Suchergebnisse

STUDY DESIGN: A national population-based survey focusing on disability. OBJECTIVE: To describe the frequency of chronic back conditions among those aged 30 to 64 years, the consequences on their daily lives, their employment status, and source of income. SUMMARY OF BACKGROUND DATA.: Descriptive data from community-based surveys are sparse. METHODS: In the French Handicap, Disability and Dependence survey, 1,289 subjects with chronic back problems were compared with the general population. RESULTS: The estimates for prevalence of chronic back problems were 7.9% for men (95% confidence interval, 7.2-8.5) and 7.5% for women (95% confidence interval, 7.0-8.1). Despite functional limitations, most people in France who had back problems were employed in a ordinary work: 71.5% among men (77.7% in the general population), 53.5% among women (60.2% in the general population). Among them, blue-collar workers were overrepresented. Of the subjects with back conditions, a very small proportion had a source of permanent income related to their health problems. CONCLUSIONS: The results from this national population-based survey emphasize the weight of chronic back problems in the community, in a country where the legislation offers few alternatives to ordinary work for those who suffer from chronic limitations due to low back pain.

STUDY DESIGN: A national population-based survey focusing on disability. OBJECTIVE: To describe the frequency of chronic back conditions among those aged 30 to 64 years, the consequences on their daily lives, their employment status, and source of income. SUMMARY OF BACKGROUND DATA.: Descriptive data from community-based surveys are sparse. METHODS: In the French Handicap, Disability and Dependence survey, 1,289 subjects with chronic back problems were compared with the general population. RESULTS: The estimates for prevalence of chronic back problems were 7.9% for men (95% confidence interval, 7.2-8.5) and 7.5% for women (95% confidence interval, 7.0-8.1). Despite functional limitations, most people in France who had back problems were employed in a ordinary work: 71.5% among men (77.7% in the general population), 53.5% among women (60.2% in the general population). Among them, blue-collar workers were overrepresented. Of the subjects with back conditions, a very small proportion had a source of permanent income related to their health problems. CONCLUSIONS: The results from this national population-based survey emphasize the weight of chronic back problems in the community, in a country where the legislation offers few alternatives to ordinary work for those who suffer from chronic limitations due to low back pain.

STUDY DESIGN: A national population-based survey focusing on disability. OBJECTIVE: To describe the frequency of chronic back conditions among those aged 30 to 64 years, the consequences on their daily lives, their employment status, and source of income. SUMMARY OF BACKGROUND DATA.: Descriptive data from community-based surveys are sparse. METHODS: In the French Handicap, Disability and Dependence survey, 1,289 subjects with chronic back problems were compared with the general population. RESULTS: The estimates for prevalence of chronic back problems were 7.9% for men (95% confidence interval, 7.2-8.5) and 7.5% for women (95% confidence interval, 7.0-8.1). Despite functional limitations, most people in France who had back problems were employed in a ordinary work: 71.5% among men (77.7% in the general population), 53.5% among women (60.2% in the general population). Among them, blue-collar workers were overrepresented. Of the subjects with back conditions, a very small proportion had a source of permanent income related to their health problems. CONCLUSIONS: The results from this national population-based survey emphasize the weight of chronic back problems in the community, in a country where the legislation offers few alternatives to ordinary work for those who suffer from chronic limitations due to low back pain.

STUDY DESIGN: A national population-based survey focusing on disability. OBJECTIVE: To describe the frequency of chronic back conditions among those aged 30 to 64 years, the consequences on their daily lives, their employment status, and source of income. SUMMARY OF BACKGROUND DATA.: Descriptive data from community-based surveys are sparse. METHODS: In the French Handicap, Disability and Dependence survey, 1,289 subjects with chronic back problems were compared with the general population. RESULTS: The estimates for prevalence of chronic back problems were 7.9% for men (95% confidence interval, 7.2-8.5) and 7.5% for women (95% confidence interval, 7.0-8.1). Despite functional limitations, most people in France who had back problems were employed in a ordinary work: 71.5% among men (77.7% in the general population), 53.5% among women (60.2% in the general population). Among them, blue-collar workers were overrepresented. Of the subjects with back conditions, a very small proportion had a source of permanent income related to their health problems. CONCLUSIONS: The results from this national population-based survey emphasize the weight of chronic back problems in the community, in a country where the legislation offers few alternatives to ordinary work for those who suffer from chronic limitations due to low back pain.

