title: Work-related Neck Pain Among Desk Job Workers of Tertiary Care Hospital in New Delhi, India: Burden and Determinants.
abstract: BACKGROUND
  Work-related Neck Pain (WRNP) is a leading cause of disability and absenteeism. There is dearth of information about burden and determinants of WRNP in health facility setting in India.
  
  
  METHODS
  A cross-sectional study was carried out at tertiary care hospital in New Delhi. All Group C desk job workers involved in the administrative work were included in the study. Participants were screened for WRNP by using pretested semi-structured questionnaire. Detailed information on probable risk factors was collected among patients with WRNP. Neck examination by trained investigator was done. Work place assessment was done by using observation check-list using the recommendations of the ISO Standard (Ergonomic requirements for office work with visual display terminals). Crude and adjusted odds ratio was calculated with 95% confidence interval to understand the determinants of WRNP.
  
  
  RESULTS
  In total, 441 participants were included in the study. Of them, 58% were males. Majority of participants aged between31-50 years. One-year prevalence of neck pain and WRNP was reported as 43.3%, (95% CI 38.7%-47.9%) and 28.3%, (95% CI 24.3%-32.7%) respectively. On multivariate analysis, female gender (OR-2.0 95% CI) and poor perception of breaks during working hours (OR-2.4 95% CI), along with work place related factors such as posture (OR-5.4 95% CI) and height of the screen (<10 cms) (OR-2.6) were identified as independent determinants of WRNP.
  
  
  CONCLUSIONS
  High one-year prevalence of WRNP was reported among desk job workers. Burden of WRNP was reported more among females as compared to males. Most common factor identified was Computer use for more than 4-6 hours was most important predictor of WRNP followed by work related factors such as height of screen and posture are associated with WRNP.
authors.affiliation: Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Surendra Babu
authors.initials: SB
authors.lastname: Darivemula
authors.affiliation: Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Kiran
authors.initials: K
authors.lastname: Goswami
authors.affiliation: Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Sanjeev Kumar
authors.initials: SK
authors.lastname: Gupta
authors.affiliation: Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Harshal
authors.initials: H
authors.lastname: Salve
authors.affiliation: Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Upinder
authors.initials: U
authors.lastname: Singh
authors.affiliation: Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Anil Kumar
authors.initials: AK
authors.lastname: Goswami
keywords: Association; neck pain; office workers; prevalence; work related