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Back disorder incidence and occupation in Denmark: a cross-sectional register-based study

European Spine Journal volume 29, pages 1860–1869 (2020)Cite this article

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Abstract

Purpose

The purpose of the present paper is (1) to describe the occupational distribution of persons with incident back disorders and (2) to determine the incidence rate ratio (RR) for back pain amongst patients working in specific occupation groups.

Methods

Using Danish registries, a total of 20,921 employed persons with incidents back disorders aged 18–64 years were identified in 2016 based on the inclusion criteria from the Danish Back Register. RR was estimated to test for differences in incident back disorder diagnoses across occupations. Pearson’s Chi-square test was used to test for homogeneity in back disorder incidence across occupations.

Results

The distribution of back disorder incidence for employed is above the distribution of employment in the background population for all age groups above 35 years. For employed women the three occupation groups with the highest RR of back pain incidence are: ‘water, sewage and waste’; ‘residential institutions and home care’; and ‘transport of passengers’, while similarly, amongst employed men: ‘hairdressers and other personal care’; ‘hospitals’; and ‘cleaning’. RR of incident back pain disorders is lowest for women employed in ‘universities and research’ and for men employed in ‘IT and telecommunications’.

Conclusions

This study is the first to investigate the occupational status and RR of back disorder incidence across occupation groups in Denmark. The distribution of back pain disorder incidents in the cross-sectional study is weighted to occupation groups involving hard physical activity. This evidence may be useful for considering work environment or pension reforms.

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Authors and Affiliations

  1. Medical Research Unit, Spine Centre of Southern Denmark, University Hospital Lillebælt, Østre Hougvej 55, 5500, Middelfart, Denmark

    Berit Schiøttz-Christensen

  2. Danish Centre for Health Economics, Department of Public Health, University of Southern Denmark, J.B. Winsløws Vej 9B, 1., 5000, Odense C, Denmark

    Amalie Wiben, Christian Volmar Skovsgaard & Kim Rose Olsen

  3. Department of Regional Health Research, University of Southern Denmark, J.B. Winsløws Vej 19, 3, 5000, Odense C, Denmark

    Berit Schiøttz-Christensen

Authors
  1. Amalie Wiben
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  2. Christian Volmar Skovsgaard
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  3. Berit Schiøttz-Christensen
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  4. Kim Rose Olsen
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Correspondence to Christian Volmar Skovsgaard.

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Wiben, A., Skovsgaard, C.V., Schiøttz-Christensen, B. et al. Back disorder incidence and occupation in Denmark: a cross-sectional register-based study. Eur Spine J 29, 1860–1869 (2020). https://doi.org/10.1007/s00586-020-06382-y

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  • DOI: https://doi.org/10.1007/s00586-020-06382-y

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