STUDY DESIGN: A national population-based survey focusing on disability. OBJECTIVE: To describe the frequency of chronic back conditions among those aged 30 to 64 years, the consequences on their daily lives, their employment status, and source of income. SUMMARY OF BACKGROUND DATA.: Descriptive data from community-based surveys are sparse. METHODS: In the French Handicap, Disability and Dependence survey, 1,289 subjects with chronic back problems were compared with the general population. RESULTS: The estimates for prevalence of chronic back problems were 7.9% for men (95% confidence interval, 7.2-8.5) and 7.5% for women (95% confidence interval, 7.0-8.1). Despite functional limitations, most people in France who had back problems were employed in a ordinary work: 71.5% among men (77.7% in the general population), 53.5% among women (60.2% in the general population). Among them, blue-collar workers were overrepresented. Of the subjects with back conditions, a very small proportion had a source of permanent income related to their health problems. CONCLUSIONS: The results from this national population-based survey emphasize the weight of chronic back problems in the community, in a country where the legislation offers few alternatives to ordinary work for those who suffer from chronic limitations due to low back pain.

STUDY DESIGN: A national population-based survey focusing on disability. OBJECTIVE: To describe the frequency of chronic back conditions among those aged 30 to 64 years, the consequences on their daily lives, their employment status, and source of income. SUMMARY OF BACKGROUND DATA.: Descriptive data from community-based surveys are sparse. METHODS: In the French Handicap, Disability and Dependence survey, 1,289 subjects with chronic back problems were compared with the general population. RESULTS: The estimates for prevalence of chronic back problems were 7.9% for men (95% confidence interval, 7.2-8.5) and 7.5% for women (95% confidence interval, 7.0-8.1). Despite functional limitations, most people in France who had back problems were employed in a ordinary work: 71.5% among men (77.7% in the general population), 53.5% among women (60.2% in the general population). Among them, blue-collar workers were overrepresented. Of the subjects with back conditions, a very small proportion had a source of permanent income related to their health problems. CONCLUSIONS: The results from this national population-based survey emphasize the weight of chronic back problems in the community, in a country where the legislation offers few alternatives to ordinary work for those who suffer from chronic limitations due to low back pain.

International audience ; Le programme pilote de surveillance épidémiologique des troubles musculo-squelettiques (TMS) développé dans la région des Pays de la Loire fêtera bientôt ses 10 ans. Ce programme a largement contribué à la mesure de ce problème majeur de santé au travail, mesure jusqu'alors essentiellement basée sur les statistiques de reconnaissance en maladie professionnelle; de même, il a contribué à la mise en visibilité dans le débat social du poids des facteurs professionnels dans leur survenue. Des pistes restent à explorer pour rendre cette surveillance plus efficiente et plusrégulière à l'échelon national. Par ailleurs, une réflexion est engagée sur la manière dont on peut traduire, pour les pouvoirs publics, les entreprises et le public, les résultats issus de l'épidémiologie de façon qu'ils puissent se les approprier à des fins de prévention. Car prévenir de façon durable les TMS et prendre en compte les situations de handicap des salariés souffrant de TMS est un impératif de santé au travail et de santé publique, sur lequel doivent se mobiliser tous les acteurs de la prévention des risques professionnels dans le cadre d'une politique structurée et coordonnée.

International audience ; Le programme pilote de surveillance épidémiologique des troubles musculo-squelettiques (TMS) développé dans la région des Pays de la Loire fêtera bientôt ses 10 ans. Ce programme a largement contribué à la mesure de ce problème majeur de santé au travail, mesure jusqu'alors essentiellement basée sur les statistiques de reconnaissance en maladie professionnelle; de même, il a contribué à la mise en visibilité dans le débat social du poids des facteurs professionnels dans leur survenue. Des pistes restent à explorer pour rendre cette surveillance plus efficiente et plusrégulière à l'échelon national. Par ailleurs, une réflexion est engagée sur la manière dont on peut traduire, pour les pouvoirs publics, les entreprises et le public, les résultats issus de l'épidémiologie de façon qu'ils puissent se les approprier à des fins de prévention. Car prévenir de façon durable les TMS et prendre en compte les situations de handicap des salariés souffrant de TMS est un impératif de santé au travail et de santé publique, sur lequel doivent se mobiliser tous les acteurs de la prévention des risques professionnels dans le cadre d'une politique structurée et coordonnée.

