Recurrent back pain during working life and exit from paid employment

Tea Lallukka , Minna Mänty , Cooper Cyrus , Maria Fleischmann , Anne Kouvonen Piotrowska , Karen E Walker-Bone , Jenny A Head , Jaana I. Halonen


Objectives To examine the impact of recurrent, as compared with single, reports of back pain on exit from paid employment over decades of follow-up. Methods The study sample was from the British Whitehall II Study cohort (n=8665, 69% men, aged 35–55 at baseline), who had provided information about their reports of back pain between 1985 and 1994. Data about exit from paid employment (health-related and non-health related exit, unemployment and other exit) were collected between 1995 and 2013. Repeated measures logistic regression models were fitted to examine the associations, and adjust for covariates. Results Recurrent pain was reported by 18% of participants, while 26% reported pain on an occasion and 56% did not report pain. Report of back pain on an occasion was not associated with health-related job exit, whereas recurrent pain was associated with such an exit (OR 1.51; 95% CI 1.15 to 1.99), when compared with those who did not report pain. These associations were somewhat stronger among middle-grade and lower-grade employees, while these associations were not seen among higher-grade employees. Differences in associations by age and psychosocial working conditions were small. Conclusions These results highlight the need for early detection of recurrent back pain to prevent exit out of paid employment for health reasons. As the risk varies by occupational grade, this emphasises the importance of identification of high-risk groups and finding ways to address their modifiable risk factors.
Author Tea Lallukka
Tea Lallukka,,
, Minna Mänty
Minna Mänty,,
, Cooper Cyrus
Cooper Cyrus,,
, Maria Fleischmann
Maria Fleischmann,,
, Anne Kouvonen Piotrowska (Filia we Wrocławiu / II Wydział Psychologii we Wrocławiu)
Anne Kouvonen Piotrowska,,
- II Wydział Psychologii we Wrocławiu
, Karen E Walker-Bone
Karen E Walker-Bone,,
, Jenny A Head
Jenny A Head,,
, Jaana I. Halonen
Jaana I. Halonen,,
Journal seriesOccupational and Environmental Medicine, ISSN 1351-0711, (A 40 pkt)
Issue year2018
Publication size in sheets0.5
ASJC Classification2739 Public Health, Environmental and Occupational Health
Languageen angielski
3 Oświadczenie_Recurrent.pdf 36.52 KB
3 Recurrent_Kouvonen.pdf 341.85 KB
Score (nominal)40
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2016 = 1.603; WoS Impact Factor: 2017 = 3.965 (2) - 2017=3.852 (5)
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