Annals of Occupational and Environmental Medicine

Research Article

Relationship between Psychosocial Risk Factors and Work-Related Musculoskeletal Disorders among Public Hospital Nurses in Malaysia: Nur Azma Amin, Rusli Nordin, Quek Kia Fatt, Rahim M Noah, Jennifer Oxley; Ann Occup Environ Med 2014;26:23-23. Published online August 9, 2014; DOI: https://doi.org/10.1186/s40557-014-0023-2

Objective

This study examined the relationships between psychosocial work factors and risk of WRMSDs among public hospital nurses in the Klang Valley, Malaysia.

Methods

We conducted a cross-sectional study among 660 public hospital nurses. A self-administered questionnaire was used to collect data on the occurrence of WRMSDs according to body regions, socio-demographic profiles, occupational information and psychosocial risk factors. 468 questionnaires were returned (response rate of 71%), and 376 questionnaires qualified for subsequent analysis. Univariate analyses were applied to test for mean and categorical differences across the WRMSDs; multiple logistic regression was applied to predict WRMSDs based on the Job Strain Model’s psychosocial risk factors.

Results

Over two thirds of the sample of nurses experienced discomfort or pain in at least one site of the musculoskeletal system within the last year. The neck was the most prevalent site (48.94%), followed by the feet (47.20%), the upper back (40.69%) and the lower back (35.28%). More than 50% of the nurses complained of having discomfort in region one (neck, shoulders and upperback) and region four (hips, knees, ankles, and feet). The results also revealed that psychological job demands, job strain and iso-strain ratio demonstrated statistically significant mean differences (p < 0.05) between nurses with and without WRMSDs. According to univariate logistic regression, all psychosocial risk factors illustrated significant association with the occurrence of WRMSDs in various regions of the body (OR: 1.52–2.14). Multiple logistic regression showed all psychosocial risk factors were significantly associated with WRMSDs across body regions (OR: 1.03–1.19) except for region 1 (neck, shoulders and upper back) and region 4 (hips, knees, ankles, and feet). All demographic variables except for years of employment were statistically and significantly associated with WRMSDs (p < 0.05).

Conclusions

The findings indicated the high prevalence of WRMSDs in many body regions, and the risks of developing WRMSDs according to the various body regions were associated with important psychosocial risk factors based on the job strain model. These findings have implications for the management of WRMSDs among public hospital nurses in the Klang Valley, Malaysia.

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Original Article

Occupational Distribution of Job Stress in Korea: Young Su Ju, Young Jun Kwon, Hee Tae Kang, Yong Kyu Kim; Korean Journal of Occupational and Environmental Medicine 2003;15(4):422-435. Published online December 31, 2003; DOI: https://doi.org/10.35371/kjoem.2003.15.4.422

Abstract PDF

OBJECTIVES
Although there is increasing concern about job stress, no published reports have addressed the basic characteristics of job stress (i.e. on various job stress domains), according to the Korean Standard of Job Categories. Therefore, this study was conducted to present epidemiologic data of common Korean workers on job stress domains, by using the self-reported Karasek's Job Content Questionnaire(JCQ.) METHODS: Data were gathered from many workers at various industries for 2 years, as a part of the workers'periodic health examinations, in Kyong-Gi and Kyong-Nam provinces, Korea.
RESULTS
The total respondents were 1,866, male 1,658(88.9%) and female 208(11.1%), from 117 companies. The mean age was 35.05 years old, 1,315(70.4%) were married, 1,578(84.5%) were graduated from high school or above, and 380(20.4%) were managers at workplace. The mean scores of decision latitude, psychological job demand, social support, and job insecurity were 62.56(std 8.28, median 62), 31.45(std 3.83, median 32), 22.49(std 2.58, median 23) and 6.16(std 1.90, median 6), respectively. Construction workers belonged to the high strain group, and administrative managers and computer related experts belonged to the active group.
CONCLUSIONS
To more precisely evaluate job stress according to job categories, data could be gathered from a larger sample and detailed job categories should be adopted. Such a study would form an important foundation for research into job stress in Korea.

Citations

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Journal of the Korean Society of Physical Medicine.2012; 7(4): 515. CrossRef

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Original Article

Study on Perceived Occupational Psychosocial Stress and Work-related Musculoskeletal Disorders among VDT Works: Yeong Su Ju, Ho Jang Kwon, Dong Gyu Kim, Jai Yong Kim, Nam Jong Baek, Hong Ryul Choi, In Keun Bae, Jong Man Park, Jong Du Kang, Soo Hun Cho; Korean Journal of Occupational and Environmental Medicine 1998;10(4):463-475. Published online December 31, 1998; DOI: https://doi.org/10.35371/kjoem.1998.10.4.463

Abstract PDF

It has been hypothesized that jobs that have both high psychological demands and low decision latitude ('job strain") can lead to musculoskeletal disorder. The objective of this study was to test whether job strain was correlated with the presence of work-related musculoskeletal disorder, especially myofascial pain syndrome (MPS). Information on demographic factors, confounders such as household load and taking care of children or not, and scores for decision latitude, job demand, and social support was obtained by self-administered questionnaire, which had been developed in Korean language, by adopting NIOSH instrument and Extended Karasek Model (16 items). All subjects were also examined by rehabilitation medicine specialists for musculoskeletal disorders. Subjects (n=370) could be categorized into 4 groups, these were, housewives(n=89), shipyard CAD workers(n=89), general female workers(n=79; nurses, insurance counselors, public officials, clerks, etc), and telephone directory assistance operators(n=113). Results from univariate analyses indicated that all demographic factors, all confounders, scores for decision latitude and social support were not associated with the risk of musculoskeletal disorder. However, score for job demand was higher in musculoskeletal disorder cases than others. In subgroup analysis, this association was convinced again, in telephone directory assistance operators. Job strain model showed that the group of telephone directory assistance operators was high-strain group, and OR of musculoskeletal disorder was 2.446 (95% C.I. : 1.174, 5.096), when comparing this with the low strain group. In conclusion, job strain is a risk factor for work-related musculoskeletal disorder.

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