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Psychological and culturally-influenced risk factors for the incidence and persistence of low back pain and associated disability in Spanish workers: findings from the CUPID study

Psychological and culturally-influenced risk factors for the incidence and persistence of low back pain and associated disability in Spanish workers: findings from the CUPID study
Psychological and culturally-influenced risk factors for the incidence and persistence of low back pain and associated disability in Spanish workers: findings from the CUPID study
OBJECTIVE: To assess the importance of psychological and culturally-influenced factors as predictors of low back pain (LBP) incidence and persistence in Spanish workers.

METHODS: As part of the international Cultural and Psychosocial Influences in Disability (CUPID) study, 1105 Spanish nurses and office workers answered questions at baseline about LBP in the past month and past year, associated disability, occupational lifting, smoking habits, health beliefs, mental health, and distress from common somatic symptoms. At 12-month follow-up, they were asked about LBP and associated disability in the past month. Associations with LBP incidence and persistence were assessed by log binomial regression, and characterised by prevalence rate ratios (PRRs) with associated 95% CIs.

RESULTS: 971 participants (87.9%) completed follow-up. Among 579 with no LBP at baseline, 22.8% reported LBP at follow-up. After adjustment for sex, age and occupation, new LBP was predicted by poor mental health (PRR 1.5, 95% CI 1.0 to 2.2), somatising tendency (PRR 1.8, 95% CI 1.2 to 2.7) and presence of LBP for >1 month in the year before baseline (PRR 4.7, 95% CI 3.1 to 6.9). Among 392 subjects who had LBP at baseline, 59.4% reported persistence at follow-up, which was associated with presence of symptoms for >1 month in the 12 months before baseline (PRR 1.4, 95% CI 1.2 to 1.7) and more weakly with somatising tendency, and with adverse beliefs about LBP work-relatedness and prognosis.

CONCLUSIONS: In Spain, as in northern European countries, psychological and culturally-influenced factors have an important role in LBP development and persistence.

1351-0711
57-62
Vargas-Prada, Sergio
c6b3de67-2eef-40e5-b2e8-7374a24ef097
Serra, Consol
17669164-dd29-447e-94ba-1ef93918fcdb
Martinez, José Miguel
effe39ab-4468-4912-8264-367159393d31
Ntani, Georgia
9b009e0a-5ab2-4c6e-a9fd-15a601e92be5
Delclos, George L.
7b29fc28-2d77-44b4-841e-88bbe6ee5479
Palmer, Keith T.
0cfe63f0-1d33-40ff-ae8c-6c33601df850
Coggon, David
2b43ce0a-cc61-4d86-b15d-794208ffa5d3
Benavides, Fernando G.
c4682a90-6357-4430-ad28-2ba485429271
Vargas-Prada, Sergio
c6b3de67-2eef-40e5-b2e8-7374a24ef097
Serra, Consol
17669164-dd29-447e-94ba-1ef93918fcdb
Martinez, José Miguel
effe39ab-4468-4912-8264-367159393d31
Ntani, Georgia
9b009e0a-5ab2-4c6e-a9fd-15a601e92be5
Delclos, George L.
7b29fc28-2d77-44b4-841e-88bbe6ee5479
Palmer, Keith T.
0cfe63f0-1d33-40ff-ae8c-6c33601df850
Coggon, David
2b43ce0a-cc61-4d86-b15d-794208ffa5d3
Benavides, Fernando G.
c4682a90-6357-4430-ad28-2ba485429271

Vargas-Prada, Sergio, Serra, Consol, Martinez, José Miguel, Ntani, Georgia, Delclos, George L., Palmer, Keith T., Coggon, David and Benavides, Fernando G. (2013) Psychological and culturally-influenced risk factors for the incidence and persistence of low back pain and associated disability in Spanish workers: findings from the CUPID study. Occupational & Environmental Medicine, 70 (1), 57-62. (doi:10.1136/oemed-2011-100637). (PMID:22864247)

Record type: Article

Abstract

OBJECTIVE: To assess the importance of psychological and culturally-influenced factors as predictors of low back pain (LBP) incidence and persistence in Spanish workers.

METHODS: As part of the international Cultural and Psychosocial Influences in Disability (CUPID) study, 1105 Spanish nurses and office workers answered questions at baseline about LBP in the past month and past year, associated disability, occupational lifting, smoking habits, health beliefs, mental health, and distress from common somatic symptoms. At 12-month follow-up, they were asked about LBP and associated disability in the past month. Associations with LBP incidence and persistence were assessed by log binomial regression, and characterised by prevalence rate ratios (PRRs) with associated 95% CIs.

RESULTS: 971 participants (87.9%) completed follow-up. Among 579 with no LBP at baseline, 22.8% reported LBP at follow-up. After adjustment for sex, age and occupation, new LBP was predicted by poor mental health (PRR 1.5, 95% CI 1.0 to 2.2), somatising tendency (PRR 1.8, 95% CI 1.2 to 2.7) and presence of LBP for >1 month in the year before baseline (PRR 4.7, 95% CI 3.1 to 6.9). Among 392 subjects who had LBP at baseline, 59.4% reported persistence at follow-up, which was associated with presence of symptoms for >1 month in the 12 months before baseline (PRR 1.4, 95% CI 1.2 to 1.7) and more weakly with somatising tendency, and with adverse beliefs about LBP work-relatedness and prognosis.

CONCLUSIONS: In Spain, as in northern European countries, psychological and culturally-influenced factors have an important role in LBP development and persistence.

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More information

e-pub ahead of print date: 3 August 2012
Published date: January 2013
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 350476
URI: http://eprints.soton.ac.uk/id/eprint/350476
ISSN: 1351-0711
PURE UUID: 76654c48-e993-44c7-a5c0-8ad7a569c55f
ORCID for David Coggon: ORCID iD orcid.org/0000-0003-1930-3987

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Date deposited: 26 Mar 2013 12:36
Last modified: 15 Mar 2024 02:52

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Contributors

Author: Sergio Vargas-Prada
Author: Consol Serra
Author: José Miguel Martinez
Author: Georgia Ntani
Author: George L. Delclos
Author: Keith T. Palmer
Author: David Coggon ORCID iD
Author: Fernando G. Benavides

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