Viikari-Juntura E, Martikainen R, Luukkonen R, Mutanen P, Takala E P, Riihimäki H
Finnish Institute of Occupational Health, Helsinki, Finland.
Occup Environ Med. 2001 May;58(5):345-52. doi: 10.1136/oem.58.5.345.
To study the effects of work related and individual factors affecting radiating neck pain.
A longitudinal study was carried out with repeated measurements. A total of 5180 Finnish forest industry workers replied to a questionnaire survey in 1992 (response rate 75%). Response rates to follow up questionnaires in 1993, 1994, and 1995 were 83%, 77%, and 90%, respectively. The outcome variable was the number of days with radiating neck pain during the preceding 12 months with three levels (<8, 8-30, >30 days). The generalised estimating equations method was used to fit a marginal model and a transition model was used in a predictive analysis.
Items showing associations with radiating neck pain in both analyses were sex, age, body mass index, smoking, duration of work with a hand above shoulder level, mental stress, and other musculoskeletal pains. In the transition model, radiating neck pain in a previous questionnaire was included in the model. Although it was a strong predictor, the variables already mentioned retained their significance.
Programmes targeted to reduce physical load at work, mental stress, being overweight, and smoking could potentially prevent radiating neck pain.
研究与工作相关的因素及个体因素对放射性颈部疼痛的影响。
开展一项进行重复测量的纵向研究。共有5180名芬兰森林工业工人在1992年回复了问卷调查（回复率75%）。1993年、1994年和1995年随访问卷的回复率分别为83%、77%和90%。结果变量是前12个月内放射性颈部疼痛的天数，分为三个级别（<8天、8 - 30天、>30天）。采用广义估计方程法拟合边际模型，并在预测分析中使用转换模型。
在两项分析中均显示与放射性颈部疼痛有关联的因素包括性别、年龄、体重指数、吸烟、手举过肩部水平的工作时长、精神压力以及其他肌肉骨骼疼痛。在转换模型中，前一份问卷中的放射性颈部疼痛情况也纳入了模型。尽管它是一个强有力的预测因素，但上述已提及的变量仍具有显著性。
旨在减轻工作中的体力负荷、精神压力、超重和吸烟的项目可能有助于预防放射性颈部疼痛。
