Physical and psychosocial work demands associated with pain and disability among skilled male Arab waiters

Article type: Research Article

Authors: Miaary, Zuha^a | Kalichman, Leonid^b | Ezra, David^c | Moshe, Shlomo^{a; d} | Alperovitch-Najenson, Deborah^{b; *}

Affiliations: [a] Department of Environmental and Occupational Health, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel | [b] Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel | [c] School of Nursing Sciences, Academic College of Tel Aviv-Jaffa, Jaffa, Israel | [d] Occupational Medicine Department, Maccabi Healthcare Services, Rishon Lezion, Israel

Correspondence: [*] Address for correspondence: Deborah Alperovitch-Najenson, E-mails: [email protected], [email protected].

Abstract: BACKGROUND:Physical and psychosocial demands (e.g., serving, cleaning, fulfilling orders) can lead to work-related musculoskeletal pain (WRMSP). OBJECTIVE:To assess the prevalence of WRMSP in the upper quadrant and lower back among skilled male Arab waiters; to evaluate the disability related to WRMSP; to evaluate the association between work demands and WRMSP with related disability. METHODS:100 skilled male Arab waiters working full-time, aged 18–60, participated in the cross-sectional study. Participants completed basic demographics and working conditions; the NDI; QuickDASH; the OswestryQ; workload, burnout, and job satisfaction at work; the adjusted NordicQ; and the TaskQ, compiled especially for this study. RESULTS:A 12-month pain prevalence, pain frequency, and work avoidance were high: neck- 42%, 60.5%, 89.5% ; shoulders –53%, 78.2%, 94.4% ; elbows- 46%, 78.6%, 83.3% ; lower back- 45%, 44%, 78.7%, respectively. Pain prevalence in at least one site was 83% . The OswestryQ, QuickDASH, and NDI revealed mild-moderate pain and disability (14.85/50, 25.54/75, 13.74/50, respectively). Burnout score was positively associated with OswestryQ, QuickDASH, and NDI. Job satisfaction was negatively associated with 12 months of pain in the lower back, hands, arms, shoulders, and hands (NordicQ). TaskQ was positively associated with OswestryQ. CONCLUSION:Male Arab waiters who work in physically and psychologically challenging conditions report high levels of WRMSP with a high frequency and related work avoidance. Many of them must keep their jobs as they are their families’ primary or sole providers. It is possible that they are trying to prevent more severe disabilities in the future by ensuring temporary rest and pain prevention.

Keywords: Musculoskeletal, pain, disability, ergonomics, risk factors, waiters

DOI: 10.3233/WOR-220666

Journal: Work, vol. Pre-press, no. Pre-press, pp. 1-11, 2023