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dc.contributor.authorK.C., Prakash
dc.contributor.authorNeupane, Subas
dc.contributor.authorLeino-Arjas, Päivi
dc.contributor.authorvon Bonsdorff, Mikaela
dc.contributor.authorRantanen, Taina
dc.contributor.authorvon Bonsdorff, Monika
dc.contributor.authorSeitsamo, Jorma
dc.contributor.authorIlmarinen, Juhani
dc.contributor.authorNygård, Clas-Håkan
dc.date.accessioned2017-09-27T09:04:51Z
dc.date.available2018-10-01T21:35:27Z
dc.date.issued2017
dc.identifier.citationK.C., P., Neupane, S., Leino-Arjas, P., von Bonsdorff, M., Rantanen, T., von Bonsdorff, M., Seitsamo, J., Ilmarinen, J., & Nygård, C.-H. (2017). Work-related biomechanical exposure and job strain in midlife separately and jointly predict disability after 28 years: a Finnish longitudinal study. <i>Scandinavian Journal of Work, Environment and Health</i>, <i>43</i>(5), 405-414. <a href="https://doi.org/10.5271/sjweh.3656" target="_blank">https://doi.org/10.5271/sjweh.3656</a>
dc.identifier.otherCONVID_27238641
dc.identifier.otherTUTKAID_75087
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/55451
dc.description.abstractObjectives We investigated whether the extent of biomechanical exposures and job strain in midlife separately and jointly predict disability in old age. Methods Participants of the Finnish Longitudinal Study on Aging Municipal Employees (FLAME) in 1981 (aged 44–58 years) responded to disability questionnaires in 2009 (1850 women and 1082 men). Difficulties in performing five activities of daily living (ADL) and seven instrumental ADL (IADL) were used to assess severity of disability (score range: 0–12, 0=no disability). Information on biomechanical exposures and job strain was collected by questionnaire at baseline. Adjusted prevalence proportion ratios (PR) and 95% confidence intervals (95% CI) were modelled using mixed negative binomial regression with robust variance. The joint effect of two exposures was quantified using the concept of relative excessive risk due to interaction (RERI). Results The overall prevalence of disability (score: 1–12) was 46.7% (women: 41%; men: 57%). Compared to low-level exposures in an adjusted model, the PR of high baseline biomechanical exposures for each one unit increase in the disability score was 1.31 (95% CI 1.10–1.55) and PR of high job strain was 1.71 (95% CI 1.26–2.32). Associations were rather similar in gender-stratified analyses. Furthermore, the joint effect (high strain/high biomechanical) was multiplicative (women: PR 1.32, 95% CI 1.21–1.45; men: PR 1.27, 95% CI 1.13–1.44), but no additive effect was observed when fully adjusted. Conclusion High biomechanical exposure and job strain in midlife were strongly associated with the severity of disability in later life. The workplace could serve as arena for preventive interventions regarding disability in old age.en
dc.language.isofin
dc.publisherNordic Association of Occupational Safety and Health NOROSH
dc.relation.ispartofseriesScandinavian Journal of Work, Environment and Health
dc.subject.otherADL
dc.subject.otherbiomechanical exposure
dc.subject.otherFinland
dc.subject.otherIADL
dc.subject.otherjob strain
dc.subject.otherlongitudinal study
dc.subject.otheroccupation
dc.titleWork-related biomechanical exposure and job strain in midlife separately and jointly predict disability after 28 years: a Finnish longitudinal study
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201709213790
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineGerontology and Public Healthen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2017-09-21T12:15:10Z
dc.type.coarjournal article
dc.description.reviewstatuspeerReviewed
dc.format.pagerange405-414
dc.relation.issn0355-3140
dc.relation.numberinseries5
dc.relation.volume43
dc.type.versionpublishedVersion
dc.rights.copyright© 2017 Scandinavian Journal of Work, Environment & Health. Published by NOROSH. Published in this repository with the kind permission of the publisher.
dc.rights.accesslevelopenAccessfi
dc.relation.grantnumber307114
dc.relation.grantnumber294530
dc.relation.grantnumber303920
dc.subject.ysobiomekaniikka
dc.subject.ysopitkittäistutkimus
dc.subject.ysovuorovaikutus
dc.subject.ysovammaisuus
dc.subject.ysotyön kuormittavuus
dc.subject.ysotoimintarajoitteet
dc.subject.ysoikääntyminen
dc.subject.ysoaltistuminen
dc.subject.ysovanhuus
dc.subject.ysofyysinen kuormittavuus
dc.subject.ysotyöperäinen altistus
jyx.subject.urihttp://www.yso.fi/onto/yso/p20292
jyx.subject.urihttp://www.yso.fi/onto/yso/p14610
jyx.subject.urihttp://www.yso.fi/onto/yso/p10591
jyx.subject.urihttp://www.yso.fi/onto/yso/p6418
jyx.subject.urihttp://www.yso.fi/onto/yso/p129
jyx.subject.urihttp://www.yso.fi/onto/yso/p3472
jyx.subject.urihttp://www.yso.fi/onto/yso/p5056
jyx.subject.urihttp://www.yso.fi/onto/yso/p12853
jyx.subject.urihttp://www.yso.fi/onto/yso/p6490
jyx.subject.urihttp://www.yso.fi/onto/yso/p136
jyx.subject.urihttp://www.yso.fi/onto/yso/p38670
dc.relation.doi10.5271/sjweh.3656
dc.relation.funderSuomen Akatemiafi
dc.relation.funderSuomen Akatemiafi
dc.relation.funderSuomen Akatemiafi
dc.relation.funderAcademy of Finlanden
dc.relation.funderAcademy of Finlanden
dc.relation.funderAcademy of Finlanden
jyx.fundingprogramAkatemiatutkijan tutkimuskulut, SAfi
jyx.fundingprogramAkatemiatutkijan tehtävä, SAfi
jyx.fundingprogramMuut, SAfi
jyx.fundingprogramResearch costs of Academy Research Fellow, AoFen
jyx.fundingprogramResearch post as Academy Research Fellow, AoFen
jyx.fundingprogramOthers, AoFen
jyx.fundinginformationMonika E von Bonsdorff was funded by the Academy of Finland (grant number 294530; 307114; 303920); Mikaela B von Bonsdorff was funded by EU H2020-PHC-2014-DynaHealth (grant number 633595). Taina Rantanen was funded by Academy of Finland (grant numbers 132597; 130285; 255403). Päivi Leino-Arjas and Jorma Seitsamo were funded by a grant from the Social Insurance Institution, Finland (grant number 53/26/2013).


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