TY - JOUR
T1 - Effort-reward imbalance and low back pain among eldercare workers in nursing homes
T2 - A cross-sectional study in Kagawa prefecture, Japan
AU - Yokoyama, Katsunori
AU - Hirao, Tomohiro
AU - Yoda, Takeshi
AU - Yoshioka, Akira
AU - Shirakami, Gotaro
PY - 2014/5
Y1 - 2014/5
N2 - Effort-reward Imbalance and Low Back Pain among Eldercare Workers in Nursing Homes: A Cross-sectional Study in Kagawa Prefecture, Japan; Katsunori YOKOYAMA, et al. Department of Anesthesiology, Graduate School of Medicine, Kagawa University-Objectives: To clarify effort-reward imbalance among eldercare workers in nursing homes and to examine the association between the effort-reward imbalance (ERI) and low back pain (LBP) among them. Methods: A total of 549 questionnaires were distributed to a random sample comprising 23% of the 79 special elderly nursing homes in Kagawa in 2013. A total of 467 eldercare workers (response rate 85%) participated in this study. Of the 467 eligible respondents, 372 (80%) completed all items of the ERI questionnaire. Complete data were available for 342 (73%) eldercare workers. Results: Of the 342 respondents, 215 (63%) had LBP at the time of the study, and 291 (85%) showed a critical "high cost/low gain" condition as determined by an effort-reward ratio >1. Multiple logistic regression analyses adjusted for age, gender, previous LBP experience, high-risk work and K6 score showed that eldercare workers with a high ERI had a higher risk for LBP than workers with a low ERI (OR, 1.96; 95% CI, 1.02-3.77). Conclusions: Most eldercare workers have a high ERI, and their LBP is associated with their ERI. Balancing effort and reward may be an important factor for improving LBP among eldercare workers in nursing homes.
AB - Effort-reward Imbalance and Low Back Pain among Eldercare Workers in Nursing Homes: A Cross-sectional Study in Kagawa Prefecture, Japan; Katsunori YOKOYAMA, et al. Department of Anesthesiology, Graduate School of Medicine, Kagawa University-Objectives: To clarify effort-reward imbalance among eldercare workers in nursing homes and to examine the association between the effort-reward imbalance (ERI) and low back pain (LBP) among them. Methods: A total of 549 questionnaires were distributed to a random sample comprising 23% of the 79 special elderly nursing homes in Kagawa in 2013. A total of 467 eldercare workers (response rate 85%) participated in this study. Of the 467 eligible respondents, 372 (80%) completed all items of the ERI questionnaire. Complete data were available for 342 (73%) eldercare workers. Results: Of the 342 respondents, 215 (63%) had LBP at the time of the study, and 291 (85%) showed a critical "high cost/low gain" condition as determined by an effort-reward ratio >1. Multiple logistic regression analyses adjusted for age, gender, previous LBP experience, high-risk work and K6 score showed that eldercare workers with a high ERI had a higher risk for LBP than workers with a low ERI (OR, 1.96; 95% CI, 1.02-3.77). Conclusions: Most eldercare workers have a high ERI, and their LBP is associated with their ERI. Balancing effort and reward may be an important factor for improving LBP among eldercare workers in nursing homes.
KW - Effort-reward imbalance
KW - K6
KW - Low back
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U2 - 10.1539/joh.13-0295-OA
DO - 10.1539/joh.13-0295-OA
M3 - Article
C2 - 24739372
AN - SCOPUS:84903830918
SN - 1341-9145
VL - 56
SP - 197
EP - 204
JO - Journal of Occupational Health
JF - Journal of Occupational Health
IS - 3
ER -
