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Arthritis diagnosis and symptoms are positively associated with specific physical job exposures in lower- and middle-income countries: cross-sectional results from the World Health Organization's Study on global AGEing and adult health (SAGE)

Brennan-Olsen, Sharon L, Solovieva, Svetlana, Viikari-Juntura, Eira, Ackerman, Ilana N, Bowe, Steven J, Kowal, Paul, Naidoo, Nirmala, Chatterji, Somnath, Wluka, Anita E, Leech, Michelle T, Page, Richard S, Sanders, Kerrie M, Gomez, Fernando, Duque, Gustavo, Green, Darci and Mohebbi, Mohammadreza 2018, Arthritis diagnosis and symptoms are positively associated with specific physical job exposures in lower- and middle-income countries: cross-sectional results from the World Health Organization's Study on global AGEing and adult health (SAGE), BMC public health, vol. 18, pp. 1-12, doi: 10.1186/s12889-018-5631-2.

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Title Arthritis diagnosis and symptoms are positively associated with specific physical job exposures in lower- and middle-income countries: cross-sectional results from the World Health Organization's Study on global AGEing and adult health (SAGE)
Author(s) Brennan-Olsen, Sharon L
Solovieva, Svetlana
Viikari-Juntura, Eira
Ackerman, Ilana N
Bowe, Steven JORCID iD for Bowe, Steven J orcid.org/0000-0003-3813-842X
Kowal, Paul
Naidoo, Nirmala
Chatterji, Somnath
Wluka, Anita E
Leech, Michelle T
Page, Richard SORCID iD for Page, Richard S orcid.org/0000-0002-2225-7144
Sanders, Kerrie M
Gomez, Fernando
Duque, Gustavo
Green, Darci
Mohebbi, MohammadrezaORCID iD for Mohebbi, Mohammadreza orcid.org/0000-0001-9713-7211
Journal name BMC public health
Volume number 18
Article ID 719
Start page 1
End page 12
Total pages 12
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2018-06-08
ISSN 1471-2458
Keyword(s) arthritis
lower- and middle-income countries
obesity
occupation
social factors
science & technology
life sciences & biomedicine
public, environmental & occupational health
Summary BACKGROUND: In higher income countries, work-related squatting and heavy lifting have been associated with increased arthritis risk. Here, we address the paucity of data regarding associations between arthritis and work-related physical stressors in lower- and middle-income countries. METHODS: Data were extracted from the Study on global AGEing and adult health (SAGE) Wave 1 (2007-10) for adults (aged ≥50 years) from Ghana, India, Russia and South Africa for whom detailed occupation data was available (n = 21,389; 49.2% women). Arthritis cases were identified using a symptom-defined algorithm (current) and self-reported doctor-diagnosis (lifetime). A sex-specific Job Exposure Matrix was used to classify work-related stressors: heavy physical work, kneeling/squatting, heavy lifting, arm elevation and awkward trunk posture. Using the International Standard Classification of Occupations, we linked SAGE and the Job Exposure Matrix. Logistic regression was used to investigate associations between arthritis and work-related stressors, adjusting for age (10 year age groupings), potential socioeconomic-related confounders, and body mass index. Excess exposure risk due to two-way interactions with other risk factors were explored. RESULTS: Doctor-diagnosed arthritis was associated with heavy physical work (adjusted odds ratios [OR] 1.12, 95%CI 1.01-1.23), awkward trunk posture (adjusted OR 1.23, 95%CI 1.12-1.36), kneeling or squatting (adjusted OR 1.25, 95%CI 1.12-1.38), and arm elevation (adjusted OR 1.66, 95%CI 1.37-2.00). Symptom-based arthritis was associated with kneeling or squatting (adjusted OR 1.27, 95%CI 1.08-1.50), heavy lifting (adjusted OR 1.33, 95%CI 1.11-1.58), and arm elevation (adjusted OR 2.16, 95%CI 1.63-2.86). Two-way interactions suggested excess arthritis risk existed for higher body mass index, and higher income or education. CONCLUSIONS: Minimization of occupational health risk factors is common practice in higher income countries: attention should now be directed toward reducing work-related arthritis burden in lower- and middle-income countries.
Language eng
DOI 10.1186/s12889-018-5631-2
Field of Research 1117 Public Health And Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, The Authors
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30109597

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.