Original Research

Prevalence and factors associated with low back pain among nurses at a regional hospital in KwaZulu-Natal, South Africa

Thembelihle Dlungwane, Anna Voce, Stephen Knight
Health SA Gesondheid | Vol 23 | a1082 | DOI: https://doi.org/10.4102/hsag.v23i0.1082 | © 2018 Thembelihle Dlungwane, A Voce, S Knight | This work is licensed under CC Attribution 4.0
Submitted: 26 January 2018 | Published: 29 May 2018

About the author(s)

Thembelihle Dlungwane, Discipline of Public Health Medicine, University of KwaZulu-Natal, South Africa
Anna Voce, Discipline of Public Health Medicine, University of KwaZulu-Natal, South Africa
Stephen Knight, Discipline of Public Health Medicine, University of KwaZulu-Natal, South Africa

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Background: Low back pain (LBP) is a public health problem worldwide and is a common cause of work-related disorder among workers, especially in the nursing profession. Recruitment and retention of nurses is a challenge, and the nursing shortage has been exacerbated by the burden of occupational injuries such as LBP and related disabilities. The physiotherapy clinical records revealed that caseload of nurses presenting for the management of LBP was increasing. The prevalence and factors associated with LBP were unclear.

Methods: A cross-sectional study design with an analytic component was implemented. Data were collected utilising a self-administered questionnaire to determine the prevalence and factors associated with LBP among nurses at a regional hospital. Bivariate analyses were performed to determine the factors associated with LBP.

Results: The point prevalence of current LBP in nurses was 59%. The highest prevalence was recorded among enrolled nurses (54%), respondents aged 30–39 (46%), overweight respondents (58%) and those working in obstetrics and gynaecology (49%). Bending (p = 0.002), prolonged position (p = 0.03) and transferring patients (p = 0.004) were strongly associated with LBP. Nurses with more than 20 years in the profession reported a high prevalence of LBP. The prevalence of LBP was higher among the participants who were on six-month rotations (76%) compared with those on yearly rotation (16%).

Conclusion: A high proportion of nurses reported to have LBP. Occupational factors are strongly associated with LBP. Education programmes on prevention and workplace interventions are required in order to reduce occupational injuries.


Low Back Pain; Nurses; Prevalence; Regional Hospital; South Africa


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