title: Perceived physical strain in paid and unpaid work and the work-home interface: the associations with musculoskeletal pain and fatigue among public employees.
abstract: The aim of the present study was to analyze the association between number of working hours, the level of perceived physical strain, work-home interface and musculoskeletal pain and fatigue among women and men employed in the public sector. Cross-sectional data from 1,180 employees (86% women) in 49 public workplaces in 2002-2003 were analyzed. Odds ratios (OR) with 95% confidence intervals (CIs) were used as measures of the associations. The analyses showed differences as well as similarities between women and men. Overall the women reported higher levels of perceived physical strain relative to total workload. A high level of physical strain was strongly associated with musculoskeletal pain and fatigue. Nevertheless, no detrimental effects were observed on health of high total working hours which indicates that a large number of total working hours might be balanced by accompanying multiple roles or many responsibilities and therefore not be generally regarded as risk factors for ill health.
authors.affiliation: Mid Sweden University, Ostersund, Sweden. ylva.fjell@miun.se
authors.forename: Ylva
authors.initials: Y
authors.lastname: Fjell
authors.forename: Kristina
authors.initials: K
authors.lastname: Alexanderson
authors.forename: Mikael
authors.initials: M
authors.lastname: Nordenmark
authors.forename: Carina
authors.initials: C
authors.lastname: Bildt
mesh_terms: D000328:Adult; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005221:Fatigue / Q000453:epidemiology*; D005260:Female; D006304:Health Status; D006305:Health Status Indicators; D006796:Household Work / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009120:Muscle Cramp / Q000453:epidemiology*; D016017:Odds Ratio; D017678:Sex Distribution; D011795:Surveys and Questionnaires; D013548:Sweden / Q000453:epidemiology; D014931:Women, Working / Q000706:statistics & numerical data; D016526:Workload / Q000706:statistics & numerical data*; D017132:Workplace / Q000706:statistics & numerical data*