Abstract:Work-Related Factors of Low Back Pain among Nursing Aides in Nursing Homes for the Elderly: Takashi FUJIMURA, at al. Department of Public Health, Kochi Medical School-This survey was performed in December 1991 on 555 nursing aides (NAs) in 32 Special Nursing Homes for the Eld erly (SNHs) in Kochi Prefecture, Japan. The purpose of the survey was to establish the relationship be tween low back pain among NAs in SNHs, and the degree of dependency in the activities of daily living (ADL) of the patients under their care. In order to investigate the work-related factors of low back pain, a questionnaire was sent to the NAs, request ing information on the NAs' low back pain condition. Another questionnaire was sent to the 32 SNHs, concerning the status of patients in the respective SNHs. Of the 463 NAs questionnaires which were returned, 443 female NAs' responses were analyzed. The following findings were observed.The preva lence of low back pain among the NAs was high (the one month prevalence was 77.0%), and of the afflict ed NAs, 98 (24.5%) were visiting a health care pro vider. The NAs with low back pain experienced diffi culty in completing their care-giving tasks, and com plained about their working conditions and working environment more often than the NAs without low back pain. In addition, this study showed that, at SNHs where the proportions of dependence in patients' ADL were high, the prevalence of low back pain among their NAs was high. This fact was also confirmed by multiple logistic regression. We, there fore, suggest in this study that patients' care needs are associated with low back pain among NAs. (J Occup Health 1995; 37: 89-98)