Musculoskeletal & Sports Injury Epidemiology Center, Department of Health Promotion Sciences, Sophiahemmet University, 114 86 Stockholm, Sweden.
Unit of Intervention and Implementation for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden.
Int J Environ Res Public Health. 2021 Sep 24;18(19):10051. doi: 10.3390/ijerph181910051.
Mental illness and psychological distress are global concerns. This study aimed to investigate the association between having non-preferred work and the incidence of spinal pain, psychological distress, and spinal pain with concurrent psychological distress, and if associations are modified by sleep disturbance. A prospective study of 4285 participants 23-62 years old was conducted, from years 2007 to 2010. Participants reported their work situation as preferred/non-preferred regarding profession/workplace with a high/low possibility to change. Psychological distress was measured with the General Health Questionnaire 12 and spinal pain with questions about neck/back pain. Binominal regression analyses calculated relative risk (RR) with 95% confidence interval (CI). Non-preferred work with a low possibility to change was associated with a higher incidence of spinal pain (RR 1.8; 95% CI 1.2-2.6) and psychological distress (RR 1.8; 95% CI 1.4-2.4) compared to preferred work. The RR was 1.4 (95% CI 0.9-2.1) for spinal pain and 1.3 (95% CI 1.0-1.7) for psychological distress among those with a high possibility to change. Non-preferred work yielded a higher incidence of spinal pain with concurrent psychological distress (RR 1.9; 95% CI 1.0-3.7). Sleep disturbance did not modify associations. A replication based on newer data is needed to confirm the results. In conclusion, non-preferred work is associated with a higher incidence of spinal pain and psychological distress, especially if the possibility to change job is low.
精神疾病和心理困扰是全球性问题。本研究旨在调查非偏好工作与脊柱疼痛、心理困扰以及脊柱疼痛伴发心理困扰的发生率之间的关联，以及这些关联是否会受到睡眠障碍的影响。本研究是一项前瞻性研究，共纳入了 4285 名 23-62 岁的参与者，研究时间为 2007 年至 2010 年。参与者报告了他们的工作情况，包括职业/工作场所是否为偏好/非偏好，以及改变工作的可能性是高还是低。使用一般健康问卷 12 来衡量心理困扰，使用关于颈部/背部疼痛的问题来衡量脊柱疼痛。使用二项式回归分析计算相对风险（RR）和 95%置信区间（CI）。与偏好工作相比，低改变可能性的非偏好工作与脊柱疼痛（RR 1.8；95%CI 1.2-2.6）和心理困扰（RR 1.8；95%CI 1.4-2.4）的发生率较高相关。对于那些改变可能性较高的人，脊柱疼痛的 RR 为 1.4（95%CI 0.9-2.1），心理困扰的 RR 为 1.3（95%CI 1.0-1.7）。非偏好工作导致脊柱疼痛伴发心理困扰的发生率更高（RR 1.9；95%CI 1.0-3.7）。睡眠障碍并未改变这些关联。需要基于更新的数据进行复制研究来确认这些结果。总之，非偏好工作与脊柱疼痛和心理困扰的发生率较高相关，尤其是当改变工作的可能性较低时。
