Work and workplace factors are important in fibromyalgia management. We investigated factors associated with sick leave in professionally active women living with fibromyalgia. A questionnaire for fibromyalgia patients in employment was developed by pain and occupational physicians and patients’ organizations. Women in full-time work, screened for fibromyalgia with the FiRST questionnaire, were recruited for a national online survey. Sick leave over the preceding year was analyzed. In 5 months, we recruited 955 women, with a mean of 37 days of sick leave in the previous year: no sick leave (36%), up to 1 month (38%), 1 to 2 months (14%), more than 2 months (12%). In the groups displayed no differences in demographic characteristics, fibromyalgia symptoms, functional severity and psychological distress were observed. However, they differed in workplace characteristics, commute time, stress and difficulties at work, repetitive work, noisy conditions, career progression problems and lack of recognition, which were strong independent risk factors for longer sick leave. Sedentary positions, an extended sitting position, heavy loads, exposure to thermal disturbances and the use of vibrating tools did not increase the risk of sick leave. Women with fibromyalgia frequently take sick leave, the risk factors for which are related to the workplace rather than fibromyalgia characteristics. This is the first study to assess the impact of occupational and clinical factors on sick leave in women living with fibromyalgia. Risk factors were found to be related to the workplace rather than fibromyalgia and personal characteristics. Workplace interventions should be developed for women with fibromyalgia.

中文翻译：

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工作场所的纤维肌痛：病假的危险因素与职业背景有关，而不是纤维肌痛特征——法国对 955 名患者的全国调查

工作和工作场所因素在纤维肌痛管理中很重要。我们调查了与患有纤维肌痛的职业活跃女性病假相关的因素。疼痛和职业医师和患者组织制定了一份针对就业中的纤维肌痛患者的问卷。全职工作的女性，通过 FIRST 问卷筛查纤维肌痛，被招募参加全国在线调查。分析了上一年的病假。在 5 个月内，我们招募了 955 名女性，上一年平均病假 37 天：无病假 (36%)、最长 1 个月 (38%)、1 至 2 个月 (14%)、更多超过 2 个月 (12%)。在人口统计学特征、纤维肌痛症状、功能严重程度和心理困扰方面，各组均无差异。然而，他们在工作场所特征、通勤时间、工作压力和困难、重复性工作、嘈杂的环境、职业发展问题和缺乏认可方面存在差异，这些都是延长病假的重要独立风险因素。久坐姿势、久坐姿势、重负荷、暴露于热干扰和使用振动工具不会增加病假的风险。患有纤维肌痛的女性经常请病假，其危险因素与工作场所有关，而不是与纤维肌痛特征有关。这是第一项评估职业和临床因素对患有纤维肌痛的女性病假影响的研究。发现风险因素与工作场所有关，而不是与纤维肌痛和个人特征有关。