Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees

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http://hdl.handle.net/10138/330964

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Hiilamo , A , Huttu , A , Overland , S , Pietiläinen , O , Rahkonen , O & Lallukka , T 2021 , ' Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees ' , International Journal of Environmental Research and Public Health , vol. 18 , no. 7 , 3375 . https://doi.org/10.3390/ijerph18073375

Title: Pain in Multiple Sites and Clusters of Cause-Specific Work Disability Development among Midlife Municipal Employees
Author: Hiilamo, Aapo; Huttu, Anna; Overland, Simon; Pietiläinen, Olli; Rahkonen, Ossi; Lallukka, Tea
Contributor organization: Social Policy
Department of Public Health
University of Helsinki
Center for Population, Health and Society
Helsinki Inequality Initiative (INEQ)
Date: 2021-04
Language: eng
Number of pages: 11
Belongs to series: International Journal of Environmental Research and Public Health
ISSN: 1661-7827
DOI: https://doi.org/10.3390/ijerph18073375
URI: http://hdl.handle.net/10138/330964
Abstract: 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.
Subject: work disability
pain
public sector
3142 Public health care science, environmental and occupational health
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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