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image of Low Back Pain among Healthcare Workers in University Hospital in Tunisia

Abstract

Introduction

Low back pain is a real public health issue. It is a common musculoskeletal disorder linked to work among health professionals. The objective of this study is to determine the frequency of low back pain among healthcare workers and to study the associated risk factors.

Methods

This is a cross-sectional study conducted over a period of 6 months during the year 2022 involving a sample of the healthcare staff at Mahdia University Hospital. An anonymous self-administered questionnaire was completed by the healthcare staff, including anthropometric, socio-economic, professional lifestyle habits, and the characteristics of low back pain.

Results

A total of 96 participants responded to the questionnaire. The population was mostly female (75.3%) with an average age of 36.21 ± 8.78 years. The average BMI was 27.7 kg/m2 ± 4.5 kg/m2, with nurses being the most numerous group, followed by midwives. The professional activities were mainly care activities (76.7%). The frequency of low back pain was estimated at 82.2% (n=79). In univariate analysis, a significant association was observed between the low back pain and age ( < 0.001), marital status ( = 0.027), physical activity ( = 0.03), job seniority ( = 0.001), care activities ( = 0.03), sitting position ( = 0.04) and weight carried ( = 0.003).

Discussion

The prevalence of low back pain in our study was 82.2%. This finding aligns with results from studies conducted in Egypt at Zigazig Hospital (79%) and in Rwanda at Kanombe Military Hospital (78%).

Conclusion

In this study, multiple factors linked to low back pain were identified, most of which are modifiable, highlighting the need to implement effective preventive measures to reduce the prevalence of low back pain and limit the socio-economic damage it generates.

This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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2025-10-01
2025-12-06
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References

