Merlino Linda A, Rosecrance John C, Anton Dan, Cook Thomas M
College of Public Health, The University of Iowa, Iowa City, Iowa, USA.
Appl Occup Environ Hyg. 2003 Jan;18(1):57-64. doi: 10.1080/10473220301391.
Musculoskeletal disorders (MSDs) are a major cause of work-related disability and lost-time illnesses for many occupational groups. This study determined the prevalence of musculoskeletal symptoms among young construction workers. A symptom and job factors survey was self-administered to 996 construction apprentices. Prevalence was determined by the percent of positive responses to musculoskeletal symptom questions. Odds ratios and 95 percent confidence intervals were the measures of association between prevalent musculoskeletal symptoms and demographic, leisure, and job factors and were determined by logistic regression. The low back was the site most commonly reported for job-related musculoskeletal symptoms (54.4%), which was also the most common reason for seeking care from a physician (16.8%) and missing work (7.3%). Number of years worked in the construction trade was significantly associated with knee (p-trend = 0.0009) and wrist/hand (p-trend < 0.04) MSD symptoms and was suggestive of an association with low back pain (p-trend = 0.05). "Working in the same position for long periods" was the job factor identified as most problematic, with 49.7 percent of all construction apprentices rating it as a moderate/major problem contributing to musculoskeletal symptoms. Musculoskeletal symptoms are a significant problem among young construction workers at the beginning of their careers. Prevention strategies are needed early in the apprentice training program to reduce the potential disability associated with work-related musculoskeletal symptom disorders.
肌肉骨骼疾病(MSDs)是许多职业群体中与工作相关的残疾和误工疾病的主要原因。本研究确定了年轻建筑工人中肌肉骨骼症状的患病率。对996名建筑学徒进行了一项关于症状和工作因素的自我管理调查。患病率由对肌肉骨骼症状问题的阳性反应百分比确定。优势比和95%置信区间是普遍存在的肌肉骨骼症状与人口统计学、休闲和工作因素之间关联的度量指标,并通过逻辑回归确定。下背部是与工作相关的肌肉骨骼症状最常报告的部位(54.4%),也是寻求医生治疗(16.8%)和误工(7.3%)的最常见原因。从事建筑行业的年限与膝盖(p趋势=0.0009)和手腕/手部(p趋势<0.04)的MSD症状显著相关,并提示与下背部疼痛有关联(p趋势=0.05)。“长时间保持同一姿势工作”被确定为最成问题的工作因素,所有建筑学徒中有49.7%将其评为导致肌肉骨骼症状的中度/主要问题。在职业生涯初期,肌肉骨骼症状是年轻建筑工人中的一个重大问题。需要在学徒培训计划早期制定预防策略,以减少与工作相关的肌肉骨骼症状性疾病相关的潜在残疾。