Occupational and non-occupational risk factors of sickness absence due to a shoulder lesion

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http://hdl.handle.net/10138/316966

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Siren , M , Viikari-Juntura , E , Arokoski , J & Solovieva , S 2020 , ' Occupational and non-occupational risk factors of sickness absence due to a shoulder lesion ' , Occupational and Environmental Medicine , vol. 77 , no. 6 , pp. 393-401 . https://doi.org/10.1136/oemed-2019-106335

Title: Occupational and non-occupational risk factors of sickness absence due to a shoulder lesion
Author: Siren, Maria; Viikari-Juntura, Eira; Arokoski, Jari; Solovieva, Svetlana
Contributor: University of Helsinki, HUS Internal Medicine and Rehabilitation
University of Helsinki, Department of Surgery
Date: 2020-06
Language: eng
Number of pages: 9
Belongs to series: Occupational and Environmental Medicine
ISSN: 1351-0711
URI: http://hdl.handle.net/10138/316966
Abstract: Objectives To determine the associations of lifestyle factors and cumulative physical workload exposures with sickness absence (SA) due to a shoulder lesion and to calculate their population attributable fractions (PAF). Methods Our nationally representative cohort consisted of 4344 individuals aged 30-62 years who participated in the Finnish Health 2000 Survey. Education, smoking, chronic diseases and work exposures were assessed during interviews and leisure time physical activity with a questionnaire. Weight and height were measured. We followed the individuals for 15 years for the first SA due to a shoulder lesion. We used competing risk regression models. We calculated PAFs to assess the proportion of SA that was attributed to modifiable risk factors. Results In the entire study population, risk factors of SA were age, daily smoking, being exposed for more than 10 years to physically heavy work and being exposed for more than 10 years to at least two specific physical workload factors. The overall PAF for the modifiable risk factors was 49%. In men, number of specific cumulative exposures, obesity and daily smoking predicted SA with PAF values of 34%, 30% and 14%, respectively. Among women, being exposed for more than 10 years to physically heavy work, number of specific cumulative exposures and daily smoking accounted for 23%, 22% and 15% of SA, respectively. Conclusions Reducing significantly prolonged exposure to physical workload factors, avoiding regular smoking in both genders and obesity in men has a high potential to prevent SA due to a shoulder lesion.
Subject: epidemiology
musculoskeletal
OH services
sickness absence
workload
GENDER-DIFFERENCES
CIGARETTE-SMOKING
WORK-ENVIRONMENT
PAIN
POPULATION
DISORDERS
BEHAVIORS
EXPOSURES
OBESITY
LEAVE
3142 Public health care science, environmental and occupational health
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