Primary osteoarthritis and occupation in the Quebec national health and social survey

• Published in: Occupational and environmental medicine (London, England) Vol. 61; no. 9; pp. 729 - 735
• Main Author: Rossignol, M
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd 01.09.2004; BMJ Publishing Group; BMJ; BMJ Publishing Group LTD; BMJ Group
• Subjects: Adult; Age Distribution; Age groups; Arthritis; Biological and medical sciences; Body mass index; Case control studies; Diseases of the osteoarticular system; epidemiology; Female; Health Surveys; Households; Humans; Knees; Male; Males; Manual workers; Medical sciences; Middle Aged; occupation; Occupational Diseases - epidemiology; Occupations; Operating rooms; Original; Osteoarthritis; Osteoarthritis - epidemiology; Polls & surveys; Prevalence; Quebec - epidemiology; Questionnaires; Self employment; Sex Distribution; Social surveys; Statistical significance; Technicians; Walking; Workloads; Canada; North America; America; Quebec; Quebec Canada; Human; Work place; Self evaluation; Diseases of the osteoarticular system; Sex; Occupational exposure; Epidemiology; Stress; Profession; Population survey; Risk factor; Arthropathy; Degenerative disease; Professional activity; Osteoarthritis; Occupational medicine; Age
• ISSN: 1351-0711; 1470-7926; 1470-7926
• DOI: 10.1136/oem.2003.010389

Background: The scientific evidence available is consistent in linking osteoarthritis (OA) and occupation but is lacking information regarding preventable risks in the workplace. Aims: To explore the effect of different dimensions of physical demand in the relation between self reported OA and occupation. Methods: Nationwide population survey of employed and self employed adults aged 25–64. Results: Of the 11 144 workers surveyed, 3.1% (two females for one male) reported a problem with OA (any site). They reported some degree of limitations in their daily activities in a proportion that was six times higher (26.8%) than the rest of the population of the same age without OA and twice as high for absence from work in the previous year (23.8%). Of the different dimensions of risks used in the survey and controlling for age, body mass index, and smoking, “use of force with tools or machines” showed a statistically significant association with OA in males and females. In occupations significant risks of OA were identified in male unskilled labourers and skilled labourers, and in female technicians, and workers in the services sector. Conclusions: Results of the present survey indicated that occupational stresses associated with OA may differ substantially between male and female workers and that specific risks may affect the younger workforce (25–44 years old) in some occupations, including housekeeping and other ill defined skilled and unskilled labour.