Journal of Occupational Rehabilitation

, Volume 17, Issue 3, pp 409–421 | Cite as

Work and Family Support Systems and the Prevalence of Lower Back Problems in a South African Steel Industry

  • Bernard van Vuuren
  • Evert Zinzen
  • Hendrik J. van Heerden
  • Piet J. Becker
  • Romain Meeusen
Article

Abstract

Introduction

Back complaints are a common in society.

Methods

An analytical cross-sectional epidemiological study was carried out among 366 steel plant workers to examine the prevalence and association between lower back problems (LBP) and family and workplace related psychosocial risk factors.

Results

Using inclusive and stringent definitions for LBP, point prevalence was 35.8% and 15.3%, respectively. Logistic regression analyses indicated significant adjusted odd ratios (OR) for negative perceptions of workplace support (2.32; CI 1.09–4.92), unexpected events (2.58; CI 1.19–5.59) and working under time pressures and deadlines (2.83; CI 1.24–6.48). A significant protective association was found for control over the order and pace of working tasks (OR 0.30; CI 0.14–0.63). A significant univariate association was further found between LBP and negative perceptions of family (1.97; CI 1.06–3.68) support.

Conclusion

These findings suggest that workers who feel more in control on the job and who have good family and workplace support systems in tact are less likely to experience LBP. Supervisors are therefore encouraged to develop appropriate support and organizational systems which may be an inexpensive, but potentially beneficial, means of reducing worker stress and LBP.

Keywords

Epidemiology Back pain Steel workers Perceived risks South Africa 

Notes

Acknowledgements

The authors would like to thank the management, in particular Deon van Vuuren, and the workforce of the specific steel plant under study for their cooperation.

