Abstract
Purpose A total of 243 Danish female sewing machine operators lost their jobs in 1996 because of outsourcing. The aim was to investigate the employment status during follow-up from 1996 to 2008, and to estimate to what extent former neck–shoulder pain had an impact on later work participation. Methods Assessment of neck–shoulder pain was based on questionnaires completed in 1994. The Danish Register-Based Evaluation of Marginalization (DREAM) register was used to describe employment status during the follow-up period. Register data were explored by sequence analyses and graphics, and the association between neck–shoulder pain and work participation was analyzed by logistic regression analysis. Results In all, 987 working years were lost during follow-up, and a sequence index plot revealed interrupted and heterogeneous courses of incomes. The odds ratio between neck and shoulder pain and a work participation score less than 75% was 1.49 (95% CI 0.84–2.67). Conclusions After outsourcing of the textile industry, the former sewing machine operators had decreased work participation and frequent transitions between different income types. Previous neck–shoulder pain tended to be associated with poor work participation. The results suggest that increased attention should be to given to dismissed workers from other industries that become outsourced, especially unskilled workers with similar work-related health limitations. Additionally, we concluded that time-to-event measures in research involving employment status are insufficient because of the many transitions that take place in working life.
Similar content being viewed by others
References
Gross A, Forget M, St George K, Fraser MM, Graham N, Perry L, et al. Patient education for neck pain. Cochrane database Syst Rev. 2012;3:CD005106.
Martimo K-P, Shiri R, Miranda H, Ketola R, Varonen H, Viikari-Juntura E. Self-reported productivity loss among workers with upper extremity disorders. Scand J Work Environ Health. 2009;35(4):301–8.
Engebretsen K, Grotle M, Bautz-Holter E, Ekeberg OM, Brox JI. Predictors of shoulder pain and disability index (SPADI) and work status after 1 year in patients with subacromial shoulder pain. BMC Musculoskelet Disord. 2010;11(1):218.
Kaergaard A, Andersen JH. Musculoskeletal disorders of the neck and shoulders in female sewing machine operators: prevalence, incidence, and prognosis. Occup Environ Med. 2000;57(8):528–34.
Andersen JH, Kaergaard A, Frost P, Thomsen JF, Bonde JP, Fallentin N, et al. Physical, psychosocial, and individual risk factors for neck/shoulder pain with pressure tenderness in the muscles among workers performing monotonous, repetitive work. Spine. 2002;27(6):660–7.
Dalboge A, Frost P, Andersen JH, Svendsen SW. Cumulative occupational shoulder exposures and surgery for subacromial impingement syndrome: a nationwide Danish cohort study. Occup Environ Med. 2014;71(11):750–6.
Strengg W. The textile and clothing industry in the EU: a survey. Office for Official Publications of the European Communities, 2001. 2001;Enterprise Papers: no 2-2001:1–59.
Olsen KB, Ibsen R, Westergaard-Nielsen N. Does outsourcing create unemployment? http://www.ccp.asb.dk/DOWNLOADS/Textile_and_clothing4.pdf. 2004:1–26.
Michael B, Michael R. Outsourcing: mass layoffs and displaced workers’ experiences. Manag Res Rev. 2012;35(11):1029–45.
Oesch D, Baumann I. Smooth transition or permanent exit? Evidence on job prospects of displaced industrial workers. Socio-Econ Rev. 2014;13(1):101–23.
Dhéret C, Frontini A, Hedberg A, Morosi M, Pardo R Towards a new industrial policy for Europe. ECP Issue Paper. 2014;No. 78, November1–76.
Straaton KV, Maisiak R, Wrigley JM, White MB, Johnson P, Fine PR. Barriers to return to work among persons unemployed due to arthritis and musculoskeletal disorders. Arthritis Rheum. 1996;39(1):101–9.
Virtanen P, Janlert U, Hammarstrom A. Health status and health behaviour as predictors of the occurrence of unemployment and prolonged unemployment. Public Health. 2013;127(1):46–52.
Claussen B. Health and re-employment in a five-year follow-up of long-term unemployed. Scand J Public Health. 1999;27(2):94–100.
Claussen B. A clinical follow up of unemployed. I: Lifestyle, diagnoses, treatment and re-employment. Scand J Prim Health Care. 1993;11(3):211–8.
van Hooft EA. Motivating and hindering factors during the reemployment process: the added value of employment counselors’ assessment. J Occup Health Psychol. 2014;19(1):1–17.
Skarlund M, Ahs A, Westerling R. Health-related and social factors predicting non-reemployment amongst newly unemployed. BMC Public Health. 2012;12(1):893.
Schuring M, Burdorf L, Kunst A, Mackenbach J. The effects of ill health on entering and maintaining paid employment: evidence in European countries. J Epidemiol Community Health. 2007;61(7):597–604.
Wagenaar AF, Kompier MA, Houtman IL, van den Bossche SN, Taris TW. Who gets fired, who gets re-hired: the role of workers’ contract, age, health, work ability, performance, work satisfaction and employee investments. Int Arch Occup Environ Health. 2015;88(3):321–34.
García-Gómez P, Jones AM, Rice N. Health effects on labour market exits and entries. Lab Econ. 2010;17(1):62–76.
Heponiemi T, Elovainio M, Manderbacka K, Aalto AM, Kivimaki M, Keskimaki I. Relationship between unemployment and health among health care professionals: health selection or health effect? J Psychosom Res. 2007;63(4):425–31.
