Title: Prevalence and risk factors of low back pain among health care providers in security forces hospital

Author: Dr Bandar Abdullah Al Agl

 DOI: https://dx.doi.org/10.18535/jmscr/v9i5.31

Abstract

Background: Low back pain (LBP) is a relatively ignored but highly prevalent clinical condition in adult population especially those working in some professions including health care. A number of risk factors are associated with the development of this condition, most of which are related to job.

Purpose: The purpose of this study was to find out the prevalence of LBP among health care providers in a security forces hospital – one of the largest Health institute in Riyadh, and to identify the risk factors associated with the LBP in this population.

Methods: It was a descriptive analytical cross sectional study involving 322 health care providers at Security Forces Hospital, Riyadh. Sample population was selected through stratified random sampling technique. Data about characteristics of LBP and various risk factors and demographic features was collected through structured question.

Results: Low back pain was reported by 75.2% of the health care workers (HCWs).Most of them (92.8%) developed LBP after starting their job and 84.7% reported that the LBP was related to their work. Lifting objects, bad body postures and lack of knowledge about LBP were found to be significantly associated (p value = 0.001, 0.002 and 0.001 respectively) with LBP. Other risk factors were not associated with LBP significantly.

Conclusions: Self-reported low back pain was found highly frequent among healthcare workers. Practice regarding getting diagnosis and seeking modern treatment was found to be suboptimal. Significantly associated risk factors included lifting the objects or the patients, bad postures and lack of knowledge about lower back pain.

Keywords: health care workers, prevalence, low back pain, risk factors.

References

  1. Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis & Rheumatism. 2012;64(6):2028-37.
  2. Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain. Best practice & research Clinical rheumatology. 2010;24(6):769-81.
  3. Hoy D, March L, Brooks P, Woolf A, Blyth F, Vos T, et al. Measuring the global burden of low back pain. Best Practice & Research Clinical Rheumatology. 2010;24(2):155-65.
  4. Punnett L, Prüss‐Ütün A, Nelson DI, Fingerhut MA, Leigh J, Tak S, et al. Estimating the global burden of low back pain attributable to combined occupational exposures. American journal of industrial medicine. 2005;48(6):459-69.
  5. Andersson GB. Epidemiological features of chronic low-back pain. The lancet. 1999;354(9178):581-5.
  6. Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. The Lancet. 2012;379(9814):482-91.
  7. Andersson GB. Epidemiologic aspects on low-back pain in industry. Spine. 1981;6(1):53-60.
  8. Freburger JK, Holmes GM, Agans RP, Jackman AM, Darter JD, Wallace AS, et al. The rising prevalence of chronic low back pain. Archives of internal medicine. 2009;169(3):251-8.
  9. Karahan A, Kav S, Abbasoglu A, Dogan N. Low back pain: prevalence and associated risk factors among hospital staff. Journal of advanced nursing. 2009;65(3):516-24.
  10. El Sayyed M, Naushad T, Mathew A, Kumar P. Prevalence of Work-Related Low Back Complaints among Healthcare Professionals-A Cross-Sectional Study. Journal of Physical Therapy. 2013;7(1).
  11. Landry MD, Raman SR, Sulway C, Golightly YM, Hamdan E. Prevalence and risk factors associated with low back pain among health care providers in a Kuwait hospital. Spine. 2008;33(5):539-45.
  12. Mohseni-Bandpei MA, Ahmad-Shirvani M, Golbabaei N, Behtash H, Shahinfar Z, Fernández-de-las-Peñas C. Prevalence and risk factors associated with low back pain in Iranian surgeons. Journal of manipulative and physiological therapeutics. 2011;34(6):362-70.
  13. Wong T, Teo N, Kyaw M. Prevalence and risk factors associated with low back pain among health care providers in a district hospital. Malaysian Orthopaedic Journal. 2010;4(2):23-8.
  14. Deyo RA, Mirza SK, Martin BI. Back pain prevalence and visit rates: estimates from US national surveys, 2002. Spine. 2006;31(23):2724-7.
  15. Schneider S, Randoll D, Buchner M. Why do women have back pain more than men?: A representative prevalence study in the Federal Republic of Germany. The Clinical journal of pain. 2006;22(8):738-47.
  16. El-Najjar A, El-Fattah N, Hassan A. Prevalence of low back pain in working nurses in Zagazig University Hospitals: an epidemiological study. Egyptian Rheumatology and Rehabilitation. 2014;41(3):109.
  17. Omokhodion F, Umar U, Ogunnowo B. Prevalence of low back pain among staff in a rural hospital in Nigeria. Occupational Medicine. 2000;50(2):107-10.
  18. Bejia I, Younes M, Jamila HB, Khalfallah T, Salem KB, Touzi M, et al. Prevalence and factors associated to low back pain among hospital staff. Joint Bone Spine. 2005;72(3):254-9.
  19. Smedley J, Egger P, Cooper C, Coggon D. Manual handling activities and risk of low back pain in nurses. Occupational and environmental medicine. 1995;52(3):160-3.
  20. Al Dajah S, Al Daghdi A. Prevalence and risk factors of low back pain among nurses in Sudayr region. European Scientific Journal. 2013;9(33).
  21. Sritipsukho P, Siripakarn Y. Prevalence and risk factors of low back pain among the university staff. J Med Assoc Thai. 2010;93(suppl 7):S142-S8.

Corresponding Author

Dr Bandar Abdullah Al Agl

M.B.B.S, Family Medicine Consultant

Security Forces Hospital, Riyadh