434 articles – 314 references  [version française]
Short view
Risk factors for de Quervain's disease in a French working population.
Petit Le Manac'H A., Roquelaure Y., Ha C., Bodin J., Meyer G., Bigot F., Veaudor M., Descatha A., Goldberg M., Imbernon E.
Scandinavian Journal of Work, Environment and Health 37, 5 (2011) 394-401 - http://www.hal.inserm.fr/inserm-00679751
(21431276)
Risk factors for de Quervain's disease in a French working population.
Audrey Petit Le Manac'H () 1, Yves Roquelaure1, Catherine Ha2, Julie Bodin1, Geraldine Meyer1, Frederic Bigot1, Martin Veaudor1, Alexis Descatha3, Marcel Goldberg3, Ellen Imbernon2
1:  LEEST - Laboratoire d'Ergonomie et d'Epidémiologie en Santé au Travail
Université d'Angers : EA4336 – CHU Angers – INVS
Angers
France
2:  DST-InVS - Département santé travail
Institut de Veille Sanitaire
12, rue du Val d'Osne 94415 Saint-Maurice Cedex
France
3:  Santé publique et épidémiologie des déterminants professionnels et sociaux de la santé
http://www.u687.idf.inserm.fr/
INSERM : U687 – IFR69 – Université Paris XI - Paris Sud – Université de Versailles Saint-Quentin-en-Yvelines
Hôpital Paul Brousse 16, av Paul Vaillant Couturier 94807 VILLEJUIF
France
OBJECTIVE: De Quervain's disease (DQD) is a significant cause of musculoskeletal pain among workers. The aim of this study was to assess the relative importance of personal and occupational risk factors for DQD in a working population. METHODS: A total of 3710 workers from a French region were randomly included in the cross-sectional study between 2002-2005. There were 45 subjects with DQD (of these, 5 subjects had a bilateral condition), diagnosed by 83 trained occupational physicians performing a standardized physical examination. Individual factors and work exposure were assessed by a standardized physical and a self-administered questionnaire. Statistical associations between DQD and individual and occupational factors were analyzed using logistic regression modeling in the whole sample and among women. RESULTS: The prevalence rates of uni- or bilateral DQD for the whole, male and female working populations were 1.2% [95% confidence interval (95% CI) 0.9-1.6], 0.6% (95% CI 0.3-0.9) and 2.1% (95% CI 1.4-2.8), respectively. Personal risk factors for DQD were mainly age (1.1 for 1-year increase in age) and female gender [odds ratio (OR) 4.9, 95% CI 2.4-10.1]. Work-related factors were workpace dependent on (i) technical organization (OR 2.0, 95% CI 1.0-4.0), (ii) repeated or sustained wrist bending in extreme posture (OR 2.6, 95% CI 1.3-5.3) and (iii) repeated movements associated with the twisting or driving of screws (OR 3.4, 95% CI 1.7-7.1). No association was found with psychosocial factors. CONCLUSIONS: Personal and work-related factors were associated with DQD in the working population; wrist bending and movements associated with the twisting or driving of screws were the most significant of the work-related factors.
Life Sciences/Health Care Sciences and Epidemiology
English
1795-990X

Article in peer-reviewed journal
10.5271/sjweh.3160
Scandinavian Journal of Work, Environment and Health (Scand J Work Environ Health)
Publisher Nordic Association of Occupational Safety and Health (NOROSH)
ISSN 0355-3140 
international
2011-09
2011-03-21
37
5
394-401

De Quervain‟s disease – Personal factors – Physical exposure – Risk factors – Work
Cross-Sectional Studies – De Quervain Disease – Female – France – Humans – Male – Occupational Diseases – Population Surveillance – Prevalence – Questionnaires – Risk Factors
Supported by the French Institute for Public Health Surveillance, Saint-Maurice, France (Grant 9/25/2002-5 "réseau expérimental de surveillance des troubles musculo- squelettiques") and the French National Research Agency (ANR-Grant SEST-06-36).