Stewart JM. The impact of health status on the duration of unemployment spells and the implications for studies of the impact of unemployment on health status. J Health Econ. 2001;20(5):781–96.
Kjellman G, Oberg B, Hensing G, Alexanderson K. A 12-year follow-up of subjects initially sicklisted with neck/shoulder or low back diagnoses. Physiother Res Int 2001;6(1):52–63.
Nielsen MB, Vinslov Hansen J, Aust B, Tverborgvik T, Thomsen BL, Bue Bjorner J, et al. A multisite randomized controlled trial on time to self-support among sickness absence beneficiaries. The Danish national return-to-work programme. Eur J Public Health. 2015;25(1):96–102.
Biering K, Hjollund NH, Lund T. Methods in measuring return to work: a comparison of measures of return to work following treatment of coronary heart disease. J Occup Rehabil. 2013;23(3):400–5.
Kaergaard A, Andersen JH, Rasmussen K, Mikkelsen S. Identification of neck-shoulder disorders in a 1 year follow-up study. Validation Of a questionnaire-based method. Pain. 2000;86(3):305–10.
Andersen JH, Kaergaard A, Mikkelsen S, Jensen UF, Frost P, Bonde JP, et al. Risk factors in the onset of neck/shoulder pain in a prospective study of workers in industrial and service companies. Occup Environ Med. 2003;60(9):649–54.
Von Korff M, Ormel J, Keefe FJ, Dworkin SF. Grading the severity of chronic pain. Pain. 1992;50(2):133–49.
Schmidt M, Pedersen L, Sorensen HT. The Danish Civil Registration System as a tool in epidemiology. Eur J Epidemiol. 2014;29(8):541–9.
Hjollund NH, Larsen FB, Andersen JH. Register-based follow-up of social benefits and other transfer payments: accuracy and degree of completeness in a Danish interdepartmental administrative database compared with a population-based survey. Scand J Public Health. 2007;35(5):497–502.
Roffman CE, Buchanan J, Allison GT. Charlson comorbidities index. J Physiother. 2016;62(3):171.
Lynge E, Sandegaard JL, Rebolj M. The Danish National Patient Register. Scand J Public Health. 2011;39(7 Suppl):30–3.
Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. Journal of chronic diseases. 1987;40(5):373–83.
Brzinsky-Fay C, Kohler U, Luniak M. Sequence analysis with Stata. Stata Journal. 2006;6(4):435–60.
Hoy D, March L, Woolf A, Blyth F, Brooks P, Smith E, et al. The global burden of neck pain: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(7):1309–15.
Palmer KT, Goodson N. Ageing, musculoskeletal health and work. Best Pract Res Clin Rheumatol. 2015;29(3):391–404.
Palmer KT, Harris EC, Linaker C, Ntani G, Cooper C, Coggon D. Optimal case definitions of upper extremity disorder for use in the clinical treatment and referral of patients. Arthritis Care Res. 2012;64(4):573–80.
Waddell G, Burton AK. Concepts of rehabilitation for the management of common health problems. London: The Stationery Office; 2004.
Waddell GB, Burton AK, Kendall NA. Vocational rehabilitation: what works, for whom, and when? London: TSO; 2008. p. 1–307.
Pedersen J, Bjorner JB, Burr H, Christensen KB. Transitions between sickness absence, work, unemployment, and disability in Denmark 2004–2008. Scand J Work Environ Health. 2012;38(6):516–26.
Oyeflaten I, Lie SA, Ihlebaek CM, Eriksen HR. Multiple transitions in sick leave, disability benefits, and return to work. -A 4-year follow-up of patients participating in a work-related rehabilitation program. BMC Public Health. 2012;12(1):748.
Pedersen J, Gerds TA, Bjorner JB, Christensen KB. Prediction of future labour market outcome in a cohort of long-term sick-listed Danes. BMC Public Health. 2014;14(1):494.
Luime JJ, Koes BW, Miedem HS, Verhaar JA, Burdorf A. High incidence and recurrence of shoulder and neck pain in nursing home employees was demonstrated during a 2-year follow-up. J Clin Epidemiol. 2005;58(4):407–13.
Bloch FS, Prins R. Who returns to work & why?: a six-country study on work incapacity & reintegration. Piscataway, New Jersey: Transaction Publishers; 2001.
Lund T, Labriola M, Christensen KB, Bultmann U, Villadsen E. Return to work among sickness-absent Danish employees: prospective results from the Danish work environment cohort study/national register on social transfer payments. Int J Rehabil Res. 2006;29(3):229–35.
Farber HS. Job loss in the United States, 1981–2001. Res Labor Econ. 2004;23:69–117.
Acknowledgements
This study was funded by The Danish Working Environment Research Fund, (project no. 02-2015-09 20150067117). We want to thank Jane Kjemstrup Andersen, library for Central Denmark Region, who build up literature searches, and Jesper Medom Vestergaard, Department of Occupational Medicine, Central Denmark Region, Denmark, who assisted with data management.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
All authors (Jakobsen, Biering, Kærgaard, Andersen) declare that they have no conflict of interest.
Ethics Statement
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. For this type of study formal consent is not required.
Rights and permissions
About this article
Cite this article
Jakobsen, E.L.T., Biering, K., Kærgaard, A. et al. Neck–Shoulder Pain and Work Status among Former Sewing Machine Operators: A 14-year Follow-up Study. J Occup Rehabil 28, 80–88 (2018). https://doi.org/10.1007/s10926-017-9702-5
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10926-017-9702-5