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  • 1.
    Ghaffari, Mostafa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Lost in translation?: Reply2009In: Occupational Medicine, ISSN 0962-7480, E-ISSN 1471-8405, Vol. 59, no 3, p. 202-203Article in journal (Refereed)
  • 2.
    Ghaffari, Mostafa
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Alipour, Akbar
    Farshad, Ali Asghar
    Jensen, Irene
    Josephson, Malin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Vingård, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Effect of psychosocial factors on low back pain in industrial workers2008In: Occupational Medicine, ISSN 0962-7480, E-ISSN 1471-8405, Vol. 58, no 5, p. 341-347Article in journal (Refereed)
    Abstract [en]

    Aim To test the hypothesis that workplace psychosocial factors such as demand, control, support, job satisfaction and job appreciation can predict the future onset of disabling low back pain (LBP). Methods The present study involved a prospective cohort of 4500 Iranian industrial workers. Data were gathered by means of a self-reported questionnaire about LBP, as well as working life exposure, lifestyle factors, social exposures, co-morbidity, life events and psychosomatic complaints in 2004. All new episodes of disabling LBP resulting in medically certified sick leave during the 1-year follow-up registered by occupational health clinic inside the factory. Results The participation rate was good (85%). A total of 744 subjects reported current LBP (point prevalence cases). A total of 52 (< , 2%) new episodes of disabling LBP were observed during the 1-year follow-up (incident cases). Male employees reported higher demands, lower control and lower support than female employees. Employees with high demands, low control, job strain, low job satisfaction and low job appreciation showed increased odds ratios, and these results were statistically significant. Conclusions Few prospective studies in this field have been published, but all of them are related to industrialized countries. This prospective study suggests the aetiological role of job strain for LBP. The findings of this study indicate a substantial potential for disease prevention and health promotion at the workplace.

  • 3.
    Hermansson, J.
    et al.
    Angereds Narsjukhus, S-42422 Angered, Sweden;Karolinska Inst, Sodersjukhuset, Dept Clin Sci & Educ, S-11883 Stockholm, Sweden.
    Hallqvist, Johan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Karlsson, B.
    Univ Umea, Dept Publ Hlth & Clin Med, Occupat Med, S-90185 Umea, Sweden.
    Knutsson, A.
    Mid Sweden Univ, Dept Hlth Sci, S-85170 Sundsvall, Sweden.
    Gadin, K. Gillander
    Mid Sweden Univ, Dept Hlth Sci, S-85170 Sundsvall, Sweden.
    Shift work, parental cardiovascular disease and myocardial infarction in males2018In: Occupational Medicine, ISSN 0962-7480, E-ISSN 1471-8405, Vol. 68, no 2, p. 120-125Article in journal (Refereed)
    Abstract [en]

    Background Shift work has been associated with an increased risk of cardiovascular disease (CVD). However, there is a need for more studies to determine whether there is an interaction between shift work and other risk factors of CVD, thereby increasing the risk of CVD in shift workers. Aims To discern whether shift work and parental mortality from myocardial infarction (MI) or sudden cardiac death (SCD) interact to increase the risk of MI in men. Methods A case-control dataset was used to assess interaction between shift work and parental history of CVD, using death from MI or SCD, or death before age 65, on an additive scale. Results were reported as relative excess risk due to interaction, attributable proportion due to interaction (AP) and synergy index (SI). Results There was an interaction between shift work and paternal mortality from MI or SCD, when both factors were present [SI = 2.39; 95% confidence interval (CI) 1.02. 5.6 and AP = 0.4; 95% CI 0.08. 0.73]. Conclusions Paternal mortality from MI or SCD interacts with shift work to increase the risk of MI in men.

  • 4. Moen, Bente E
    et al.
    Wieslander, Gunilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Bakke, Jan V
    Norbäck, Dan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Subjective health complaints and psychosocial work environment among university personnel2013In: Occupational Medicine, ISSN 0962-7480, E-ISSN 1471-8405, Vol. 63, no 1, p. 38-44Article in journal (Refereed)
    Abstract [en]

    BackgroundQuestionnaires are often used to study health problems in working populations. An association between self-reported symptoms and psychosocial strain has been suggested, but results from such studies are difficult to interpret, as a gender difference might be present. The knowledge in this area is not clear.AimsTo compare the prevalence of subjective health symptoms and their relation to psychosocial work strain among men and women in different age groups, all working as university staff.MethodsA cross-sectional survey was carried out among university personnel. The questionnaire included a subjective health complaint inventory consisting of 29 items about subjective somatic and psychological symptoms experienced during the last 30 days and psychosocial work factors. Regression analyses were performed.ResultsIn total, 172 (86%) of 201 eligible employees participated. Women had a higher prevalence of musculoskeletal symptoms than men. Significant differences were found between the genders for headaches, neck pain and arm pain. There was a significant relationship between musculoskeletal symptoms and work strain for both genders. This was found for both men and women below 40 years and among men above the age of 40. No significant difference was found between genders regarding pseudoneurological, gastrointestinal, allergic and flu-like symptoms.ConclusionsMore female than male university personnel reported musculoskeletal symptoms. The musculoskeletal symptoms were associated with high work strain in both genders, but, for women, this was limited to employees under the age of 40. The cause of this gender difference is unknown.

  • 5.
    Palmlof, L.
    et al.
    Karolinska Inst, Inst Environm Med, Box 210, S-17177 Stockholm, Sweden.
    Skillgate, E.
    Karolinska Inst, Inst Environm Med, Box 210, S-17177 Stockholm, Sweden;Naprapathgsk Scandinavian Coll Naprapath Manual M, Stockholm, Sweden.
    Talback, M.
    Karolinska Inst, Inst Environm Med, Box 210, S-17177 Stockholm, Sweden.
    Josephson, Malin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Vingård, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Holm, L. W.
    Karolinska Inst, Inst Environm Med, Box 210, S-17177 Stockholm, Sweden.
    Poor work ability increases sickness absence over 10 years2019In: Occupational Medicine, ISSN 0962-7480, E-ISSN 1471-8405, Vol. 69, no 5, p. 359-365Article in journal (Refereed)
    Abstract [en]

    Background

    Little is known about the predictive value of single items from the work ability index (WAI) on the risk of sickness absence over several years, and whether such risk varies across age groups.

    Aims

    The aim of the study was to investigate whether poor self-perceived physical and mental work ability among employees in the public sector are associated with long-term sickness absence over a 10-year period.

    Methods

    The study was based on a prospective cohort of employees within the public sector in Sweden reporting ‘good health for working’. Baseline information was collected with questionnaires from 2000 to 2003. Poor physical and mental work ability in relation to work demands were assessed with two items from the WAI. The outcome was the number of years of long-term sickness absence between 2003 and 2012. Long-term sickness absence was defined as ≥28 days of sickness and this information was retrieved from Swedish National Registers. Crude and adjusted incidence rate ratios were calculated with analyses stratified by age.

    Results

    Compared with those reporting very good physical work ability, employees reporting any lower grade of physical work ability had a higher risk of long-term sickness absence across all age strata, with higher risk estimates in the highest age groups and 6-fold increased risk in the oldest age group. Similar results were found for mental work ability with an almost 4-fold increased risk in the highest age group.

    Conclusions

    Self-reported physical and mental poor work ability are associated with long-term sickness absence during the subsequent 10 years. The risk increases with age.

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