Finnish Institute of Occupational Health, PO Box 18, 00032 Helsinki, Finland.
Department of Public Health, University of Helsinki, PO Box 20, FI-00014 Helsinki, Finland.
Int J Environ Res Public Health. 2021 Mar 24;18(7):3375. doi: 10.3390/ijerph18073375.
This study investigates to what extent pain in multiple sites and common risk factors related to work environment, occupational class and health behaviours are associated with cause-specific work disability (WD) development clusters. The study population was derived from the Finnish Helsinki Health Study (n = 2878). Sequence analysis created clusters of similar subsequent cause-specific WD development in an eight-year follow-up period. Cross-tabulations and multinomial logistic regression were used to analyze the extent to which baseline factors, including pain in multiple sites, were associated with the subsequent WD clusters. A solution with five distinct WD clusters was chosen: absence of any WD (40%), low and temporary WD due to various causes (46%), WD due to mental disorders (3%), WD due to musculoskeletal (8%) and WD due to other causes (4%). Half of the employees in the musculoskeletal WD cluster had pain in multiple locations. In the adjusted model the number of pain sites, low occupational class and physical working conditions were linked to the musculoskeletal WD. The identified characteristics of the different WD clusters may help target tailored work disability prevention measures for those at risk.
本研究旨在探讨多部位疼痛以及与工作环境、职业类别和健康行为相关的常见风险因素与特定原因的工作残疾 (WD) 发展集群之间的关联程度。该研究人群来自芬兰赫尔辛基健康研究 (n = 2878)。在为期八年的随访期间，序列分析创建了具有相似后续特定原因 WD 发展的集群。交叉表和多项逻辑回归用于分析基线因素（包括多部位疼痛）与随后的 WD 集群之间的关联程度。选择了具有五个不同 WD 集群的解决方案：无任何 WD（40%）、各种原因导致的低且暂时 WD（46%）、精神障碍导致的 WD（3%）、肌肉骨骼导致的 WD（8%）和其他原因导致的 WD（4%）。肌肉骨骼 WD 集群中有一半的员工存在多处疼痛。在调整后的模型中，疼痛部位的数量、低职业类别和体力工作条件与肌肉骨骼 WD 有关。不同 WD 集群的特征可能有助于针对高危人群制定有针对性的工作残疾预防措施。
