Effort-reward imbalance and incidence of low back and neck injuries in San Francisco transit operators

Occupational and Environmental Medicine
Reiner Rugulies, Niklas Krause

Abstract

Effort-reward imbalance (ERI) has been associated with musculoskeletal disorders in cross-sectional and case-control studies, but no longitudinal studies have been published yet. The effect of ERI on the incidence of compensated low back and neck injuries was examined in a 7.5-year follow-up study among 1179 San Francisco transit operators. Data from medical examination and a survey on working conditions and health were linked to administrative workers' compensation databases. HRs for first low back and first neck injury were calculated with multivariate Cox regression models. Additional analyses accounted for severity of injury based on medical diagnosis. A 1 SD increase in ERI was associated with compensated low back (HR 1.13, 95% CI 1.02 to 1.26) and neck injuries (HR 1.14, 95% CI 1.02 to 1.27) after adjusting for gender, age, height, weight, years of professional driving, weekly driving hours, vehicle type, ergonomic problems, pain at baseline and job strain. The highest quartile of ERI showed an HR of 1.32 (95% CI 0.94 to 1.86) for low back injuries and an HR of 1.66 (95% CI 1.16 to 2.38) for neck injuries after adjustment for all covariates. The associations between ERI and low back injury were stronger for more severe in...Continue Reading

Citations

Jan 26, 2011·BMC Musculoskeletal Disorders·Prawit JanwantanakulWiroj Jiamjarasrangsi
Jul 23, 2011·Journal of Occupational Health·Christophe BernardIsabelle Niedhammer
Dec 28, 2010·Archives of Environmental & Occupational Health·Deborah Alperovitch-NajensonLeonid Kalichman
Feb 13, 2010·American Journal of Preventive Medicine·Keith G HauretSara Canada
Mar 13, 2015·International Archives of Occupational and Environmental Health·Soo-Jeong LeePaul D Blanc
Mar 27, 2015·PloS One·Thorsten LunauMorten Wahrendorf
Jan 17, 2014·BMC Public Health·Peter KochAlbert Nienhaus
May 20, 2017·American Journal of Industrial Medicine·Barbara J Burgel, Rami A Elshatarat
Oct 24, 2013·American Journal of Industrial Medicine·Erika L SabbathGlorian Sorenson
Jan 25, 2019·American Journal of Industrial Medicine·Navneet K BaidwanBenjamin Capistrant
Aug 4, 2009·American Journal of Industrial Medicine·Niklas KrauseChristina Maslach
Jul 22, 2009·Journal of Occupational and Environmental Medicine·Reiner RuguliesHermann Burr
Apr 2, 2010·Journal of Occupational and Environmental Medicine·Tiffani A FordyceGabor Mezei
Dec 12, 2018·International Archives of Occupational and Environmental Health·Dorothea Margarete HinschMatthias Bethge
Jul 4, 2017·Journal of Occupational Medicine and Toxicology·Peter KochAlbert Nienhaus
Apr 23, 2017·International Archives of Occupational and Environmental Health·Thorsten LunauMorten Wahrendorf

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