title: Psychosocial Work Factors and Musculoskeletal Pain: A Cross-Sectional Study among Swedish Flight Baggage Handlers.
abstract: OBJECTIVE
  Flight baggage handlers sort and load luggage to airplanes. This study aimed at investigating associations between psychosocial exposures and low back and shoulder musculoskeletal disorders (MSDs) among Swedish flight baggage handlers.
  
  
  METHODS
  A questionnaire addressing MSDs (Standardized Nordic Questionnaire) and psychosocial factors (Copenhagen Psychosocial Questionnaire, COPSOQ) was answered by 525 baggage handlers in six Swedish airports.
  
  
  RESULTS
  Low back (LBP) and shoulder pain (SP) were reported by 70% and 60%, respectively. Pain was reported to interfere with work (PIW) by 30% (low back) and 18% (shoulders), and intense pain (PINT) occurred in 34% and 28% of the population. Quality of leadership was the most dissatisfying psychosocial factor, while the most positive was social community at work. Low ratings in the combined domain Work organization and job content were significantly associated with PIW in both low back and shoulders (Adjusted Hazard Ratios 3.65 (95% CI 1.67-7.99) and 2.68 (1.09-6.61)) while lower ratings in the domain Interpersonal relations and leadership were associated with PIW LBP (HR 2.18 (1.06-4.49)) and PINT LBP and SP (HRs 1.95 (1.05-3.65) and 2.11 (1.08-4.12)).
  
  
  CONCLUSIONS
  Severity of pain among flight baggage handlers was associated with psychosocial factors at work, suggesting that they may be a relevant target for intervention in this occupation.
authors.affiliation: Centre for Musculoskeletal Research, Department of Occupational and Public Health Sciences, University of Gävle, 801 76 Gävle, Sweden ; Occupational and Environmental Medicine, Department of Medical Sciences, Uppsala University, 751 85 Uppsala, Sweden.
authors.forename: Eva L
authors.initials: EL
authors.lastname: Bergsten
authors.affiliation: Centre for Musculoskeletal Research, Department of Occupational and Public Health Sciences, University of Gävle, 801 76 Gävle, Sweden.
authors.forename: S E
authors.initials: SE
authors.lastname: Mathiassen
authors.affiliation: Occupational and Environmental Medicine, Department of Medical Sciences, Uppsala University, 751 85 Uppsala, Sweden.
authors.forename: E
authors.initials: E
authors.lastname: Vingård
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000150:complications / Q000453:epidemiology / Q000523:psychology; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000150:complications / Q000453:epidemiology / Q000523:psychology; D020069:Shoulder Pain / Q000150:complications / Q000453:epidemiology / Q000523:psychology; D013315:Stress, Psychological / Q000150:complications / Q000453:epidemiology / Q000523:psychology; D013548:Sweden / Q000453:epidemiology; D016526:Workload / Q000523:psychology / Q000706:statistics & numerical data