Severe back pain among farmworker high school students from Starr County, Texas: baseline results. Academic Article uri icon


  • PURPOSE: This cohort study is among the first to estimate the prevalence of and examine potential risk factors for severe back pain (resulting in medical care, 4+ hours of time lost, or pain lasting 1+ weeks) among adolescent farmworkers. These youth often perform tasks requiring bent/stooped postures and heavy lifting. METHODS: Of 2536 students who participated (response rate across the three public high schools, 61.2% to 83.9%), 410 students were farmworkers (largely Hispanic and migrant). Students completed a self-administered Web-based survey including farm work/nonfarm work and back-pain items relating to a 9-month period. RESULTS: The prevalence of severe back pain was 15.7% among farmworkers and 12.4% among nonworkers. The prevalence increased to 19.1% among farm workers (n = 131) who also did nonfarm work. A multiple logistic regression for farmworkers showed that significantly increased adjusted odds ratios for severe back pain were female sex (4.59); prior accident/back injury (9.04); feeling tense, stressed, or anxious sometimes/often (4.11); lifting/carrying heavy objects not at work (2.98); current tobacco use (2.79); 6+ years involved in migrant farm work (5.02); working with/around knives (3.87); and working on corn crops (3.40). CONCLUSIONS: Areas for further research include ergonomic exposure assessments and examining the effects of doing farm work and nonfarm work simultaneously.

published proceedings

  • Ann Epidemiol

altmetric score

  • 6

author list (cited authors)

  • Shipp, E. M., Cooper, S. P., Del Junco, D. J., Delclos, G. L., Burau, K. D., & Tortolero, S. R

citation count

  • 25

complete list of authors

  • Shipp, Eva M||Cooper, Sharon P||Del Junco, Deborah J||Delclos, George L||Burau, Keith D||Tortolero, Susan R

publication date

  • February 2007