Department of Public Health, Hjelt Institute, University of Helsinki, Helsinki, Finland.
Eur J Pain. 2012 Jul;16(6):911-20. doi: 10.1002/j.1532-2149.2011.00065.x. Epub 2011 Dec 19.
To study the associations of sociodemographic factors, working conditions, lifestyle and previous pain in the spine with new onset chronic neck pain (NP).
The participants were municipal employees free of chronic NP at baseline, aged 40, 45, 50, 55 or 60 years (n = 5277, 80% women). Self-reported data on occupational class, working conditions, body mass index, smoking, exercise, mental well-being, sleep problems, NP and low back pain (LBP) were obtained from baseline questionnaire surveys in 2000-2002. The question on chronic NP was repeated in a follow-up in 2007. Logistic regression analysis was used.
The incidence of chronic NP was 15% in women and 9% in men. In multivariable analysis among women, acute NP [odds ratio (OR) 3.8, 95% confidence interval (CI) 2.9-5.1], chronic LBP (1.6, 1.2-2.2), reporting current workplace bullying (OR 1.6, 95% CI 1.1-2.4), earlier bullying at the present workplace (1.6, 1.2-2.0), and earlier bullying in another workplace (1.8, 1.3-2.4), frequent sleep problems (1.5, 1.2-2.0), overweight (1.2, 1.0-1.5), and obesity (1.4, 1.1-1.8) predicted chronic NP at follow-up. Men with acute NP (2.3, 1.4-3.8), chronic LBP (2.3, 1.2-4.3), manual occupational class (1.8, 1.1-3.1) and high work-related emotional exhaustion (1.9, 1.1-3.3) at baseline had an increased risk of new onset chronic NP.
We found potentially modifiable predictors of chronic NP among employees: workplace bullying, sleep problems, and high body mass index in women, and work-related emotional exhaustion in men. In both genders, previous acute NP and chronic LBP were predictive of chronic NP.
研究社会人口因素、工作条件、生活方式和脊柱既往疼痛与新发慢性颈痛（NP）的相关性。
本研究参与者为基线时无慢性 NP 的市政雇员，年龄在 40、45、50、55 或 60 岁（n=5277，80%为女性）。2000-2002 年基线问卷调查中收集了职业类别、工作条件、体重指数、吸烟、锻炼、心理健康、睡眠问题、NP 和下腰痛（LBP）的自我报告数据。2007 年进行了随访，重复了关于慢性 NP 的问题。采用逻辑回归分析。
女性慢性 NP 的发病率为 15%，男性为 9%。多变量分析显示，女性中急性 NP（比值比[OR]3.8，95%置信区间[CI]2.9-5.1）、慢性 LBP（1.6，1.2-2.2）、当前工作场所欺凌（OR 1.6，95%CI 1.1-2.4）、当前工作场所早期欺凌（1.6，1.2-2.0）、另一个工作场所的早期欺凌（1.8，1.3-2.4）、频繁的睡眠问题（1.5，1.2-2.0）、超重（1.2，1.0-1.5）和肥胖（1.4，1.1-1.8）预测随访时的慢性 NP。男性中急性 NP（2.3，1.4-3.8）、慢性 LBP（2.3，1.2-4.3）、体力劳动职业类别（1.8，1.1-3.1）和高工作相关的情绪疲惫（1.9，1.1-3.3）与新发慢性 NP 的风险增加有关。
我们发现了员工中慢性 NP 的潜在可改变预测因素：女性中为工作场所欺凌、睡眠问题和高体重指数，男性中为工作相关的情绪疲惫。在两性中，既往急性 NP 和慢性 LBP 是慢性 NP 的预测因素。