  1. Hartvigsen J. Hancock M.J. Kongsted A. What low back pain is and why we need to pay attention. Lancet 2018 391 10137 2356 2367 10.1016/S0140‑6736(18)30480‑X 29573870
    [Google Scholar]
  2. Diatta A.E.R. Prevalence and risk factors of common low back pain among Senegalese healthcare workers in 2018. Revue Africa et Malgache de Recherche 2021 2 2
    [Google Scholar]
  3. Citko A. Górski S. Marcinowicz L. Górska A. Sedentary lifestyle and nonspecific low back pain in medical personnel in North-East Poland. BioMed Res. Int. 2018 2018 1 8 10.1155/2018/1965807 30271778
    [Google Scholar]
  4. National Institute for Research and Safety. Low back pain – Statis-tics [Internet]. Paris: INRS; [cited 2025 Oct 7]. Available from:https://www.inrs.fr/risques/lombalgies/statistique.html
  5. Budhrani-Shani P. Berry D.L. Arcari P. Langevin H. Wayne P.M. Mind-body exercises for nurses with chronic low back pain: An evidence-based review. Nurs. Res. Pract. 2016 2016 1 10 10.1155/2016/9018036 27446610
    [Google Scholar]
  6. Mroczek B. Łubkowska W. Jarno W. Jaraczewska E. Mierzecki A. Occurrence and impact of back pain on the quality of life of healthcare workers. Ann. Agric. Environ. Med. 2020 27 1 36 42 10.26444/aaem/115180 32208577
    [Google Scholar]
  7. Bejia I. Younes M. Jamila H.B. Prevalence and factors associated to low back pain among hospital staff. Joint Bone Spine 2005 72 3 254 259 10.1016/j.jbspin.2004.06.001 15850998
    [Google Scholar]
  8. Kasa A.S. Workineh Y. Ayalew E. Temesgen W.A. Low back pain among nurses working in clinical settings of Africa: Systematic review and meta-analysis of 19 years of studies. BMC Musculoskelet. Disord. 2020 21 1 310 10.1186/s12891‑020‑03341‑y 32416726
    [Google Scholar]
  9. Crawford J.O. The Nordic musculoskeletal questionnaire. Occup. Med. (Lond.) 2007 57 4 300 301 10.1093/occmed/kqm036
    [Google Scholar]
  10. Stubbs D.A. Buckle P.W. Hudson M.P. Rivers P.M. Worringham C.J. Back pain in the nursing profession I. Epidemiology and pilot methodology. Ergonomics 1983 26 8 755 765 10.1080/00140138308963397 6226521
    [Google Scholar]
  11. Leighton D.J. Reilly T. Epidemiological aspects of back pain: The incidence and prevalence of back pain in nurses compared to the general population. Occup. Med. (Lond.) 1995 45 5 263 267 10.1093/occmed/45.5.263 7579302
    [Google Scholar]
  12. Matsudaira K. Palmer K.T. Reading I. Hirai M. Yoshimura N. Coggon D. Prevalence and correlates of regional pain and associated disability in Japanese workers. Occup. Environ. Med. 2011 68 3 191 196 10.1136/oem.2009.053645 20833762
    [Google Scholar]
  13. Lela M. Frantz J.M. The relationship between physical activity and low back pain among nurses in Kanombe Military Hospital. Afr J Physiother Rehabil Sci 2012 4 1 63 66
    [Google Scholar]
  14. Punnett L. Wegman D.H. Work-related musculoskeletal disorders: The epidemiologic evidence and the debate. J. Electromyogr. Kinesiol. 2004 14 1 13 23 10.1016/j.jelekin.2003.09.015 14759746
    [Google Scholar]
  15. El-Soud A.M.A. El-Najjar A.R. El-Fattah N.A. Hassan A.A. Prevalence of low back pain in working nurses in Zagazig University Hospitals: An epidemiological study. Egypt. Rheumatol. Rehabil. 2014 41 3 109 115 10.4103/1110‑161X.140525
    [Google Scholar]
  16. Lela M. Frantz J.M. Physical activity among nurses in kanombe military hospital. African J Physiotherap Rehab Sci 2012 4 1-2 63 66 10.4314/ajprs.v4i1‑2.10
    [Google Scholar]
  17. Sikiru L. Hanifa S. Prevalence and risk factors of low back pain among nurses in a typical Nigerian hospital. Afr. Health Sci. 2010 10 1 26 30 20811521
    [Google Scholar]
  18. Kalabalik G.Y. Ortancil O. EGE F.Low back pain frequency and the related risk factors in nurses and caregivers. Argi 2024 36 3 171 180
    [Google Scholar]
  19. Belay M.M. Worku A. Gebrie S.A. Wamisho B.L. Epidemiology of low back pain among nurses working in public hospitals of Addis Ababa, Ethiopia. East Cent. Afr. J. Surg. 2016 21 1 113 10.4314/ecajs.v21i1.139040
    [Google Scholar]
  20. Tinubu B.M.S. Mbada C.E. Oyeyemi A.L. Fabunmi A.A. Work-related musculoskeletal disorders among nurses in ibadan, South-west Nigeria: a cross-sectional survey. BMC Musculoskelet. Disord. 2010 11 1 12 10.1186/1471‑2474‑11‑12 20089139
    [Google Scholar]
  21. Barber-Westin S.D. Noyes F.R. Galloway M. Jump-land characteristics and muscle strength development in young athletes: A gender comparison of 1140 athletes 9 to 17 years of age. Am. J. Sports Med. 2006 34 3 375 384 10.1177/0363546505281242 16282578
    [Google Scholar]
  22. Hoy D. Bain C. Williams G. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012 64 6 2028 2037 10.1002/art.34347 22231424
    [Google Scholar]
  23. Borg-Stein J. Dugan S.A. Musculoskeletal disorders of pregnancy, delivery and postpartum. Phys. Med. Rehabil. Clin. N. Am. 2007 18 3 459 476 [ix. 10.1016/j.pmr.2007.05.005 17678762
    [Google Scholar]
  24. Smith D.R. Mihashi M. Adachi Y. Menstrual disorders and their influence on low back pain among Japanese nurses. Ind. Health 2009 47 3 301 312 10.2486/indhealth.47.301 19531916
    [Google Scholar]
  25. Aleku M. Nelson K. Abio A. Lowery Wilson M. Lule H. Lower back pain as an occupational hazard among ugandan health workers. Front. Public Health 2021 9 761765 10.3389/fpubh.2021.761765 34926384
    [Google Scholar]
  26. June K.J. Cho S.H. Low back pain and work‐related factors among nurses in intensive care units. J. Clin. Nurs. 2011 20 3-4 479 487 10.1111/j.1365‑2702.2010.03210.x 20673308
    [Google Scholar]
  27. Moussa M.M. El-Ezaby H.H. El-Mowafy R.I. Low back pain and coping strategies’ among nurses in Port Said City, Egypt. J. Nurs. Educ. Pract. 2015 5 7 55 10.5430/jnep.v5n7p55
    [Google Scholar]
  28. Mohseni-Bandpei M.A. Ahmad-Shirvani M. Golbabaei N. Behtash H. Shahinfar Z. Fernández-de-las-Peñas C. Prevalence and risk factors associated with low back pain in Iranian surgeons. J. Manipulative Physiol. Ther. 2011 34 6 362 370 10.1016/j.jmpt.2011.05.010 21807259
    [Google Scholar]
  29. Bin Homaid M. Abdelmoety D. Alshareef W. Prevalence and risk factors of low back pain among operation room staff at a Tertiary Care Center, Makkah, Saudi Arabia: A cross-sectional study. Ann. Occup. Environ. Med. 2016 28 1 1 10.1186/s40557‑016‑0089‑0 26835129
    [Google Scholar]
  30. Hussain S.M. Urquhart D.M. Wang Y. Associations between television viewing and physical activity and low back pain in community-based adults. Medicine (Baltimore) 2016 95 25 e3963 10.1097/MD.0000000000003963 27336896
    [Google Scholar]
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  • Article Type:
    Research Article
Keywords: low back pain ; Health professional ; risk factors ; occupational health ; healthcare ; Tunisia
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