References

  1. 1.
    Taylor, V. M., Deyo, R. A., Cherkin, D. C., & Kreuter, W. (1994). Low-back pain hospitalization: Recent United States trends and regional variations. Spine, 19, 1207–1213.PubMedCrossRefGoogle Scholar
  2. 2.
    Hart, L. G., Deyo, R. A., & Cherkin, D. C. (1995). Physician office visits for low back pain. Spine, 20, 11–19.PubMedCrossRefGoogle Scholar
  3. 3.
    Quittan, M. (2002). Management of back pain. Disability Rehabilitation, 24(8), 423–434.CrossRefGoogle Scholar
  4. 4.
    Zinzen, E. (2002). Epidemiology: Musculoskeletal problems in Belgium nurses. In T. Reily (Ed.), Musculoskeletal disorders in health-related occupations (pp. 41–61). Ohmsha: IOS Press.Google Scholar
  5. 5.
    Gunnar, B. J., & Andersson, M. D. (1999). Epidemiological features of chronic low-back pain. Review. Lancet, 354(9178), 581–585.CrossRefGoogle Scholar
  6. 6.
    Maniadakis, N., & Gray, A. (2000). The economic burden of back pain in the UK. Pain, 84, 95–103.PubMedCrossRefGoogle Scholar
  7. 7.
    Harkness, E. F., Macfarlane, G. J., Nahit, E. S., Silman, A. J., & McBeth, J. (2003). Risk factors for new-onset low back pain amongst cohorts of newly employed workers. Rheumatology, 42, 959–968.PubMedCrossRefGoogle Scholar
  8. 8.
    Documentation Based Care (2001). A complete concept for the rehabilitation of backs and necks. Referring doctors information. Muckleneuk Back and Neck Treatment Centre, February 2001: 2.Google Scholar
  9. 9.
    Compensation for Occupational Injuries and Diseases Act, 1993: Report on the 2000 Statistics. South African Accident Fund 2001.Google Scholar
  10. 10.
    Linton, S. J. (2000). A systematic review of psychological risk factors for back and neck pain. Spine, 25, 1148–1156.PubMedCrossRefGoogle Scholar
  11. 11.
    Davis, K. G., & Heaney, C. A. (2000). The relationship between psychosocial work characteristics and low back pain: Underlying methodological issues. Clinical Biomechanics, 15, 389–406.PubMedCrossRefGoogle Scholar
  12. 12.
    Hoogendoorn, W. E., van Poppel M. N. M., Bongers, P. M., Koes, B. W., & Bouter, L. M. (2000). Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine, 25(16), 2114–2125.PubMedCrossRefGoogle Scholar
  13. 13.
    Linton, S. J. (2001). Occupational psychological factors increase the risk for back pain: A systematic review. Journal of Occupational Rehabilitation, 11, 53–66.PubMedCrossRefGoogle Scholar
  14. 14.
    Vlaeyen, J. W. S., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain, 85, 317–332.PubMedCrossRefGoogle Scholar
  15. 15.
    Vowles, K. E., & Gross, R. T. (2003). Work-related beliefs about injury and physical capability for work in individuals with chronic pain. Pain, 101(3), 291–298.PubMedCrossRefGoogle Scholar
  16. 16.
    Bigos, S. J., Battie, M. C., Spengler, D. M., Fisher, L. D., Fordyce, W. E., Hansson, T. H., et al. (1991). A prospective study of work perceptions and psychosocial factors affecting the report of back injury. Spine, 16(1), 1–6.PubMedCrossRefGoogle Scholar
  17. 17.
    Bongers, P. M., de Winter, C. R., Kompier, M. A. J., & Hildebrandt, V. H. (1993). Psychosocial factors at work and musculoskeletal disease. Scandinavian Journal of Work, Environment & Health, 19(5), 297–312.Google Scholar
  18. 18.
    Marras, W. S. (2001). Spine biomechanics, government regulation, and prevention of occupational low back pain. Editorial. Spine Journal, 3, 163–165.CrossRefGoogle Scholar
  19. 19.
    Volinn, E., Spratt, K. F., Magnusson, M., & Pope, M. H. (2001). The boeing prospective study and beyond. Spine, 26(14), 1613–1622.PubMedCrossRefGoogle Scholar
  20. 20.
    Bernard, B. P. (1997) Musculoskeletal disorders and workplace factors: A critical review of epidemiological evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back (chapt. 6–7). Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health.Google Scholar
  21. 21.
    Bergenudd, H., & Nilsonn, B. (1988). Back pain in middle age: Occupational workload and psychologic factors: an epidemiologic survey. Spine, 13, 58–60.PubMedCrossRefGoogle Scholar
  22. 22.
    Hemingway, H., Shipley, M. J., Stansfeld, S., & Marmot, M. (1997). Sickness absence from back pain, psychosocial work characteristics and employment grade among office workers. Scandinavian Journal of Work, Environment & Health, 23, 121–129.Google Scholar
  23. 23.
    Hurrell, J. J., & Murphy, L. R. (1992). Psychological job stress. In W. N. Rom (Ed.), The environmental and occupational medicine (pp. 675–684). New York: Little, Brown and Company.Google Scholar
  24. 24.
    Papageorgiou, A. C., Macfarlane, G. J., Thomas, E., Croft, P. R., Jayson, M. I., & Silman, A. J. (1997). Psychosocial factors in the workplace: Do they predict new episodes of low back pain? Evidence from the South Manchester back pain study. Spine, 22, 1137–1142.PubMedCrossRefGoogle Scholar
  25. 25.
    Choler, U., Larsson, R., Nachemson, A., Peterson, L. E. (1985). Pain in the back. Stockholm: Spri Rapport.Google Scholar
  26. 26.
