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Personal and workplace factors for the risk of low back pain among institutional caregivers of people with intellectual,autistic or multiple disabilities
Affiliation:1. School of Public Health, National Defense Medical Center, Taipei, Taiwan;2. Chung-Hua Foundation for Persons with Intellectual Disabilities, New Taipei City, Taiwan;3. Center for Environment and Population Health, Griffith University, Brisbane, Australia;4. Department of Healthcare Administration, Asia University, Taichung, Taiwan;5. Department of Public Health, China Medical University, Taichung, Taiwan;6. Tri-Service General Hospital SongShan Branch, National Defense Medical Center, Taipei, Taiwan;1. National Institute of Radiological Sciences, National Institutes for Quantum and Radiological Science and Technology, Chiba, 263-8555, Japan;2. Advanced Medical Instrumentation Unit, Okinawa Institute of Science and Technology Graduate University, Okinawa, 904-0495, Japan;3. Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, 300192, PR China;4. Department of Biomedical Science and Technology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, 770-8503, Japan;1. Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania;3. Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania;4. Division of Colorectal Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania;5. Department of Biostatistics, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania;1. Office of Population Research and the Woodrow Wilson School of Public and International Affairs, Princeton University, USA;2. Max Planck Institute for Demographic Research, Konrad-Zuse-Str., 1, Rostock, 18057, Germany;3. New Economic School, ul. Novaya, 100A, Moscow, 143026, Skolkovo, Russia;4. Office of Population Research and the Woodrow Wilson School of Public and International Affairs, Princeton University, Wallace Hall, Princeton, NJ, 08544, USA;1. Department of Occupational Therapy, University of Haifa, Mount Carmel, Haifa, Israel;2. Research Institute for Health and Medical Professions, Ono Academic College, Kiryat Ono, Israel;1. Rutgers Business School, Rutgers University, USA;2. School of Management and Labor Relations, Rutgers University, USA;3. Department of Labor Studies and Employment Relations, Rutgers University, USA;1. School of Public Health, National Defense Medical Center, Taipei, Taiwan;2. Chung-Hua Foundation for Persons with Intellectual Disabilities, New Taipei City, Taiwan;3. Department of Healthcare Administration, Asia University, Taichung, Taiwan;4. Department of Public Health, China Medical University, Taichung, Taiwan
Abstract:The aims of the present study were to investigate the prevalence of LBP among institutional caregivers of people with intellectual, autistic or associated multiple disabilities and to examine the risk factors for LBP among this population. A cross-sectional, purposive sampling method was used to recruit into the study 1073 staff who were working in 15 disability welfare institutions. The survey materials included an introduction letter, an informed consent, and a structured questionnaire that queried the participant's demographic and working characteristics, healthy lifestyle, and previous and current LBP experiences. The present study results showed that 63.2% of the participants reported that they had LBP in the previous year. Many factors of the participants’ demographic characteristics (gender, BMI, and marital status), working conditions (years of working experience, weekly work days, labor-oriented work, and direct care staff), and health status (exercise habit, perceived health status, previous and more recent medication experience of musculoskeletal discomfort) associated with LBP occurrence were analyzed in univariate Chi-square analyses. Finally, multiple logistic regression analyses revealed that the factors of female gender (OR = 1.534, p = 0.039), being married (OR = 1.469, p = 0.027), being direct care staff (OR = 1.844, p = 0.025), having fair health status (OR = 1.518, p = 0.012), or previous (OR = 1.996, p < 0.001) and more recent (OR = 2.744, p < 0.001) medication experience of musculoskeletal discomfort were found to be more likely to have LBP than their counterparts. This study highlights that we should pay much closer attention to LBP risk factors and to plan necessary initiatives to avoid the progression of LBP in the workplace.
Keywords:Low back pain  Musculoskeletal discomfort  Disability  Caregiver  Staff
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