title: Occupational driving as a risk factor in low back pain: a case-control study in a Mexican population.
abstract: The objective of this study was to assess and quantify the degree to which interaction between occupational driving and lifting tasks is a risk factor in lumbar spondyloarthrosis etiology. A case-control study was performed with 231 workers, 18-55 years old, insured by the Mexican Social Security Institute (IMSS, according to its designation in Spanish). A multivariate analysis using conditional logistical regression showed that driving tasks, when combined with lifting tasks, are associated with this illness (OR = 7.3; 95% CI 1.7-31.4). Occupational driving as it interacted with daily lifting frequency resulted in a greater risk (OR = 10.4; 95% CI 2.0-52.5). No exposure-response relationship was found with daily hours spent working as a driver. The attributable risk for driving tasks was 0.86, suggesting that 86% of lumbar spondyloarthrosis could be decreased if risk factors were reduced through ergonomic redesign of the workplace and Manual Materials Handling (MMH) tasks, along with development of educational programs.
authors.affiliation: Ergonomic Research Center, Art, Architecture and Design University Center, University of Guadalajara, Guadalajara, Jalisco, México. ailil_p@yahoo.com.mx
authors.forename: Lilia R
authors.initials: LR
authors.lastname: Prado-León
authors.forename: Carlos
authors.initials: C
authors.lastname: Aceves-González
authors.forename: Rosalío
authors.initials: R
authors.lastname: Avila-Chaurand
mesh_terms: D000293:Adolescent; D000328:Adult; D001334:Automobile Driving / Q000706:statistics & numerical data*; D016022:Case-Control Studies; D006804:Ergonomics; D005260:Female; D006801:Humans; D017770:Lifting / Q000009:adverse effects; D016015:Logistic Models; D017116:Low Back Pain / Q000145:classification / Q000209:etiology* / Q000517:prevention & control; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009784:Occupational Diseases / Q000145:classification / Q000209:etiology* / Q000517:prevention & control; D012307:Risk Factors; D055815:Young Adult