Neck, shoulder, and hand and wrist pain among administrative employees: relation to work-time organization and psychosocial factors at work.
OBJECTIVE
We sought to analyze the associations between work-time organization, psychosocial factors at work, and musculoskeletal pain of the neck, shoulders, and wrists and hands among administrative employees.


METHODS
We analyzed the pain felt in a population of 762 employees during the 7 days before the survey at any of the three sites studied (multiple logistic regression).


RESULTS
We found no associations between work-time organization and neck or shoulder pain. Wrist and hand pain increased with irregular schedule (odds ratio "OR" = 2.01; 95% confidence interval "95% CI" = 1.19-3.41) and lack of advance (at least 8 days) notice of schedule (OR = 1.90; 95% CI = 1.03-3.50). Of the psychosocial factors, only high psychological demand was associated with a significant increase in the prevalence of pain, in the neck and the shoulders (respectively: OR = 1.86, 95% CI = 1.23-2.82; OR = 1.88, 95% CI = 1.17-3.03).


CONCLUSIONS
Prevention by improved psychosocial constraints at work must continue.
GIP-CERESTE, Faculté de Médecine, Université Lille 2/CHRU Lille, France. aleroyer@univ-lille2.fr
Ariane
A
Leroyer
Jean-Louis
JL
Edmé
Xénophon
X
Vaxevanoglou
Claude
C
Buisset
Pascal
P
Laurent
Patrick
P
Desobry
Paul
P
Frimat
D000328:Adult; D015331:Cohort Studies; D005260:Female; D005602:France / Q000453:epidemiology; D006225:Hand; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009140:Musculoskeletal Diseases / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology; D019547:Neck Pain / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D009784:Occupational Diseases / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology; D009790:Occupations; D010146:Pain / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology; D010561:Personnel Staffing and Scheduling; D015995:Prevalence; D020069:Shoulder Pain / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D013315:Stress, Psychological / Q000150:complications*; D014955:Wrist Joint