RT Journal Article
SR Electronic
T1 Physical and psychosocial work exposures as risk factors for disability retirement due to a shoulder lesion
JF Occupational and Environmental Medicine
JO Occup Environ Med
FD BMJ Publishing Group Ltd
SP 793
OP 800
DO 10.1136/oemed-2019-105974
VO 76
IS 11
A1 Maria Sirén
A1 Eira Viikari-Juntura
A1 Jari Arokoski
A1 Svetlana Solovieva
YR 2019
UL http://oem.bmj.com/content/76/11/793.abstract
AB Objective To assess the longitudinal associations of physical and psychosocial exposures with disability retirement due to a shoulder lesion.Methods In a nationwide register-based study, we followed 1 135 654 wage earners aged 30–59 years for the occurrence of disability retirement due to a shoulder lesion. The occupational exposures were assessed with job exposure matrices. We used a competing risk regression model to estimate HRs and their 95% CIs and to test for the association between the exposures and the outcome. We also calculated the attributable fraction of disability retirement due to occupational exposures.Results A total of 2472 persons had full disability retirement due to a shoulder lesion during the follow-up. Physically heavy work showed the strongest association with the outcome in both genders, in men with an HR of 2.90 (95% CI 2.37 to 3.55) and in women with an HR of 3.21 (95% CI 2.80 to 3.90). Of the specific physical exposures, working with hands above shoulder level was statistically significantly associated with disability retirement in men. When all physical exposures were taken into consideration, 46% and 41% of disability retirement due to a shoulder lesion were attributed to physical work load factors in men and women, respectively. In addition, 49% (men) and 35% (women) of disability retirement were attributed to psychosocial work-related factors.Conclusions Our findings suggest that a considerable proportion of disability retirement due to a shoulder lesion could be prevented by reducing physical and psychosocial exposures at work to a low level.