{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:04:16Z","timestamp":1780466656042,"version":"3.54.1"},"reference-count":44,"publisher":"SAGE Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["WOR"],"published-print":{"date-parts":[[2024,7,3]]},"abstract":"<jats:p>BACKGROUND: Low back pain has a high economic burden in Germany due to back pain-related sick leave, disability pensions, and health care utilization. Work-related factors can predict disabling back pain. Job exposure matrices can be used to consider job demands and occupational characteristics in routine data analysis. OBJECTIVE: This longitudinal analysis tested whether rehabilitation utilization due to musculoskeletal disorders is associated with occupation-linked job exposures in employees with back pain. METHODS: Data from a German cohort study were used, including employees aged 45 to 59 years with self-reported back pain in the last three months. Individuals\u2019 job titles were assessed in the baseline survey in 2017 and matched with parameters of aggregated job exposure indices. Administrative data from the German Pension Insurance were used to extract information on rehabilitation utilization. Proportional hazard models tested the associations. RESULTS: We considered data of 6,569 participants (mean age: 52.3 years; 57.7% women). During follow-up, with a maximum of 21 months, 296 individuals (4.5%) utilized medical rehabilitation due to musculoskeletal disorders. Adjusted analyses showed that high physical (HR\u200a=\u200a2.87; 95% CI 1.74; 4.75) and overall (HR\u200a=\u200a2.34; 95% CI 1.44; 3.80) job exposures were associated with a higher risk of rehabilitation utilization. CONCLUSION: Individuals with back pain working in occupations with high physical job exposures have a higher risk for rehabilitation utilization. To prevent work disability in individuals with back pain, occupational groups with high physical job exposures should be actively informed about tailored intervention options.<\/jats:p>","DOI":"10.3233\/wor-230410","type":"journal-article","created":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T10:55:15Z","timestamp":1706871315000},"page":"829-839","source":"Crossref","is-referenced-by-count":1,"title":["Use of a job exposure matrix to predict the risk of work disability in individuals with back pain: An inception cohort study"],"prefix":"10.1177","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3845-3094","authenticated-orcid":false,"given":"David","family":"Fauser","sequence":"first","affiliation":[{"name":"Institute for Social Medicine and Epidemiology, University of L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia-Marie","family":"Zimmer","sequence":"additional","affiliation":[{"name":"Institute for Rehabilitation Medicine, Interdisciplinary Centre of Health Sciences, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannes","family":"Banaschak","sequence":"additional","affiliation":[{"name":"Institute for Social Medicine and Epidemiology, University of L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Golla","sequence":"additional","affiliation":[{"name":"Institute for Rehabilitation Medicine, Interdisciplinary Centre of Health Sciences, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annika","family":"Sternberg","sequence":"additional","affiliation":[{"name":"Institute for Social Medicine and Epidemiology, University of L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilfried","family":"Mau","sequence":"additional","affiliation":[{"name":"Institute for Rehabilitation Medicine, Interdisciplinary Centre of Health Sciences, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Bethge","sequence":"additional","affiliation":[{"name":"Institute for Social Medicine and Epidemiology, University of L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"issue":"3","key":"10.3233\/WOR-230410_ref1","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.berh.2015.08.002","article-title":"Economic impact of musculoskeletal disorders (MSDs) on work in Europe","volume":"29","author":"Bevan","year":"2015","journal-title":"Best Pr Res Clin Rheumatol"},{"issue":"6","key":"10.3233\/WOR-230410_ref2","doi-asserted-by":"crossref","first-page":"e316","DOI":"10.1016\/S2665-9913(23)00098-X","article-title":"Global, regional, and national burden of low back pain, 1990\u20132020 its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021","volume":"5","author":"GBD 2021 Low Back Pain Collaborators","year":"2023","journal-title":"Lancet Rheumatol"},{"issue":"Suppl 3","key":"10.3233\/WOR-230410_ref3","first-page":"2","article-title":"Prevalence of back and neck pain in Germany. 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