The natural history and risk factors of musculoskeletal conditions resulting in disability among US Army personnel.
نویسندگان
چکیده
We describe the natural history of 13 musculoskeletal conditions requiring hospitalization and identify demographic, behavioral, psychosocial, occupational, and clinical characteristics most strongly associated with disability discharge from the Army. Subjects included 15,268 active-duty personnel hospitalized for a common musculoskeletal condition between the years 1989-1996 who were retrospectively followed through 1997. Back conditions had the greatest 5-year cumulative risk of disability (21%, 19%, and 17% for intervertebral disc displacement, intervertebral disc degeneration, and nonspecific low back pain, respectively). Cox proportional hazards models identified the following risk factors for disability among males: lower pay grade, musculoskeletal diagnosis, shorter length of service, older age, occupational category, lower job satisfaction, recurrent musculoskeletal hospitalizations, more cigarette smoking, greater work stress, and heavier physical demands. Among females, fewer covariates reached statistical significance, although lower education level was significant in more than one model. Modifiable risk factors related to work (job satisfaction, work stress, physical demands, occupation) and health behaviors (smoking) suggest possible targets for intervention.
منابع مشابه
Risk factors for disability discharge in enlisted active duty Army soldiers.
BACKGROUND The rate of permanent disability retirement in U.S. Army soldiers and the prevalence of combat-related disabilities have significantly increased over time. Prior research on risk factors associated with disability retirement included soldiers retired prior to conflicts in Iraq and Afghanistan. OBJECTIVE To identify risk factors for disability discharge among soldiers enlisted in th...
متن کاملInvestigating the Relationship Between Mental Workload, Occupational Stress and Demographic Factors with the Prevalence of Musculoskeletal Disorders and its Disabilities in Flight Security Employees
Background and Aim: Work-related musculoskeletal disorders (WRMSDS) are a multifactorial phenomenon and are the most common type of occupational injuries and the main cause of disability in the workplace. The purpose of this study was to Investigating the relationship between mental workload, occupational stress and demographic factors with the prevalence of musculoskeletal disorders and its di...
متن کاملRisk factors associated with low back pain in male military personnel: case-control study
Background and Aim: Low back pain (LBP) is a multidimensional disorder which is common among military personnel. It may cause disability, reduced productivity and combat readiness of forces, and increased health care costs. Therefore, the aim of this study was to assess the risk factors associated with LBP in male military personnel. Methods: This study is a case-control study of 250 military p...
متن کاملMeasuring and valuing the lost productivity due to knee osteoarthritis and its effective factors among military personnel
Background and Aim: Promoting productivity of military personnel has a key role in enhancing security-defense capabilities and reducing costs. Musculoskeletal disorders are one of the most common causes of disability and lost productivity of military personnel. The aim of this study was to measure the lost productivity due to knee osteoarthritis and identify its influencing factors in military ...
متن کاملبررسی شیوع اختلالات اسکلتی – عضلانی و تعیین ریسک فاکتورهای مربوط به پوسچر در پرسنل آزمایشگاه های تشخیص طبی شهرستان کاشان ، سال 1391
Background and aims: Musculoskeletal disorders are the most prevalent occupational injuries and disability in the world. One of the most important risk factors of these disorders is awkward posture. Previous studies reported high prevalence of musculoskeletal disorders in medical laboratory personnel. This study was carried out to determine Prevalence and postural risk factors associated with m...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Work
دوره 18 2 شماره
صفحات -
تاریخ انتشار 2002