{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T06:08:04Z","timestamp":1788761284449,"version":"build-2803163510"},"reference-count":43,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Nuffield Foundation\u2019s Oliver Bird Fund and Arthritis UK","award":["OBF\/FR-000023820"],"award-info":[{"award-number":["OBF\/FR-000023820"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic pain affects around 28 million people in the United Kingdom and is a major public health challenge with a substantial economic and social burden. Employers lack awareness of the impacts of chronic pain on work and employee wellbeing which hinders provision of workplace support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine the relationship between chronic pain and work participation measured in working age adults in England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Analysis of online survey data (n\u2009=\u2009310) from a cluster-randomized feasibility trial (Pain-at-Work), including measures of pain severity, participant-reported work participation measures, psychological wellbeing and work-related social support. Multivariable regression analyses examined the relationship between pain severity, work-related and psychological measures, adjusted for age, gender and Body Mass Index classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>On average, 2.2\u2009h\/week (SD\u2009=\u20096.4) were lost due to health-related issues. Percentage of work productivity loss was 46.4% (SD\u2009=\u200927.0), mean health-related absenteeism was 7.6% (SD\u2009=\u200920.4), while presenteeism averaged 44.3% (SD\u2009=\u200926.3). Increased pain severity was associated with increased presenteeism (\u03b2\u2009=\u20093.67, 95% CI 2.08\u20135.27, P\u2009&amp;lt;\u20090.001), higher work productivity loss (\u03b2\u2009=\u20094.79, 95% CI 2.13\u20137.44, P\u2009=\u20090.001), increased activity impairment (\u03b2\u2009=\u20094.93, 95% CI 3.41\u20136.44, P\u2009&amp;lt;\u20090.001) and increased work limitations in the physical demand domain (\u03b2\u2009=\u20093.92, 95% CI 2.64\u20135.21, P\u2009&amp;lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Chronic pain adversely impacts multiple aspects of work participation and psychological wellbeing, with effects worsening as pain severity increases. Employers can help mitigate this through tailored support and job design since hybrid working may be protective in contexts where it is viable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/occmed\/kqag079","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T11:27:19Z","timestamp":1783942039000},"source":"Crossref","is-referenced-by-count":0,"title":["Chronic pain and its relationship with work participation"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3080-2306","authenticated-orcid":false,"given":"H","family":"Blake","sequence":"first","affiliation":[{"name":"School of Health Sciences, University of Nottingham, Queen's Medical Centre, Nottingham, NG7 2HA,","place":["UK"]},{"name":"Arthritis UK Pain Centre, University of Nottingham , Nottingham, Clinical Sciences Building, City Hospital, NG5 1PB,","place":["UK"]},{"name":"NIHR Nottingham Biomedical Research Centre, Queens Medical Centre , Nottingham, NG7 2UH,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2024-9685","authenticated-orcid":false,"given":"W J","family":"Chaplin","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Nottingham, Queen's Medical Centre, Nottingham, NG7 2HA,","place":["UK"]},{"name":"NIHR Nottingham Biomedical Research Centre, Queens Medical Centre , Nottingham, NG7 2UH,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Abbott-Fleming","sequence":"additional","affiliation":[{"name":"British Pain Society , London, EC1V 2NX,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Taylor","sequence":"additional","affiliation":[{"name":"College of Medicine and Health, University of Exeter , Exeter, EX1 2LU,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"McNamee","sequence":"additional","affiliation":[{"name":"Health Economics Research Unit, Institute of Applied Health Sciences, University of Aberdeen , Aberdeen, AB25 2ZD,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D A","family":"Walsh","sequence":"additional","affiliation":[{"name":"Arthritis UK Pain Centre, University of Nottingham , Nottingham, Clinical Sciences Building, City Hospital, NG5 1PB,","place":["UK"]},{"name":"NIHR Nottingham Biomedical Research Centre, Queens Medical Centre , Nottingham, NG7 2UH,","place":["UK"]},{"name":"School of Medicine, University of Nottingham , Nottingham, NG7 2UH,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5992-1459","authenticated-orcid":false,"given":"K","family":"Walker-Bone","sequence":"additional","affiliation":[{"name":"Monash Centre for 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