Physical and psychosocial risk factors for musculoskeletal disorders in Brazilian and Italian nurses

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author CARUGNO, Michele
PESATORI, Angela Cecilia
FERRARIO, Marco Mario
FERRARI, Andrea Lepos FMUSP-HC
SILVA, Fabio Jose da
MARTINS, Aline Caldas
FELLI, Vanda Elisa Andres FMUSP-HC
COGGON, David
BONZINI, Matteo
dc.date.issued 2012
dc.identifier.citation CADERNOS DE SAUDE PUBLICA, v.28, n.9, p.1632-1642, 2012
dc.identifier.issn 0102-311X
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/5316
dc.description.abstract As part of the international CUPID investigation, we compared physical and psychosocial risk factors for musculoskeletal disorders among nurses in Brazil and Italy. Using questionnaires, we collected information on musculoskeletal disorders and potential risk factors from 751 nurses employed in public hospitals. By fitting country-specific multiple logistic regression models, we investigated the association of stressful physical activities and psychosocial characteristics with site-specific and multisite pain, and associated sickness absence. We found no clear relationship between low back pain and occupational lifting, but neck and shoulder pain were more common among nurses who reported prolonged work with the arms in an elevated position. After adjustment for potential confounding variables, pain in the low back, neck and shoulder, multisite pain, and sickness absence were all associated with somatizing tendency in both countries. Our findings support a role of somatizing tendency in predisposition to musculoskeletal disorders, acting as an important mediator of the individual response to triggering exposures, such as work-load.
dc.description.abstract Como parte da pesquisa internacional CUPID, comparamos os fatores de risco físico e psicossocial para distúrbios osteomusculares entre enfermeiras no Brasil e na Itália. Foram coletados dados com questionários sobre distúrbios osteomusculares e seus fatores de risco potenciais com 751 enfermeiros de hospitais públicos. Com modelos de regressão logística específicas para cada país, investigamos a associação entre atividades físicas estressantes e as características psicossociais, com dores em sítios específicos e múltiplos, assim como ausências motivadas por doença. Não encontramos clara relação entre dor lombar e levantamento de pesos, porém dores no pescoço e ombros foram as mais relatadas entre as enfermeiras que realizam trabalho prolongado, com braços elevados. As dores na lombar, pescoço, ombros e em múltiplos sítios foram associadas à tendência somatizante e à ausência por doença em ambos os países. Nossos achados reforçam o papel da tendência somatizante como fator predisponente para distúrbios osteomusculares, atuando como um importante mediador da resposta individual.
dc.description.sponsorship · Colt Foundation [CF/03/95]
dc.language.iso eng
dc.publisher CADERNOS SAUDE PUBLICA
dc.relation.ispartof Cadernos de Saude Publica
dc.rights openAccess
dc.subject Nursing Staff; Cross-cultural Comparison; Musculoskeletal Diseases; Absenteeism; Comparação Transcultural; Doenças Musculoesqueléticas; Absenteísmo; Recursos Humanos em Enfermagem
dc.subject.other psychological-factors increase; new-zealand nurses; back-pain; nursing workers; office workers; postal workers; prevalence; disability; population; symptoms
dc.title Physical and psychosocial risk factors for musculoskeletal disorders in Brazilian and Italian nurses
dc.title.alternative Fatores de risco físico e psicossocial para distúrbios musculoesqueléticos em enfermeiras brasileiras e italianas
dc.type article
dc.rights.holder Copyright CADERNOS SAUDE PUBLICA
dc.identifier.doi 10.1590/S0102-311X2012000900003
dc.identifier.pmid 23033179
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author FERRARI, Andrea Lepos:HU:DPENFMED-62
hcfmusp.author FELLI, Vanda Elisa Andres:HU:HU
hcfmusp.author.external · CARUGNO, Michele:Univ Milan, Dept Occupat & Environm Hlth, I-20122 Milan, Italy
· PESATORI, Angela Cecilia:Univ Milan, Dept Occupat & Environm Hlth, I-20122 Milan, Italy; Osped Maggiore Policlin, Fdn IRCCS CaGranda, Milan, Italy
· FERRARIO, Marco Mario:Univ Insubria, Dept Clin & Expt Med, Varese, Italy
· SILVA, Fabio Jose da:Univ Sao Paulo, Univ Hosp, Sao Paulo, Brazil
· MARTINS, Aline Caldas:Univ Sao Paulo, Escola Enfermagem, Sao Paulo, Brazil
· COGGON, David:Univ Southampton, MRC Lifecourse Epidemiol Unit, Southampton, Hants, England
· BONZINI, Matteo:Univ Insubria, Dept Clin & Expt Med, Varese, Italy
hcfmusp.origem.id 2-s2.0-84867172266
hcfmusp.origem.id WOS:000309383400003
hcfmusp.origem.id SCIELO:S0102-311X2012000900003
hcfmusp.publisher.city RIO DE JANIERO
hcfmusp.publisher.country BRAZIL
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dc.description.index MEDLINE
hcfmusp.citation.scopus 38
hcfmusp.citation.wos 34
hcfmusp.affiliation.country Brasil
hcfmusp.affiliation.country Itália
hcfmusp.affiliation.country Inglaterra


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