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The aim of this study was to investigate which demographic, health and psychosocial work environment factors are of importance for a lower risk of future work disability and unemployment among workers with low back pain (LBP) and\/or neck shoulder pain (NSP), and if familial factors influence these associations.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>All 5556 persons that reported having LBP and\/or NSP in a web-based questionnaire study in 2004\u20132006 were included. They were followed up for work disability (sick leave &gt;\u200990\u2009days or disability pension), and unemployment (&gt;\u2009180\u2009days in a year) until 31 December 2013. Hazard ratios (HR) with 95% confidence intervals were calculated using cox proportional hazard models of the whole sample, adjusting for covariates. In addition, co-twin analyses of outcome discordant twin pairs were conducted to assess the impact of familial confounding on the associations.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Being male, 19\u201328\u2009years old, having higher education, only NSP, no history of depression or anxiety, good self-rated health, low job demands and high job control were associated with a lower risk of work disability (adjusted HR ranging between 0.29\u20130.85). No history of anxiety and depression and high job control was associated with a lower risk of unemployment (adjusted HR ranging from 0.53 and 0.67). Familial factors were found to affect the association between education and work disability, but none of the other associations investigated.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Among those with LBP or NSP, good health in terms of mental- and self-rated health, few pain sites, as well as good psychosocial working conditions seem to indicate a lower risk for work disability.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12891-019-2999-9","type":"journal-article","created":{"date-parts":[[2019,12,26]],"date-time":"2019-12-26T15:02:42Z","timestamp":1577372562000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Health, work and demographic factors associated with a lower risk of work disability and unemployment in employees with lower back, neck and shoulder pain"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3901-4579","authenticated-orcid":false,"given":"Lisa","family":"Mather","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annina","family":"Ropponen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellenor","family":"Mittendorfer-Rutz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jurgita","family":"Narusyte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia","family":"Svedberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,12,26]]},"reference":[{"issue":"5","key":"2999_CR1","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1016\/j.berh.2013.09.008","volume":"27","author":"J Hartvigsen","year":"2013","unstructured":"Hartvigsen J, Natvig B, Ferreirad M. 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In Sweden, ethical approval is always required when using sensitive register data from authorities. The ethical vetting was performed and approved by the Regional Ethical Review Board of Stockholm, Sweden (Dnr: 2007\/52431, Dnr: 2010\/1346\u201332\/5 and Dnr: 2014\/311\u201332), according to the Swedish Ethical Review Act and after that also by each of the different authorities\/data keepers (Statistics Sweden and the National Social Insurance Agency) according to the Public Access to Information and Secrecy Act, the Personal Data Act and the Administrative Procedure Act. The Regional Ethical Review Board can waive the requirement to consult in these type of large register studies, and for this project stated that the consent to participate was not applicable. However, informed consent was obtained for participants in STAGE.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not required.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"622"}}