Abstract

Objectives
Job-exposure matrices (JEMs) were developed to allow assessment of past work exposure for large population-based studies where better exposures data are unavailable. Few studies have directly compared biomechanical JEMs to self-administered questionnaires. We compared assessments of cumulative exposure to carrying heavy loads based on 'JEM Constances' to individually self-reported (SR) exposures.


Methods
In the French CONSTANCES cohort at inception, past SR exposure to carrying heavy loads (ever/never and durations) and a detailed job history were available for 26 929 subjects. JEM Constances, an existing biomechanical JEM based on SR current exposures from 26 821 asymptomatic workers, was combined with job history to build a cumulative biomechanical exposure score. Using individual SR exposure as the reference, Area Under the Curve (AUC) of Receiver Operating Characteristic (ROC) curves, sensitivity, and specificity were calculated. For both methods, associations with low back pain and knee pain were computed using multinomial logistic models. Additional analyses compared older (>10 years) to more recent (≤10 years) exposures.


Results
AUCs ranged from 0.795 (0.789–0.800) when all periods were considered, to 0.826 (0.820–0.833) for more recent biomechanical exposure (≤10 years). Associations between carrying heavy loads and low back pain or knee pain were less strong using JEM assessment than individually SR exposure: for low back pain ORSR = 3.02 (2.79–3.26) versus ORJEM = 1.70 (1.59–1.82) and for knee pain ORSR = 2.27 (2.10–2.46) versus ORJEM = 1.64 (1.53–1.77).


Conclusions
JEM Constances' assessment of cumulative exposure of carrying heavy loads seems to be a useful method compared to a self-administrated questionnaire for large population-based studies where other methods are not available.

International audience ; INTRODUCTION – Musculoskeletal disorders (MSDs), pain, discomfort or hampered locomotor system have been associated with biomechanical exposure at work, and represent a major challenge in occupational and public health. OBJECTIVE – Using the data from the CONSTANCES cohort, the aim of the study was to present the prevalence of these disorders in the general population based on demographic and socio-occupational features, including among workers with no or little access to occupational medicine, like temporary workers. METHODS – The CONSTANCES cohort is composed of a random sample of volunteers aged 18 to 69 years at base-line. In order to take into account sample weightings and non-participation, the sample was limited to 28,914 people invited in 2012 and 2013, and included until 31 January 2014, aged 30 to 69 years. The data are derived from self- administered questionnaires at baseline. Eight biomechanical factors and six articular l ocations were studied, and focused on persistent pain. The weighted prevalences of exposure and MSDs were estimated by stratifying on four sociodemographic variables (sex, age, occupation and social category, type of employment contract). RESULTS – Of the 28,914 volunteers included in our analyses, 8,998 men and 10,218 women were working at the time of the study. The prevalence of persistent pain varied between 14% (at elbows level) and 35% (at the back level) in women, 9% and 24% for men (respectively for the same locations). Prevalence of rachis pain in working-class women was 35%, against 22% for executives and 35% and 25% among male workers ( respectively). Prevalence also varied according to exposure to biomechanical factors, age and type of employment contract. CONCLUSION – These data confirm the weight of musculoskeletal disorders. Public health policies in the field of occupational health will be able, through CONSTANCES, to provide indicators on a large part of the French population, especially on vulnerable populations (ageing and precarious workers). ; INTRODUCTION – Les troubles musculo-squelettiques (TMS), douleurs, gênes ou limitations de l'appareil locomoteur potentiellement liées à une hyper-sollicitation d'origine professionnelle, sont considérés comme un enjeu majeur tant en santé au travail qu'en santé publique. OBJECTIF – L'objectif est de présenter, à partir des données de la cohorte Constances, la prévalence de ces troubles en population générale en fonction de caractéristiques démographiques et socioprofessionnelles générales, y compris chez des travailleurs n'ayant pas ou peu accès à la médecine du travail, comme les travailleurs intérimaires. METHODES – La cohorte Constances est constituée de volontaires tirés au sort et âgés de 18 à 69 ans à l 'inclusion. Pour prendre en compte les poids de sondage et la non-participation, l'échantillon a été restreint à 28 914 personnes invitées en 2012 et 2013 et incluses jusqu'au 31 janvier 2014, âgées de 30 à 69 ans. Les données utilisées sont issues des questionnaires complétés par les volontaires à l'inclusion. Huit facteurs biomécaniques et six localisations articulaires ont été étudiés en se restreignant aux douleurs persistantes. Les prévalences pondérées d'exposition et de TMS ont été estimées en stratifiant sur quatre variables sociodémo-graphiques (sexe, classes d'âge, profession et catégorie sociale à l'inclusion, type de contrat de travail). RESULTATS – Sur les 28 914 personnes incluses, 8 998 hommes et 10 218 femmes se déclaraient en activité. Les prévalences des douleurs persistantes variaient entre 14% (aux coudes) et 35% (au niveau du dos) chez les femmes, 9% et 24% chez les hommes respectivement, pour les mêmes localisations. La prévalence des douleurs du rachis chez les femmes ouvrières actives était de 35%, contre 22% chez les femmes cadres, et 35% et 25% chez les hommes, respectivement. Les prévalences variaient également selon l'exposition aux facteurs biomécaniques, l'âge et le type de contrat de travail. CONCLUSION – Ces données confirment le poids des TMS. Les politiques de santé publique dans le champ santé/travail vont pouvoir, grâce à Constances, disposer d'indicateurs sur une partie importante de la population française, et plus particulièrement sur des populations vulnérables (travailleurs vieillissants, travailleurs précaires).

International audience ; INTRODUCTION – Musculoskeletal disorders (MSDs), pain, discomfort or hampered locomotor system have been associated with biomechanical exposure at work, and represent a major challenge in occupational and public health. OBJECTIVE – Using the data from the CONSTANCES cohort, the aim of the study was to present the prevalence of these disorders in the general population based on demographic and socio-occupational features, including among workers with no or little access to occupational medicine, like temporary workers. METHODS – The CONSTANCES cohort is composed of a random sample of volunteers aged 18 to 69 years at base-line. In order to take into account sample weightings and non-participation, the sample was limited to 28,914 people invited in 2012 and 2013, and included until 31 January 2014, aged 30 to 69 years. The data are derived from self- administered questionnaires at baseline. Eight biomechanical factors and six articular l ocations were studied, and focused on persistent pain. The weighted prevalences of exposure and MSDs were estimated by stratifying on four sociodemographic variables (sex, age, occupation and social category, type of employment contract). RESULTS – Of the 28,914 volunteers included in our analyses, 8,998 men and 10,218 women were working at the time of the study. The prevalence of persistent pain varied between 14% (at elbows level) and 35% (at the back level) in women, 9% and 24% for men (respectively for the same locations). Prevalence of rachis pain in working-class women was 35%, against 22% for executives and 35% and 25% among male workers ( respectively). Prevalence also varied according to exposure to biomechanical factors, age and type of employment contract. CONCLUSION – These data confirm the weight of musculoskeletal disorders. Public health policies in the field of occupational health will be able, through CONSTANCES, to provide indicators on a large part of the French population, especially on vulnerable populations (ageing and precarious workers). ; INTRODUCTION – Les troubles musculo-squelettiques (TMS), douleurs, gênes ou limitations de l'appareil locomoteur potentiellement liées à une hyper-sollicitation d'origine professionnelle, sont considérés comme un enjeu majeur tant en santé au travail qu'en santé publique. OBJECTIF – L'objectif est de présenter, à partir des données de la cohorte Constances, la prévalence de ces troubles en population générale en fonction de caractéristiques démographiques et socioprofessionnelles générales, y compris chez des travailleurs n'ayant pas ou peu accès à la médecine du travail, comme les travailleurs intérimaires. METHODES – La cohorte Constances est constituée de volontaires tirés au sort et âgés de 18 à 69 ans à l 'inclusion. Pour prendre en compte les poids de sondage et la non-participation, l'échantillon a été restreint à 28 914 personnes invitées en 2012 et 2013 et incluses jusqu'au 31 janvier 2014, âgées de 30 à 69 ans. Les données utilisées sont issues des questionnaires complétés par les volontaires à l'inclusion. Huit facteurs biomécaniques et six localisations articulaires ont été étudiés en se restreignant aux douleurs persistantes. Les prévalences pondérées d'exposition et de TMS ont été estimées en stratifiant sur quatre variables sociodémo-graphiques (sexe, classes d'âge, profession et catégorie sociale à l'inclusion, type de contrat de travail). RESULTATS – Sur les 28 914 personnes incluses, 8 998 hommes et 10 218 femmes se déclaraient en activité. Les prévalences des douleurs persistantes variaient entre 14% (aux coudes) et 35% (au niveau du dos) chez les femmes, 9% et 24% chez les hommes respectivement, pour les mêmes localisations. La prévalence des douleurs du rachis chez les femmes ouvrières actives était de 35%, contre 22% chez les femmes cadres, et 35% et 25% chez les hommes, respectivement. Les prévalences variaient également selon l'exposition aux facteurs biomécaniques, l'âge et le type de contrat de travail. CONCLUSION – Ces données confirment le poids des TMS. Les politiques de santé publique dans le champ santé/travail vont pouvoir, grâce à Constances, disposer d'indicateurs sur une partie importante de la population française, et plus particulièrement sur des populations vulnérables (travailleurs vieillissants, travailleurs précaires).

