title: Physical and psychosocial risk factors for musculoskeletal disorders in Brazilian and Italian nurses.
abstract: As part of the international CUPID investigation, we compared physical and psychosocial risk factors for musculoskeletal disorders among nurses in Brazil and Italy. Using questionnaires, we collected information on musculoskeletal disorders and potential risk factors from 751 nurses employed in public hospitals. By fitting countryspecific multiple logistic regression models, we investigated the association of stressful physical activities and psychosocial characteristics with site-specific and multisite pain, and associated sickness absence. We found no clear relationship between low back pain and occupational lifting, but neck and shoulder pain were more common among nurses who reported prolonged work with the arms in an elevated position. After adjustment for potential confounding variables, pain in the low back, neck and shoulder, multisite pain, and sickness absence were all associated with somatizing tendency in both countries. Our findings support a role of somatizing tendency in predisposition to musculoskeletal disorders, acting as an important mediator of the individual response to triggering exposures, such as workload.
authors.affiliation: Department of Occupational and Environmental Health, University of Milan, Italy. michele.carugno@gmail.com
authors.forename: Michele
authors.initials: M
authors.lastname: Carugno
authors.forename: Angela Cecilia
authors.initials: AC
authors.lastname: Pesatori
authors.forename: Marco Mario
authors.initials: MM
authors.lastname: Ferrario
authors.forename: Andrea Lepos
authors.initials: AL
authors.lastname: Ferrari
authors.forename: Fábio Jose da
authors.initials: FJ
authors.lastname: Silva
authors.forename: Aline Caldas
authors.initials: AC
authors.lastname: Martins
authors.forename: Vanda Elisa Andres
authors.initials: VE
authors.lastname: Felli
authors.forename: David
authors.initials: D
authors.lastname: Coggon
authors.forename: Matteo
authors.initials: M
authors.lastname: Bonzini
mesh_terms: D000041:Absenteeism; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D007558:Italy / Q000453:epidemiology; D016015:Logistic Models; D017116:Low Back Pain / Q000453:epidemiology / Q000523:psychology; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000453:epidemiology* / Q000523:psychology; D019547:Neck Pain / Q000453:epidemiology / Q000523:psychology; D009741:Nursing Staff, Hospital / Q000523:psychology / Q000706:statistics & numerical data*; D009784:Occupational Diseases / Q000453:epidemiology* / Q000523:psychology; D012307:Risk Factors; D020069:Shoulder Pain / Q000453:epidemiology / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult