Purpose

The purpose of the present paper is (1) to describe the occupational distribution of persons with incident back disorders and (2) to determine the incidence rate ratio (RR) for back pain amongst patients working in specific occupation groups.

Methods

Using Danish registries, a total of 20,921 employed persons with incidents back disorders aged 18–64 years were identified in 2016 based on the inclusion criteria from the Danish Back Register. RR was estimated to test for differences in incident back disorder diagnoses across occupations. Pearson’s Chi-square test was used to test for homogeneity in back disorder incidence across occupations.

Results

The distribution of back disorder incidence for employed is above the distribution of employment in the background population for all age groups above 35 years. For employed women the three occupation groups with the highest RR of back pain incidence are: ‘water, sewage and waste’; ‘residential institutions and home care’; and ‘transport of passengers’, while similarly, amongst employed men: ‘hairdressers and other personal care’; ‘hospitals’; and ‘cleaning’. RR of incident back pain disorders is lowest for women employed in ‘universities and research’ and for men employed in ‘IT and telecommunications’.

Conclusions

This study is the first to investigate the occupational status and RR of back disorder incidence across occupation groups in Denmark. The distribution of back pain disorder incidents in the cross-sectional study is weighted to occupation groups involving hard physical activity. This evidence may be useful for considering work environment or pension reforms.

Graphic abstract

These slides can be retrieved under Electronic Supplementary Material.

中文翻译：

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丹麦背部疾病的发病率和职业：一项基于登记的横断面研究。

目的

本论文的目的是 (1) 描述腰部疾病患者的职业分布，以及 (2) 确定特定职业组工作患者的背痛发生率 (RR)。

方法

根据丹麦背部登记册的纳入标准，使用丹麦登记册，2016 年共有 20,921 名患有 18-64 岁背部疾病的就业人员被确定。估计 RR 以测试不同职业的事件背部疾病诊断的差异。Pearson 的卡方检验用于检验不同职业的背部疾病发生率的同质性。

结果

对于 35 岁以上的所有年龄组，就业的背部疾病发生率的分布高于背景人群的就业分布。对于就业女性而言，背痛发生率最高的三个职业组是：“水、污水和废物”；“住宿机构和家庭护理”；和“乘客运输”，而同样地，在受雇男性中：“理发师和其他个人护理”；'医院'; 和“清洁”。受雇于“大学和研究机构”的女性以及受雇于“IT 和电信”的男性，发生背痛疾病的 RR 最低。

结论

本研究首次调查了丹麦各职业群体的职业状况和背部疾病发病率的 RR。横断面研究中背痛疾病事件的分布被加权到涉及剧烈体育活动的职业群体。该证据可能有助于考虑工作环境或养老金改革。

图形摘要

这些幻灯片可以在电子补充材料下检索。