Ylipää V, Arnetz B B, Preber H
Department of Public Health Sciences, Institute of Odontology, Karolinska Institutet, Huddinge, Sweden.
Acta Odontol Scand. 1999 Oct;57(5):277-82. doi: 10.1080/000163599428706.
The aim of the present study was to examine how different personal, physical, and psychosocial work-associated factors are related to good general health, well-being, and musculoskeletal disorders in dental hygienists. A questionnaire was mailed to 575 dental hygienists who were randomly sampled from the Swedish Dental Hygienists' Association (86% responded). Data were analyzed with multiple-logistic regression models. The results showed that high clinical-practice fraction, active leisure, and high management support increased the odds for good general health, while work and family overload decreased the odds. Management support and mastery of work increased the odds for well-being, while work and family overload and high work efficiency decreased them. Scaling work increased the odds for general and work-related musculoskeletal disorders in all parts of the upper body and arms but not in the lower back. In the upper body, active leisure decreased the odds for general musculoskeletal disorders, while the odds for work-related musculoskeletal disorders increased from work and family overload and decreased from many weekly working hours. Many years in the profession increased the odds for general finger disorders. In conclusion, the results suggest that active leisure and several psychosocial work factors strongly influence good general health and well-being. Physical tasks influence musculoskeletal disorders more than active leisure and psychosocial work factors.
本研究的目的是探讨不同的个人、身体和与工作相关的社会心理因素如何与牙科保健员的良好总体健康、幸福感和肌肉骨骼疾病相关联。向从瑞典牙科保健员协会随机抽取的575名牙科保健员邮寄了一份问卷(回复率为86%)。使用多元逻辑回归模型对数据进行分析。结果表明,高临床实践比例、积极的休闲活动和高管理支持增加了总体健康状况良好的几率,而工作和家庭负担过重则降低了这种几率。管理支持和对工作的掌控增加了幸福感的几率,而工作和家庭负担过重以及高工作效率则降低了幸福感。洁治工作增加了上半身和手臂所有部位一般性和与工作相关的肌肉骨骼疾病的几率,但对下背部没有影响。在上半身,积极的休闲活动降低了一般性肌肉骨骼疾病的几率,而与工作相关的肌肉骨骼疾病的几率则因工作和家庭负担过重而增加,因每周工作时间长而降低。从事该职业多年增加了手指一般性疾病的几率。总之,结果表明积极的休闲活动和若干社会心理工作因素对良好的总体健康和幸福感有强烈影响。体力任务对肌肉骨骼疾病的影响大于积极的休闲活动和社会心理工作因素。