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The association of adolescent spinal-pain-related absenteeism with early adulthood work absenteeism: A six-year follow-up data from a population-based cohort
School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia; Department of Public & Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, Netherlands.
School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia.
School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia.
Curtin Business School, Curtin University, Perth, Australia.
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2018 (English)In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 44, no 5, p. 521-529Article in journal (Refereed) Published
Abstract [en]

Objectives: Spinal (ie, back and neck) pain often develops as early as during adolescence and can set a trajectory for later life. However, whether early-life spinal-pain-related behavioral responses of missing school/work are predictive of future work absenteeism is yet unknown. We assessed the association of adolescent spinal-pain-related work or school absenteeism with early adulthood work absenteeism in a prospective population-based cohort.

Methods: Six year follow-up data from the Western Australian Pregnancy Cohort (Raine) study were used (N=476; with a 54% response rate). At age 17, participants reported spinal pain (using the Nordic questionnaire) and adolescent spinal-pain-related work/school absenteeism (with a single item question). Annual total and health-related work absenteeism was assessed with the Health and Work Performance questionnaire distributed in four quarterly text messages during the 23rd year of age. We modelled the association of adolescent spinal-pain-related absenteeism with work absenteeism during early adulthood, using negative binomial regression adjusting for sex, occupation and comorbidities.

Results: Participants with adolescent low-back or neck pain with work/school absenteeism reported higher total work absenteeism in early adulthood [148.7, standard deviation (SD) 243.4 hours/year], than those without pain [43.7 (SD 95.2) hours/year); incidence rate ratio 3.4 (95% CI 1.2-9.2)]. Comparable findings were found when considering low-back and neck separately, and when considering health-related absenteeism.

Conclusions: We found a more than three-fold higher risk of work absenteeism in early adulthood among those with adolescent spinal-pain-related absenteeism, compared to those without. These findings suggest that, to keep a sustainable workforce, pain prevention and management should focus on pain-related behaviors as early as in adolescence.

Place, publisher, year, edition, pages
Nordic Association of Occupational Safety and Health , 2018. Vol. 44, no 5, p. 521-529
Keywords [en]
adolescence, back pain, neck pain, Raine Study
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:oru:diva-70226DOI: 10.5271/sjweh.3744ISI: 000449167400009PubMedID: 29893981Scopus ID: 2-s2.0-85052923773OAI: oai:DiVA.org:oru-70226DiVA, id: diva2:1264358
Note

Funding Agencies:

National Health and Medical Research Council  

University of Western Australia  

Raine Medical Research Foundation  

Telethon Kids Institute  

University of Western Australia Faculty of Medicine, Dentistry, and Health Sciences  

Women and Infants Research Foundation  

Curtin University  

Edith Cowan University  

National Health and Medical Research Council  1021858  1027449  1044840 

National Health and Medical Research Council Senior Research Fellowship 

Available from: 2018-11-20 Created: 2018-11-20 Last updated: 2018-11-20Bibliographically approved

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Linton, Steven J.

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