Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort Study

Objective: This study aimed to investigate the association between perceived stress and odds of low-back pain (LBP) in a population of Danish healthcare workers.Methods: Utilizing a prospective cohort design with 1-year follow-up, a total of 1,944 healthcare workers from 389 departments at 19 hospit...

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Main Authors: Jonas Vinstrup, Markus D. Jakobsen, Lars L. Andersen
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-08-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpubh.2020.00297/full
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author Jonas Vinstrup
Markus D. Jakobsen
Lars L. Andersen
author_facet Jonas Vinstrup
Markus D. Jakobsen
Lars L. Andersen
author_sort Jonas Vinstrup
collection DOAJ
description Objective: This study aimed to investigate the association between perceived stress and odds of low-back pain (LBP) in a population of Danish healthcare workers.Methods: Utilizing a prospective cohort design with 1-year follow-up, a total of 1,944 healthcare workers from 389 departments at 19 hospitals responded to questionnaires containing items related to lifestyle, health, and working environment. Using Cohen's Perceived Stress Scale, associations between baseline stress levels and LBP intensity (0–10 scale) at follow-up were modeled using cumulative logistic regression, accounting for clustering at the department level and adjusting for age, sex, baseline intensity of LBP, education, seniority, number of daily patient transfers, psychosocial work environment, and lifestyle factors.Results: For the entire population, moderate and high stress (reference: low stress) at baseline increased the odds of LBP at 1-year follow-up with odds ratios (ORs) of 1.39 (95% CI 1.13–1.71) and 1.99 (95% CI 1.49–2.66), respectively. Sensitivity analyses among female nurses showed similar results [i.e., OR 1.40 (95% CI 1.08–1.80) and OR 2.08 (95% CI 1.44–3.00) for moderate and high stress, respectively], while only high stress significantly increased the odds among those without LBP at baseline.Conclusions: Psychological stress increases the odds of LBP among healthcare workers. Identifying and diminishing work-related psychosocial stressors should be included in strategies that aim to prevent musculoskeletal disorders in this population.
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spelling doaj.art-2329e8fbfd674648b2b76958711378262022-12-22T00:39:42ZengFrontiers Media S.A.Frontiers in Public Health2296-25652020-08-01810.3389/fpubh.2020.00297528967Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort StudyJonas VinstrupMarkus D. JakobsenLars L. AndersenObjective: This study aimed to investigate the association between perceived stress and odds of low-back pain (LBP) in a population of Danish healthcare workers.Methods: Utilizing a prospective cohort design with 1-year follow-up, a total of 1,944 healthcare workers from 389 departments at 19 hospitals responded to questionnaires containing items related to lifestyle, health, and working environment. Using Cohen's Perceived Stress Scale, associations between baseline stress levels and LBP intensity (0–10 scale) at follow-up were modeled using cumulative logistic regression, accounting for clustering at the department level and adjusting for age, sex, baseline intensity of LBP, education, seniority, number of daily patient transfers, psychosocial work environment, and lifestyle factors.Results: For the entire population, moderate and high stress (reference: low stress) at baseline increased the odds of LBP at 1-year follow-up with odds ratios (ORs) of 1.39 (95% CI 1.13–1.71) and 1.99 (95% CI 1.49–2.66), respectively. Sensitivity analyses among female nurses showed similar results [i.e., OR 1.40 (95% CI 1.08–1.80) and OR 2.08 (95% CI 1.44–3.00) for moderate and high stress, respectively], while only high stress significantly increased the odds among those without LBP at baseline.Conclusions: Psychological stress increases the odds of LBP among healthcare workers. Identifying and diminishing work-related psychosocial stressors should be included in strategies that aim to prevent musculoskeletal disorders in this population.https://www.frontiersin.org/article/10.3389/fpubh.2020.00297/fullCohenpsychological stresspainworkplacenurseshealthcare
spellingShingle Jonas Vinstrup
Markus D. Jakobsen
Lars L. Andersen
Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort Study
Frontiers in Public Health
Cohen
psychological stress
pain
workplace
nurses
healthcare
title Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort Study
title_full Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort Study
title_fullStr Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort Study
title_full_unstemmed Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort Study
title_short Perceived Stress and Low-Back Pain Among Healthcare Workers: A Multi-Center Prospective Cohort Study
title_sort perceived stress and low back pain among healthcare workers a multi center prospective cohort study
topic Cohen
psychological stress
pain
workplace
nurses
healthcare
url https://www.frontiersin.org/article/10.3389/fpubh.2020.00297/full
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