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On-The-Job
Back Pain
Influenced by Social Climate
Excerpt
By Alison McCook,
Reuters Health
NEW YORK (Reuters Health) - While repeated
heavy lifting and straining can indeed increase the risk of job-related
back pain, new research suggests that an unpleasant workplace
environment can also damage workers' backs.
Dr. Janet M. Johnston and her colleagues
discovered that people who are unhappy at work and are forced
to work under intense and hectic conditions are more likely to
feel back pain than others.
These findings suggest that managers
who want to take the health of their employees into consideration
need to focus on both the physical and the psychological risks
of pain, Johnston said.
"We found that (psychological risks
of back pain) were just as important as the physical side," Johnston
told Reuters Health.
"You need to look both at the physical
and the psychosocial aspect of the environment" in order to protect
employees, she added.
Although creating a calmer, more
relaxed environment for employees may cost money or sacrifice
productivity, Johnston noted that treating back pain is an extremely
expensive venture, and companies shell out mega-bucks for health
insurance and workers' compensation.
"I think there really is motivation
for the employers to do something. And a lot of people want to,"
the University of Pittsburgh, Pennsylvania researcher said.
During the study, Johnston and
her colleagues conducted two interviews, six months apart, with
6,311 employees of 160 stores who had "material handling" responsibilities,
meaning they would receive and unload deliveries, stock the store,
or manage departments.
During the interviews, the researchers
asked workers about their social and psychological environment
at work, whether they had experienced lower back pain within the
previous six months, and, if so, how severe was the pain.
After removing the influence of
previous back injury and on-the-job lifting on reports of workplace
back pain, the researchers discovered that the quality of the
workers' environments influenced their risk of back pain.
For instance, people at jobs where
they had to work hard and concentrate for long stretches had a
higher risk of reporting back pain, as did those in hectic environments
that were often disrupted by outside factors.
The researchers report their findings
in the February issue of the American Journal of Industrial Medicine.
Johnston explained in an interview
that people who feel as if they don't have control over their
work environment or who feel unhappy with their work may feel
more stress. This stress, in turn, could increase tension in their
bodies and cause them to carry themselves in a way that increases
their risk of injury.
Furthermore, people who work hard
for long periods and are often asked to switch tasks may spend
a lot of time physically jerking their back, which can also lead
to injuries, she noted.
Since she and her colleagues measured
back pain based on a workers' memory of pain, Johnston noted that
it's also possible that people who are less happy at the workplace
may be more likely than others to remember back pain and report
it.
SOURCE: American Journal of Industrial
Medicine 2003;43:179-187.
Reference
Source 89
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