ArticleBMC musculoskeletal disorders2014
An expert-based job exposure matrix for large scale epidemiologic studies of primary hip and knee osteoarthritis: the Lower Body JEM.
Article in BMC musculoskeletal disorders, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Early occupational intervention for people with low back pain in physically demanding jobs: A randomized clinical trial.PLoS medicine · 2019Trial
- Construction of a musculoskeletal job-exposure matrix in Korea.Annals of occupational and environmental medicine · 2026Article
- Article
- Development of a quantitative job exposure matrix for standing, walking, and forward bending among pregnant workers - The PRECISE JEM.Scandinavian journal of work, environment & health · 2025Article
- Associations between knee pain and knee-loading physical activities at work and leisure - a cross-sectional study based on accelerometer measurements.BMC musculoskeletal disorders · 2025Observational
- Development of a gender-specific European job exposure matrix (EuroJEM) for physical workload and its validation against musculoskeletal pain.Scandinavian journal of work, environment & health · 2025Article
- Occupational Physical Activity Among Pregnant Employees in the Danish Workforce: The PRECISE Occupational Cohort Profile.Clinical epidemiology · 2025Article
- Tip of the iceberg: unveiling the impact on back disorders from cumulative physical job exposure and evaluating bias from the healthy worker effect using a nationwide longitudinal cohort study.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 · 2024Article
- Relationship between cumulative exposure to occupational lifting throughout working life and risk of ischemic heart disease in men and women. The Copenhagen Aging and Midlife Biobank.Annals of work exposures and health · 2024Article
- Article
- How to Use Biomechanical Job Exposure Matrices with Job History to Access Work Exposure for Musculoskeletal Disorders? Application of Mathematical Modeling in Severe Knee Pain in the Constances Cohort.International journal of environmental research and public health · 2022Article
- Reliability of O*NET physical exposures between Italian and US databases.American journal of industrial medicine · 2022Article
- Occupational Exposure Assessment Tools in Europe: A Comprehensive Inventory Overview.Annals of work exposures and health · 2022Review
- Association between exposure to heavy occupational lifting and cardiac structure and function: a cross-sectional analysis from the Copenhagen City Heart Study.The international journal of cardiovascular imaging · 2022Article
- Inguinal hernia repair among men: development and validation of a preoperative risk score for persistent postoperative pain.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Number of musculoskeletal pain sites leads to increased long-term healthcare contacts and healthcare related costs - a Danish population-based cohort study.BMC health services research · 2021Article
- Applying two general population job exposure matrices to predict incident carpal tunnel syndrome: A cross-national approach to improve estimation of workplace physical exposures.Scandinavian journal of work, environment & health · 2020Article
- Cross-national comparison of two general population job exposure matrices for physical work exposures.Occupational and environmental medicine · 2019Article
- Cumulative physical workload and mobility limitations in middle-aged men and women: a population-based study with retrospective assessment of workload.International archives of occupational and environmental health · 2019Article
- Physical demand at work and sick leave due to low back pain: a cross-sectional study.BMJ open · 2019Article
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Authors and funding
7 authors.
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Abstract
backgroundWhen conducting large scale epidemiologic studies, it is a challenge to obtain quantitative exposure estimates, which do not rely on self-report where estimates may be influenced by symptoms and knowledge of disease status. In this study we developed a job exposure matrix (JEM) for use in population studies of the work-relatedness of hip and knee osteoarthritis.
methodsBased on all 2227 occupational titles in the Danish version of the International Standard Classification of Occupations (D-ISCO 88), we constructed 121 job groups comprising occupational titles with expected homogeneous exposure patterns in addition to a minimally exposed job group, which was not included in the JEM. The job groups were allocated the mean value of five experts' ratings of daily duration (hours/day) of standing/walking, kneeling/squatting, and whole-body vibration as well as total load lifted (kg/day), and frequency of lifting loads weighing ≥20 kg (times/day). Weighted kappa statistics were used to evaluate inter-rater agreement on rankings of the job groups for four of these exposures (whole-body vibration could not be evaluated due to few exposed job groups). Two external experts checked the face validity of the rankings of the mean values.
resultsA JEM was constructed and English ISCO codes were provided where possible. The experts' ratings showed fair to moderate agreement with respect to rankings of the job groups (mean weighted kappa values between 0.36 and 0.49). The external experts agreed on 586 of the 605 rankings.
conclusionThe Lower Body JEM based on experts' ratings was established. Experts agreed on rankings of the job groups, and rankings based on mean values were in accordance with the opinion of external experts.
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