Low Back Pain and Risk Factors Among Taxi Drivers in Turkey: a Cross-sectional Study

Overview

Journal Med Lav

Specialty Occupational Medicine

Date 2022 Jun 29

PMID 35766646

Authors

Seher Kurtul

Nejdiye Gungordu

Affiliations

Soon will be listed here.

Abstract

Background: Taxi drivers have an increased risk of low back pain due to both physical and occupational conditions. This study aims to determine the prevalence of low back pain and occupational risk factors among taxi drivers working in İzmir, Turkey.

Methods: This study was conducted with 447 taxi drivers at randomly selected taxi stands between April and September 2021. The questionnaire included demographic, individual, and work-related questions; the Nordic Musculoskeletal Questionnaire; and the Back Pain Functional Scale (BPFS).

Results: The prevalence of low back pain in the last year was 49.7%. In multivariate logistic regression analyses, the risk factors for low back pain included having a body mass index of 25-29.9 kg/m2 (OR= 1.67, 95% CI 1.01-2.76) or ≥30 kg/m2 (OR= 2.15, %95 CI 1.19-3.87), no physical activity (OR= 1.66, 95% CI 1.06-2.62), years of work >10 (OR= 3.23, 95% CI 1.89-5.53), no weekly rest period (OR= 3.11, 95% CI 1.42-6.81), having no lumbar support on the driver's seat (OR:1.67, 95% CI:1.05-2.66), or undecisive job satisfaction (OR= 2.07, 95% CI 1.17-3.66). Being undecided about job satisfaction (OR= 2.34, 95% CI 1.15-4.92) and not having physical activity (OR= 2.10 CI 1.08-4.08) were found to be risk factors for reduced BPFS scores.

Conclusion: A strong correlation was found between the frequency of low back pain and the BPFS score and occupational factors. Early detection and management of low back pain are critical to avoid increased low back pain and related injuries among taxi drivers.

Citing Articles

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References

Bovenzi M, Zadini A . Self-reported low back symptoms in urban bus drivers exposed to whole-body vibration. Spine (Phila Pa 1976). 1992; 17(9):1048-59. DOI: 10.1097/00007632-199209000-00007. View

Chen J, Chang W, Shih T, Chen C, Chang W, Dennerlein J . Predictors of whole-body vibration levels among urban taxi drivers. Ergonomics. 2003; 46(11):1075-90. DOI: 10.1080/0014013031000109205. View

HARRISON D, Harrison S, Croft A, Harrison D, Troyanovich S . Sitting biomechanics part I: review of the literature. J Manipulative Physiol Ther. 2000; 22(9):594-609. DOI: 10.1016/s0161-4754(99)70020-5. View

Dionne C, Dunn K, Croft P, Nachemson A, Buchbinder R, Walker B . A consensus approach toward the standardization of back pain definitions for use in prevalence studies. Spine (Phila Pa 1976). 2008; 33(1):95-103. DOI: 10.1097/BRS.0b013e31815e7f94. View

Chen J, Chang W, Shih T, Chen C, Chang W, Dennerlein J . Using exposure prediction rules for exposure assessment: an example on whole-body vibration in taxi drivers. Epidemiology. 2004; 15(3):293-9. DOI: 10.1097/01.ede.0000121378.62340.a7. View

Luoma K, Riihimaki H, Raininko R, Luukkonen R, Lamminen A, Viikari-Juntura E . Lumbar disc degeneration in relation to occupation. Scand J Work Environ Health. 1998; 24(5):358-66. DOI: 10.5271/sjweh.356. View

Krause N, Ragland D, Fisher J, Syme S . Psychosocial job factors, physical workload, and incidence of work-related spinal injury: a 5-year prospective study of urban transit operators. Spine (Phila Pa 1976). 1998; 23(23):2507-16. DOI: 10.1097/00007632-199812010-00005. View

Elshatarat R, Burgel B . Cardiovascular Risk Factors of Taxi Drivers. J Urban Health. 2016; 93(3):589-606. PMC: 4899329. DOI: 10.1007/s11524-016-0045-x. View

Wang M, Yu J, Liu N, Liu Z, Wei X, Yan F . Low back pain among taxi drivers: a cross-sectional study. Occup Med (Lond). 2017; 67(4):290-295. DOI: 10.1093/occmed/kqx041. View

10.

Hakim S, Mohsen A . Work-related and ergonomic risk factors associated with low back pain among bus drivers. J Egypt Public Health Assoc. 2018; 92(3):195-201. DOI: 7.10.21608/EPX.2018.16153. View

11.

Stratford P, Binkley J, Riddle D . Development and initial validation of the back pain functional scale. Spine (Phila Pa 1976). 2000; 25(16):2095-102. DOI: 10.1097/00007632-200008150-00015. View

12.

Hildebrandt V, Bongers P, Dul J, van Dijk F, Kemper H . The relationship between leisure time, physical activities and musculoskeletal symptoms and disability in worker populations. Int Arch Occup Environ Health. 2000; 73(8):507-18. DOI: 10.1007/s004200000167. View

13.

Dawson A, Steele E, Hodges P, Stewart S . Development and test-retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): a screening instrument for musculoskeletal pain. J Pain. 2009; 10(5):517-26. DOI: 10.1016/j.jpain.2008.11.008. View

14.

Chen J, Dennerlein J, Chang C, Chang W, Christiani D . Seat inclination, use of lumbar support and low-back pain of taxi drivers. Scand J Work Environ Health. 2005; 31(4):258-65. DOI: 10.5271/sjweh.881. View

15.

Porter J, Gyi D . The prevalence of musculoskeletal troubles among car drivers. Occup Med (Lond). 2002; 52(1):4-12. DOI: 10.1093/occmed/52.1.4. View

16.

Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F . A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012; 64(6):2028-37. DOI: 10.1002/art.34347. View

17.

Chen J, Chang W, Chang W, Christiani D . Occupational factors associated with low back pain in urban taxi drivers. Occup Med (Lond). 2005; 55(7):535-40. DOI: 10.1093/occmed/kqi125. View

18.

Alperovitch-Najenson D, Santo Y, Masharawi Y, Katz-Leurer M, Ushvaev D, Kalichman L . Low back pain among professional bus drivers: ergonomic and occupational-psychosocial risk factors. Isr Med Assoc J. 2010; 12(1):26-31. View

19.

Kahraman T, Genc A, Goz E . The Nordic Musculoskeletal Questionnaire: cross-cultural adaptation into Turkish assessing its psychometric properties. Disabil Rehabil. 2016; 38(21):2153-60. DOI: 10.3109/09638288.2015.1114034. View

20.

HARRISON D, Harrison S, Croft A, Harrison D, Troyanovich S . Sitting biomechanics, part II: optimal car driver's seat and optimal driver's spinal model. J Manipulative Physiol Ther. 2000; 23(1):37-47. View