The association of adolescent spinal-pain-related absenteeism with early adulthood work absenteeism: A six-year follow-up data from a population-based cohort
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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.
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Rationale, design and methods for the 22 year follow-up of the Western Australian Pregnancy Cohort (Raine) StudyStraker, Leon; Hall, G.; Mountain, J.; Howie, E.; White, E.; McArdle, N.; Eastwood, Peter; Smith, Anne; Beales, Darren; O'Sullivan, Peter; Linton, S.; Pransky, G.; Kyaw-Myint, S.; Job, J.; Moorin, Rachael; Holt, P.; Hollams, E.; Hantos, Z.; Sly, P.; De Klerk, N.; James, A.; Hillman, D.; Huang, R.; Pennell, C.; Davis, E.; Bucks, R.; Healy, Genevieve; Winkler, E.; Abbott, R.; Mishra, G.; Tremblay, M.; Wood, D.; Jacques, A. (2015)Background: Young adulthood is a critical life period for health and health behaviours. Related measurements collected before and after birth, and during childhood and adolescence can provide a life-course analysis of ...
Low back pain in 17 year olds has substantial impact and represents an important public health disorder: a cross-sectional studyO'Sullivan, Peter; Beales, Darren; Smith, Anne; Straker, Leon (2012)Background: Prevalence of low back pain (LBP) rises rapidly during adolescence, reaching adult levels by the age of 18. It has been suggested that adolescent LBP is benign with minimal impact, despite limited evidence. ...
Understanding adolescent low back pain from a multidimensional perspective: Implications for managementO'Sullivan, Peter; Smith, Anne; Beales, Darren; Straker, Leon (2017)Copyright © 2017 Journal of Orthopaedic & Sports Physical Therapy®. SYNOPSIS: Low back pain (LBP) is the leading cause of disability worldwide. It often begins in adolescence, setting a course for later in life. We have ...