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Article type: Research Article
Authors: Leijon, Ola; | Härenstam, Annika; | Waldenström, Kerstin; | Alderling, Magnus; | Vingård, Eva
Affiliations: Division of Occupational Medicine, Department of Public Health Sciences, Karolinska Institutet, Norrbacka, SE-171 76 Stockholm, Sweden | Stockholm Center for Public Health, Department of Occupational and Environmental Health, Stockholm County Council, Stockholm, Sweden | National Institute for Working Life, Stockholm, Sweden | Section of Personal Injury Prevention, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
Note: [] Corresponding author. Tel.: +46 8 737 37 19; Fax: +46 8 33 43 33; E-mail: ola.leijon@sll.se
Abstract: Musculoskeletal disorders (MSDs) have a multifactorial etiology. Therefore, a holistic approach to identifying target groups for primary/secondary prevention is essential. In this study, an exploratory person-oriented approach was applied, using cluster analysis of variables related to physical and psychosocial work conditions, and conditions in the private sphere, on a data set of 1,341 Swedish women and men who had not sought care for MSDs the 6 months preceding enrollment in the study. Three groups at risk and five "healthy" groups regarding MSDs were identified. Two of the risk groups had a strained situation regarding psychosocial work conditions or domestic/family conditions, respectively. The majority of individuals in these groups were women. The third risk group had a strained situation regarding both physical and psychosocial work conditions. This group consisted largely of men working in male-dominated jobs. The five healthy groups had low/moderate metabolic demands at work, and all of them having high proportions of subjects with moderate to high education, and fairly even distributions of men and women. In conclusion, the results indicate that gender-specific working and living conditions are associated with an increased risk for MSDs. The identification of these subgroups in the population may facilitate a selective prevention approach.
Keywords: Prevention, neck/shoulder disorder, low back disorder, cluster analysis, gender
Journal: Work, vol. 27, no. 2, pp. 189-204, 2006
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