Work-related psychosocial factors and chronic pain: a prospective cohort study in Canadian workers

J Occup Environ Med. 2004 Dec;46(12):1263-71.

Abstract

Objective: The purpose of this study was to determine whether organizational and psychosocial aspects of work experience affect the risk of chronic pain conditions.

Methods: We used longitudinal data from the National Population Health Survey in Canada (n = 6571). The data were analyzed using the Cox model.

Results: Work-related stress was a risk factor for developing chronic pain or discomfort. The relative risk was 1.39 (95% CI = 1.01-1.91) for medium stress and 1.80 (95% CI = 1.28-2.52) for high stress. High psychological demands and low skill discretion were independently associated with pain/discomfort. There was no association between psychosocial factors at work and physician-diagnosed chronic back problems, arthritis, or migraine headaches.

Conclusions: Work-related stress is a significant risk factor for nonspecific complaints of pain or discomfort among workers.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Arthritis / epidemiology
  • Back Pain / epidemiology
  • Canada / epidemiology
  • Chronic Disease
  • Cohort Studies
  • Female
  • Headache / epidemiology
  • Health Surveys
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Occupational Diseases / epidemiology*
  • Occupational Diseases / psychology*
  • Organizational Culture*
  • Pain / epidemiology*
  • Pain / psychology*
  • Proportional Hazards Models
  • Prospective Studies
  • Rheumatic Diseases / epidemiology
  • Sex Distribution
  • Socioeconomic Factors
  • Stress, Psychological / epidemiology