Heavy physical work and low back pain: the reality in urban cleaning

Low back pain (LBP) is a major public health issue. There is lack of research on this disorder affecting urban cleaning workers. A cross-sectional study was conducted to describe the prevalence of LBP, occupational and extra-occupational characteristics, as well as associated factors in these worker...

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Main Authors: Silvana Maria Santos Pataro, Rita de Cássia Pereira Fernandes
Format: Article
Language:English
Published: Associação Brasileira de Pós-Graduação em Saúde Coletiva 2014-03-01
Series:Revista Brasileira de Epidemiologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000100017&lng=en&tlng=en
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author Silvana Maria Santos Pataro
Rita de Cássia Pereira Fernandes
author_facet Silvana Maria Santos Pataro
Rita de Cássia Pereira Fernandes
author_sort Silvana Maria Santos Pataro
collection DOAJ
description Low back pain (LBP) is a major public health issue. There is lack of research on this disorder affecting urban cleaning workers. A cross-sectional study was conducted to describe the prevalence of LBP, occupational and extra-occupational characteristics, as well as associated factors in these workers. A census was performed with 624 workers in Salvador, Brazil, using a questionnaire administered by an interviewer in 2010. Cases of LBP were defined by reported symptoms of pain in the previous 12 months, lasting more than a week or with monthly minimum frequency, which led to restrictions at work or to seeking medical attention, or in cases when respondents had a severity score > 3 on a numerical scale from 0 to 5. Physical demands at work were measured on a numerical 6-point scale with 14 variables. Psychosocial demands were measured using the Job Content Questionnaire. Sociodemographic factors, lifestyle habits and domestic work were evaluated. Multiple logistic regression (LR) was used to identify factors associated with LBP, for which the prevalence was 37.0%. Among them, 62.8% of workers felt pain in the last 7 days. LBP was associated with longer working hours, flexion and trunk rotation, psychosocial demands, working directly in collection and low schooling. Dynamic work (walking, running) served as a protective factor. It was concluded that many workers develop their activity at the presence of pain. The results emphasize the need for preventive measures through multifactorial approach encompassing adaptations in physical environment and changes in work organization.
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spelling doaj.art-72aeb7da183e454587db3d643fc41c302022-12-21T22:48:34ZengAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevista Brasileira de Epidemiologia1980-54972014-03-01171173010.1590/1809-4503201400010003ENGS1415-790X2014000100017Heavy physical work and low back pain: the reality in urban cleaningSilvana Maria Santos PataroRita de Cássia Pereira FernandesLow back pain (LBP) is a major public health issue. There is lack of research on this disorder affecting urban cleaning workers. A cross-sectional study was conducted to describe the prevalence of LBP, occupational and extra-occupational characteristics, as well as associated factors in these workers. A census was performed with 624 workers in Salvador, Brazil, using a questionnaire administered by an interviewer in 2010. Cases of LBP were defined by reported symptoms of pain in the previous 12 months, lasting more than a week or with monthly minimum frequency, which led to restrictions at work or to seeking medical attention, or in cases when respondents had a severity score > 3 on a numerical scale from 0 to 5. Physical demands at work were measured on a numerical 6-point scale with 14 variables. Psychosocial demands were measured using the Job Content Questionnaire. Sociodemographic factors, lifestyle habits and domestic work were evaluated. Multiple logistic regression (LR) was used to identify factors associated with LBP, for which the prevalence was 37.0%. Among them, 62.8% of workers felt pain in the last 7 days. LBP was associated with longer working hours, flexion and trunk rotation, psychosocial demands, working directly in collection and low schooling. Dynamic work (walking, running) served as a protective factor. It was concluded that many workers develop their activity at the presence of pain. The results emphasize the need for preventive measures through multifactorial approach encompassing adaptations in physical environment and changes in work organization.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000100017&lng=en&tlng=enDor lombarEpidemiologiaLimpeza urbanaTranstornos traumáticos cumulativosEngenharia humanaSistema musculoesquelético
spellingShingle Silvana Maria Santos Pataro
Rita de Cássia Pereira Fernandes
Heavy physical work and low back pain: the reality in urban cleaning
Revista Brasileira de Epidemiologia
Dor lombar
Epidemiologia
Limpeza urbana
Transtornos traumáticos cumulativos
Engenharia humana
Sistema musculoesquelético
title Heavy physical work and low back pain: the reality in urban cleaning
title_full Heavy physical work and low back pain: the reality in urban cleaning
title_fullStr Heavy physical work and low back pain: the reality in urban cleaning
title_full_unstemmed Heavy physical work and low back pain: the reality in urban cleaning
title_short Heavy physical work and low back pain: the reality in urban cleaning
title_sort heavy physical work and low back pain the reality in urban cleaning
topic Dor lombar
Epidemiologia
Limpeza urbana
Transtornos traumáticos cumulativos
Engenharia humana
Sistema musculoesquelético
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000100017&lng=en&tlng=en
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