local low back pain, and sciatica were obtained from baseline questionnaire surveys in 2000-2002. The question on sciatica was repeated in a follow-up survey in 2007. Logistic regression analysis was used.
In women, manual occupational class (OR 1.3; 95% CI 1.0-1.6 compared with managers/professionals), overweight (1.3; 1.1-1.5), obesity (1.4; 1.1-1.7), smoking (1.5; 1.2-1.7), low leisure-time physical activity (1.3; 1.0-1.7), previous acute (1.5; 1.3-1.7) and chronic (1.5; 1.1-2.0) local low back pain, and acute (1.20; 1.0-1.4) and chronic (1.5;1.2-1.9) neck pain predicted the onset of sciatica in a multivariable model. In men, semi-professionals (1.5; 1.1-2.1) and manual workers (2.0; 1.4-2.8) had an increased risk compared with managers/professionals; also acute (1.5; 1.2-2.0) and chronic (2.1; 1.2-3.9) local low back pain predicted sciatica.
Manual occupational class in both genders and semi-professional occupations in men, unhealthy behaviours and previous pain both in the neck and the lower back predicted sciatica, while physical and psychosocial working conditions had no independent effect.
研究职业阶层、身体和心理社会工作条件、健康行为以及腰背和颈部疼痛对中年员工坐骨神经痛的影响。
研究对象为基线时无坐骨神经痛的市政雇员，年龄在 40、45、50、55 和 60 岁之间（n=5261，80%为女性）。坐骨神经痛定义为腰痛放射至小腿或足部。2000-2002 年基线问卷调查收集了职业阶层、身体和心理社会工作条件、体重指数、吸烟、休闲时间体力活动、颈痛、局部腰痛和坐骨神经痛的数据。2007 年随访调查中重复了关于坐骨神经痛的问题。采用逻辑回归分析。
在女性中，体力劳动者（OR 1.3；95%CI 1.0-1.6 与管理人员/专业人员相比）、超重（1.3；1.1-1.5）、肥胖（1.4；1.1-1.7）、吸烟（1.5；1.2-1.7）、低休闲时间体力活动（1.3；1.0-1.7）、既往急性（1.5；1.3-1.7）和慢性（1.5；1.1-2.0）局部腰痛，以及急性（1.20；1.0-1.4）和慢性（1.5；1.2-1.9）颈痛在多变量模型中预测了坐骨神经痛的发生。在男性中，半专业人员（1.5；1.1-2.1）和体力劳动者（2.0；1.4-2.8）与管理人员/专业人员相比风险增加；此外，急性（1.5；1.2-2.0）和慢性（2.1；1.2-3.9）局部腰痛也预测了坐骨神经痛。
两性中的体力劳动职业类别和男性中的半专业职业，不健康的行为以及颈部和下背部的既往疼痛均预测了坐骨神经痛，而身体和心理社会工作条件则没有独立影响。
