ArticleOccupational and environmental medicine2004
Work factors as predictors of intense or disabling low back pain; a prospective study of nurses' aides.
Article in Occupational and environmental medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
70 citing papers in PubMed, 6 syntheses or guidelines pooled it, 283 citations in OpenAlex.
- Musculoskeletal disorders among older hospital cleaners: a systematic review of prevalence and risk factors.Frontiers in public health · 2025Pooled it
- Occupational psychosocial exposures and chronic low-back pain: a systematic review and meta-analysis.Scandinavian journal of work, environment & health · 2024Pooled it
- Association of Low Back Pain with Shift Work: A Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- Psychosocial areas of worklife and chronic low back pain: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2019Pooled it
- Assessment of the ergonomic risk from saddle and conventional seats in dentistry: A systematic review and meta-analysis.PloS one · 2018Pooled it
- Physical activity and low back pain: a systematic review of recent literature.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2011Pooled it
- Effects of a workplace exercise program on physical capacity and lower back symptoms in hospital nursing assistants: a randomized controlled trial.International archives of occupational and environmental health · 2021Trial
- Effectiveness and cost-effectiveness of neuromuscular exercise and back care counseling in female healthcare workers with recurrent non-specific low back pain: a blinded four-arm randomized controlled trial.BMC public health · 2018Trial
- Implementing an Integrated Health Protection/Health Promotion Intervention in the Hospital Setting: Lessons Learned From the Be Well, Work Well Study.Journal of occupational and environmental medicine · 2016Trial
- Musculoskeletal disorders in nursing staff.World journal of methodology · 2025Article
- Article
- Nurses' health and work experiences during the COVID-19 pandemic in Swedish prehospital and hospital care: a deductive content analysis through the lens of the swAge model.BMC public health · 2025Article
- The association between proportion of night shifts and musculoskeletal pain and headaches in nurses: a cross-sectional study.BMC musculoskeletal disorders · 2024Article
- The disruptive relationship among circadian rhythms, pain, and opioids.Frontiers in neuroscience · 2023Review
- Relationship between General Health and Musculoskeletal Discomfort along with Psychosomatic Complaints in Nurses.Iranian journal of public health · 2022Article
- Work-Related Health Burdens of Nurses in Germany: A Qualitative Interview Study in Different Care Settings.Healthcare (Basel, Switzerland) · 2022Article
- Demographic, Lifestyle, and Physical Health Predictors of Sickness Absenteeism in Nursing: A Meta-Analysis.Safety and health at work · 2021Article
- Article
- Circadian rhythms and pain.Neuroscience and biobehavioral reviews · 2021Review
- Implications of Disrupted Circadian Rhythms on Pain.Journal of psychiatry and brain science · 2021Article
10 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo identify the work factors that predict intense low back pain (LBP) and LBP related sick leaves in nurses' aides.
methodsThe sample comprised 4266 randomly selected Norwegian nurses' aides, not bothered or only a little bothered by LBP during the previous three months, and not on sick leave when completing a mailed questionnaire in 1999. Of these, 3808 (89.3%) completed a second questionnaire 3 months later and 3651 (85.6%) completed a third questionnaire 15 months later. Intensity of low back symptoms and certified sick leaves attributed to LBP during the observation period were assessed by self reports at the follow ups.
resultsAfter adjustments for LBP during the three months prior to baseline, baseline health complaints, demographic and familial factors, and a series of physical, psychological, and social work factors, logistic regression analyses revealed the following associations: intense low back symptoms were predicted by frequent positioning of patients in bed, perceived lack of support from immediate superior, and perceived lack of pleasant and relaxing culture in the work unit. LBP related sick leaves were predicted by frequent handling of heavy objects, medium level of work demands, perceived lack of supportive and encouraging culture in the work unit, working night shifts, and working in a nursing home. Long term LBP related sick leaves were associated with changes of work or work tasks during the observation period that resulted in a perceived reduction of support and encouragement at work.
conclusionsNot only frequent mechanical exposures, but also organisational, psychological, and social work factors, such as night shift work, perceived lack of support from superior, and perceived lack of a pleasant and relaxing or supporting and encouraging culture in the work unit, are associated with an increased risk of intense low back symptoms and LBP related sick leaves in nurses' aides.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.