Evidence map›Paper›PMID 42204612›Full record

SynthesisArchives of public health = Archives belges de sante publique2026

Prevalence of work-related health conditions among hotel housekeepers: a systematic review and meta-analysis.

Isaac Sánchez-González, Juan Jesús García-Iglesias, Juan Gómez-Salgado, María Isabel Tovar-Gálvez, Carlos Ruiz-Frutos, Blanca Prieto-Callejero, Luis El Khoury-Moreno, Julio Torrejón-Martínez, Nadine Badillo-Sánchez, Israel Macías-Toronjo

Abstract readSystematic Review
In one paragraph

Synthesis in Archives of public health = Archives belges de sante publique, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Isaac Sánchez-GonzálezHealth Surveillance Area, Huelva Occupational Risk Prevention Centre, Junta de Andalucía, Huelva, 21007, Spain.ORCID http://orcid.org/0009-0007-8863-3468
Juan Jesús García-IglesiasDepartment of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Avda. Tres de Marzo, S/N, Huelva, 21007, Spain.ORCID http://orcid.org/0000-0003-4074-0399
Juan Gómez-SalgadoDepartment of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Avda. Tres de Marzo, S/N, Huelva, 21007, Spain. salgado@uhu.es.ORCID http://orcid.org/0000-0001-9053-7730
María Isabel Tovar-GálvezDepartment of Nursing, Faculty of Health Sciences, University of Granada, Granada, 18071, Spain.ORCID http://orcid.org/0000-0002-6420-9757
Carlos Ruiz-FrutosDepartment of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Avda. Tres de Marzo, S/N, Huelva, 21007, Spain.ORCID http://orcid.org/0000-0003-3715-1382
Blanca Prieto-CallejeroDepartment of Nursing, University of Huelva, Huelva, 21007, Spain.ORCID http://orcid.org/0000-0002-5023-6682
Luis El Khoury-MorenoDepartment of Stomatology, Faculty of Odontology, University of Sevilla, Sevilla, 41009, Spain.ORCID http://orcid.org/0009-0003-8012-8652
Julio Torrejón-MartínezDepartment of Stomatology, Faculty of Odontology, University of Sevilla, Sevilla, 41009, Spain.ORCID http://orcid.org/0009-0001-8872-4067
Nadine Badillo-SánchezDepartment of Nursing, University of Huelva, Huelva, 21007, Spain.ORCID http://orcid.org/0009-0009-3187-9605
Israel Macías-ToronjoDepartment of Rehabilitation, FREMAP Huelva, Huelva, 21001, Spain.ORCID http://orcid.org/0000-0003-3846-038X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHotel housekeepers are exposed to high physical workload, repetitive tasks, time pressure, and limited social recognition. These occupational conditions may increase the risk of work-related health problems, particularly musculoskeletal disorders, and negatively affect functional capacity and long-term work sustainability. The objective of this systematic review was to synthesise the available evidence on the most prevalent work-related health conditions among hotel housekeepers and to examine their association with work-related risk factors.

methodsA systematic review was conducted in accordance with PRISMA guidelines. Electronic searches were performed in PubMed, Scopus, CINAHL, Embase, and Web of Science in November 2025 and updated on 18 March 2026. Eligible observational studies reporting the prevalence of work-related health conditions among hotel housekeepers were included. Study selection, data extraction, and quality appraisal (Joanna Briggs Institute tools) were conducted independently by reviewers. Findings were synthesised narratively and, where appropriate, pooled using random-effects meta-analysis with inverse-variance weighting, Freeman-Tukey double arcsine transformation, and restricted maximum likelihood estimation of between-study variance (τ²). Statistical heterogeneity was assessed using the I² statistic.

resultsEight studies met the inclusion criteria and were included in the systematic review. All examined musculoskeletal disorders, consistently reporting high prevalence rates. Five of these studies contributed to the meta-analysis; pooled 12-month prevalence was highest for low back pain (73.0%; 95% CI: 42.9-90.7), followed by wrist/hand (54.7%; 95% CI: 27.7-79.2), shoulder (48.2%; 95% CI: 10.8-87.7), and neck (40.1%; 95% CI: 3.2-93.2). Several studies identified significant associations between musculoskeletal symptoms and labour exposures, including biomechanical load, repetitive movements, work organisation, adverse psychosocial conditions, and specific factors such as the number of beds made per shift, lack of training, and low job satisfaction. Substantial heterogeneity limited comparability across studies.

conclusionsHotel housekeepers represent a particularly vulnerable occupational group with a high burden of work-related musculoskeletal disorders. The limited number of studies and their heterogeneity highlight the need for more robust, standardised epidemiological research. Preventive strategies addressing ergonomic design, workload management, and psychosocial risk factors are warranted to mitigate health risks and promote long-term occupational well-being in this workforce. REGISTRATION: The review protocol was registered in PROSPERO (CRD420261288316).

Indexed as

ErgonomicsMusculoskeletal disordersMusculoskeletal painOccupational diseasesOccupational exposureOccupational healthOccupational injuriesOccupational risksPrevalenceRisk factorsSystematic reviewWomen workersWorking conditions

Identifiers

PMID42204612
PMCPMC13418783

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.