International audience ; INTRODUCTION – Musculoskeletal disorders (MSDs), pain, discomfort or hampered locomotor system have been associated with biomechanical exposure at work, and represent a major challenge in occupational and public health. OBJECTIVE – Using the data from the CONSTANCES cohort, the aim of the study was to present the prevalence of these disorders in the general population based on demographic and socio-occupational features, including among workers with no or little access to occupational medicine, like temporary workers. METHODS – The CONSTANCES cohort is composed of a random sample of volunteers aged 18 to 69 years at base-line. In order to take into account sample weightings and non-participation, the sample was limited to 28,914 people invited in 2012 and 2013, and included until 31 January 2014, aged 30 to 69 years. The data are derived from self- administered questionnaires at baseline. Eight biomechanical factors and six articular l ocations were studied, and focused on persistent pain. The weighted prevalences of exposure and MSDs were estimated by stratifying on four sociodemographic variables (sex, age, occupation and social category, type of employment contract). RESULTS – Of the 28,914 volunteers included in our analyses, 8,998 men and 10,218 women were working at the time of the study. The prevalence of persistent pain varied between 14% (at elbows level) and 35% (at the back level) in women, 9% and 24% for men (respectively for the same locations). Prevalence of rachis pain in working-class women was 35%, against 22% for executives and 35% and 25% among male workers ( respectively). Prevalence also varied according to exposure to biomechanical factors, age and type of employment contract. CONCLUSION – These data confirm the weight of musculoskeletal disorders. Public health policies in the field of occupational health will be able, through CONSTANCES, to provide indicators on a large part of the French population, especially on vulnerable populations (ageing and precarious workers). ; INTRODUCTION – Les troubles musculo-squelettiques (TMS), douleurs, gênes ou limitations de l'appareil locomoteur potentiellement liées à une hyper-sollicitation d'origine professionnelle, sont considérés comme un enjeu majeur tant en santé au travail qu'en santé publique. OBJECTIF – L'objectif est de présenter, à partir des données de la cohorte Constances, la prévalence de ces troubles en population générale en fonction de caractéristiques démographiques et socioprofessionnelles générales, y compris chez des travailleurs n'ayant pas ou peu accès à la médecine du travail, comme les travailleurs intérimaires. METHODES – La cohorte Constances est constituée de volontaires tirés au sort et âgés de 18 à 69 ans à l 'inclusion. Pour prendre en compte les poids de sondage et la non-participation, l'échantillon a été restreint à 28 914 personnes invitées en 2012 et 2013 et incluses jusqu'au 31 janvier 2014, âgées de 30 à 69 ans. Les données utilisées sont issues des questionnaires complétés par les volontaires à l'inclusion. Huit facteurs biomécaniques et six localisations articulaires ont été étudiés en se restreignant aux douleurs persistantes. Les prévalences pondérées d'exposition et de TMS ont été estimées en stratifiant sur quatre variables sociodémo-graphiques (sexe, classes d'âge, profession et catégorie sociale à l'inclusion, type de contrat de travail). RESULTATS – Sur les 28 914 personnes incluses, 8 998 hommes et 10 218 femmes se déclaraient en activité. Les prévalences des douleurs persistantes variaient entre 14% (aux coudes) et 35% (au niveau du dos) chez les femmes, 9% et 24% chez les hommes respectivement, pour les mêmes localisations. La prévalence des douleurs du rachis chez les femmes ouvrières actives était de 35%, contre 22% chez les femmes cadres, et 35% et 25% chez les hommes, respectivement. Les prévalences variaient également selon l'exposition aux facteurs biomécaniques, l'âge et le type de contrat de travail. CONCLUSION – Ces données confirment le poids des TMS. Les politiques de santé publique dans le champ santé/travail vont pouvoir, grâce à Constances, disposer d'indicateurs sur une partie importante de la population française, et plus particulièrement sur des populations vulnérables (travailleurs vieillissants, travailleurs précaires).