Occupational stress and musculoskeletal symptoms in firefighters

Int J Occup Med Environ Health. 2019 Jun 14;32(3):341-352. doi: 10.13075/ijomeh.1896.01268. Epub 2019 Mar 29.

Abstract

Objectives: The aim of this study was to evaluate the potential association between occupational stress and musculoskeletal symptoms in firefighters.

Material and methods: Data were collected among Cypriot firefighters through a battery of adapted questionnaires completed anonymously.

Results: A total of 430 firefighters (a response rate of 68%) completed the survey (the age range: 21-60 years). A total of 11% of firefighters reported moderate to extremely severe stress through the Copenhagen Psychosocial Questionnaire and Depression, Anxiety and Stress Scale. A total of 40% of firefighters reported musculoskeletal symptoms, the most frequent being back pain. Multivariable-adjusted logistic regression models showed that occupational stress was associated with a 50% higher risk of musculoskeletal symptoms in firefighters after adjusting for age, smoking and obesity (OR = 1.52, p = 0.04). In addition, a positive dose-response relationship was found between occupational stress and musculoskeletal symptoms.

Conclusions: Occupational stress constitutes a significant risk for firefighters and is associated with higher prevalence of musculoskeletal symptoms at work. Int J Occup Med Environ Health. 2019;32(3):341-52.

Keywords: firefighters; musculoskeletal disorders; physical activity; psychosomatic stress; questionnaire survey; work-related stress.

MeSH terms

  • Adult
  • Back Pain / epidemiology
  • Body Mass Index
  • Cyprus / epidemiology
  • Female
  • Firefighters*
  • Humans
  • Male
  • Middle Aged
  • Musculoskeletal Diseases / epidemiology*
  • Musculoskeletal Diseases / etiology
  • Occupational Stress / epidemiology*
  • Smoking
  • Surveys and Questionnaires