Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees
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...
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doaj-0d9a5b0ffc81489e907640d3dbe3c9ab2021-03-25T00:05:47ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-03-01183375337510.3390/ijerph18073375Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal EmployeesAapo Hiilamo0Anna Huttu1Simon Øverland2Olli Pietiläinen3Ossi Rahkonen4Tea Lallukka5Finnish Institute of Occupational Health, PO Box 18, 00032 Helsinki, FinlandDepartment of Public Health, University of Helsinki, PO Box 20, Helsinki, FinlandDivision of Physical and Mental Health, Norwegian Institute of Public Health, N-0403 Oslo, NorwayDepartment of Public Health, University of Helsinki, PO Box 20, Helsinki, FinlandDepartment of Public Health, University of Helsinki, PO Box 20, Helsinki, FinlandFinnish Institute of Occupational Health, PO Box 18, 00032 Helsinki, FinlandThis 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.https://www.mdpi.com/1660-4601/18/7/3375work disabilitypainpublic sector |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Aapo Hiilamo Anna Huttu Simon Øverland Olli Pietiläinen Ossi Rahkonen Tea Lallukka |
spellingShingle |
Aapo Hiilamo Anna Huttu Simon Øverland Olli Pietiläinen Ossi Rahkonen Tea Lallukka Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees International Journal of Environmental Research and Public Health work disability pain public sector |
author_facet |
Aapo Hiilamo Anna Huttu Simon Øverland Olli Pietiläinen Ossi Rahkonen Tea Lallukka |
author_sort |
Aapo Hiilamo |
title |
Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees |
title_short |
Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees |
title_full |
Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees |
title_fullStr |
Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees |
title_full_unstemmed |
Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees |
title_sort |
pain in multiple sites and clusters of cause-specific work disability development among midlife municipal employees |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-03-01 |
description |
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. |
topic |
work disability pain public sector |
url |
https://www.mdpi.com/1660-4601/18/7/3375 |
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