    Bigos, S. J., Battie, M. C., Spengler, D. M., Fisher, L. D., Fordyce, W. E., Hansson, T. H., et al. (1992). A longitudinal, prospective study of industrial back injury reporting. Clinical Orthopaedics, 279, 21–34.Google Scholar
  27. 27.
    Volinn, E. (1997). The epidemiology of low back pain in the rest of the World: A review of surveys in low- and middle-income countries. Spine, 22(15), 1747–1754.PubMedCrossRefGoogle Scholar
  28. 28.
    Feise, R. J., & Menke, J. M. (2001). Functional rating index. A new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions. Spine, 26(1), 78–87.PubMedCrossRefGoogle Scholar
  29. 29.
    Chansirinukor, W., Maher, C. G., Latimer, J., & Hush, J. (2005). Comparison of the functional rating index and the 18-item Roland-Morris disability questionnaire: Responsiveness and reliability. Spine, 30(1), 141–145.PubMedGoogle Scholar
  30. 30.
    Smilkstein, G. (1978). The family APGAR: A proposal for family function test and its use by physicians. The Journal of Family Practice, 6(6), 1231–1235.PubMedGoogle Scholar
  31. 31.
    Good, M. D., Smilkstein, G., Good, B. J., Shaffer, T., & Aarons, T. (1979). The family APGAR index: A study of construct validity. The Journal of Family Practice, 8(3), 577–582.Google Scholar
  32. 32.
    Halpern, M., Hiebert, R., Nordin, M., Goldheyden, D., & Crane, M. (2001). The test–retest reliability of a new occupational risk factor questionnaire for outcome studies. Applied Ergonomics, 32(1), 39–46.PubMedCrossRefGoogle Scholar
  33. 33.
    Thomas, J. R., & Nelson, J. K. (1990). Research methods in physical activity, 2nd edn. Champaign, Illinois: Human Kinetics Books.Google Scholar
  34. 34.
    Lee, P., Helewa, A., Goldsmith, C. H., Smythe, H. A., & Stitt, L. W. (2001). Low back pain: prevalence and risk factors in an industrial setting. Journal of Rheumatology, 28(2), 346–351.PubMedGoogle Scholar
  35. 35.
    Åstrand, N. E. (1987). Medical, psychological, and social factors associated with back abnormalities and self-reported back pain: A cross-sectional study of male employees in a Swedish pulp and paper industry. British Journal of Industrial Medicine, 44(5), 327–336.PubMedGoogle Scholar
  36. 36.
    Biering-Sørensen F, Thomsen, C. E., & Hilden, J. (1989). Risk indicators for low back trouble. Scandinavian Journal of Rehabilitation Medicine, 21, 151–157.PubMedGoogle Scholar
  37. 37.
    Svensson, H., & Andersson, G. B. J. (1989). The relationship of low-back pain, work history and work environment, and stress: A retrospective cross-sectional study of 38- to 64-year old women. Spine, 14(5), 517–522.PubMedCrossRefGoogle Scholar
  38. 38.
    Vingård, E., Alfredsson, L., Hagberg, M., Kilbom, A., Theorell, T., Waldenström, M., et al. (2000). To what extent do current and past physical and psychosocial occupational factors explain care- seeking for low back pain in a working population? Results from the musculoskeletal intervention center-Norrtälje stydy. Spine, 25(4), 493–500.PubMedCrossRefGoogle Scholar
  39. 39.
    Burdorf, A., & Sorock, G. (1997). Positive and negative evidence of risk factors for back disorders. Scandinavian Journal of Work, Environment & Health, 23, 243–256.Google Scholar
  40. 40.
    Hoekstra , E. J., Hurrell, J.J., Swanson, N. G.(1994). Hazard evaluation and technical assistance report. Boston, MA: Social Security Administration Teleservice Centers; Fort Lauderdale, FL. Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health. NIOSH Report No. 92-0382-2450.Google Scholar
  41. 41.
    Sauter, S. L. (1984). Predictors of strain in VDT users, traditional office workers. In E. Grandjean (Ed.), The ergonomics and health in modern offices (pp. 129–135). London, England: Taylor and Francis.Google Scholar
  42. 42.
    Byrns, G., Agnew, J., & Curbow, B. (2002). Attributions, stress and work-related low back pain. Applied Occupational and Environmental Hygiene, 17(11), 752–764.PubMedCrossRefGoogle Scholar
  43. 43.
    Williams, R. A., Pruitt, S. D., Doctor, J. N., Epping-Jordan, J. E., Wahlgren, D. R., Grant, I., et al. (1998). The contribution of job satisfaction to the transition from acute to chronic low back pain. Archives of Physical Medicine and Rehabilitation, 79(4), 366–374.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Bernard van Vuuren
    • 1
    • 2
  • Evert Zinzen
    • 3
  • Hendrik J. van Heerden
    • 4
  • Piet J. Becker
    • 5
    • 6
  • Romain Meeusen
    • 2
  1. 1.Department of Biokinetics, Sport and Leisure Sciences, LC de Villiers Sport CentreUniversity of PretoriaPretoriaSouth Africa
  2. 2.Department Human Physiology & Sports Medicine, Faculty LKVrije Universiteit BrusselBrusselsBelgium
  3. 3.Department of Movement Education and Sports training, Faculty LKVrije Universiteit BrusselBrusselsBelgium
  4. 4.School for Physiotherapy, Sport Science and OptometryUniversity of Kwa-Zulu NatalDurbanSouth Africa
  5. 5.Biostatistics UnitMedical Research Council of South AfricaPretoriaSouth Africa
  6. 6.Department of Clinical Epidemiology, Faculty of Health SciencesUniversity of PretoriaPretoriaSouth Africa

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