Onset of low back pain and teleworking conditions during lockdown in France: a structural equation modelling approach.

IF 1.8 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals Of Work Exposures and Health Pub Date : 2025-06-30 DOI:10.1093/annweh/wxaf007

Natacha Fouquet, Céline Ménard, Marc Fadel, Julie Bodin, Yves Roquelaure

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引用次数: 0

Abstract

Background: Following the health restrictions related to the COVID-19 pandemic, about a third of French workers experienced mandatory teleworking during the lockdowns. The objective of this study is to examine the complex relationships between teleworking conditions, depressive symptomatology, and the onset of low back pain (LBP) during France's third lockdown in spring 2021.

Methods: Based on the online CoviPrev survey, 466 workers from the French general population who teleworked at least one day a week during lockdown and were free of LBP at the start of lockdown were included in this study. A conceptual model was developed in which relationships between teleworking conditions, depressive symptomatology, and the onset of LBP were assumed. Structural equation modelling was used to test the model.

Results: The model showed that teleworking conditions (both material conditions of teleworking and the amount of telework) have a substantial direct and indirect impact on the onset of LBP. The theoretical model proposed 2 pathways for the effect of the teleworking conditions on the onset of LBP: a direct pathway, of a biomechanical nature, and an indirect pathway, mediated by satisfaction with teleworking conditions and depressive symptoms.

Conclusions: This study suggests that there are complex relationships between teleworking conditions, depressive symptomatology, and the onset of LBP, which are essential to characterize to better understand the chain of determinants for the onset of LBP. They also highlight the importance of good working conditions to reduce the impact of teleworking on health, including the prevention of sedentary behaviours.

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法国封锁期间腰痛的发作和远程工作条件：结构方程建模方法。

背景：在与COVID-19大流行相关的卫生限制之后，大约三分之一的法国工人在封锁期间经历了强制性的远程工作。本研究的目的是研究2021年春季法国第三次封锁期间远程工作条件、抑郁症状和腰痛（LBP）发作之间的复杂关系。方法：基于在线CoviPrev调查，从法国普通人群中选取466名在封锁期间每周至少一天远程工作且在封锁开始时无LBP的工人作为研究对象。开发了一个概念模型，其中远程工作条件、抑郁症状学和腰痛发病之间的关系被假设。采用结构方程模型对模型进行检验。结果：模型显示，远程工作条件（远程工作的物质条件和远程工作的数量）对LBP的发病有实质性的直接和间接影响。该理论模型提出了远程工作条件对腰痛发病影响的两种途径：一种是生物力学性质的直接途径，另一种是由远程工作条件满意度和抑郁症状介导的间接途径。结论：本研究表明，远程工作条件、抑郁症状和腰痛发病之间存在复杂的关系，这对于更好地了解腰痛发病的决定因素链至关重要。他们还强调了良好的工作条件对于减少远程工作对健康的影响，包括预防久坐行为的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals Of Work Exposures and Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.60

自引率

19.20%

发文量

期刊介绍： About the Journal Annals of Work Exposures and Health is dedicated to presenting advances in exposure science supporting the recognition, quantification, and control of exposures at work, and epidemiological studies on their effects on human health and well-being. A key question we apply to submission is, "Is this paper going to help readers better understand, quantify, and control conditions at work that adversely or positively affect health and well-being?" We are interested in high quality scientific research addressing: the quantification of work exposures, including chemical, biological, physical, biomechanical, and psychosocial, and the elements of work organization giving rise to such exposures; the relationship between these exposures and the acute and chronic health consequences for those exposed and their families and communities; populations at special risk of work-related exposures including women, under-represented minorities, immigrants, and other vulnerable groups such as temporary, contingent and informal sector workers; the effectiveness of interventions addressing exposure and risk including production technologies, work process engineering, and personal protective systems; policies and management approaches to reduce risk and improve health and well-being among workers, their families or communities; methodologies and mechanisms that underlie the quantification and/or control of exposure and risk. There is heavy pressure on space in the journal, and the above interests mean that we do not usually publish papers that simply report local conditions without generalizable results. We are also unlikely to publish reports on human health and well-being without information on the work exposure characteristics giving rise to the effects. We particularly welcome contributions from scientists based in, or addressing conditions in, developing economies that fall within the above scope.