Holmberg Sara, Thelin Anders, Stiernstrom Eva, Svardsudd Kurt
Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology Section, Uppsala Science Park, SE-751 85 Uppsala, Sweden.
Ann Agric Environ Med. 2003;10(2):179-84.
In order to evaluate the impact of physical work exposure on differences in musculoskeletal symptom reported among Swedish farmers and referents, a cross-sectional, population-based cohort study was performed. Male farmers (N = 1221) and matched non-farmers (N = 1130) were invited to take part a survey in which 76 % participated. The analyses were based on 657 matched pairs. Lifetime incidence of musculoskeletal symptoms, information on work exposure, physical workload and leisure time physical activity were assessed by questionnaire and structured interview. Physical work capacity and muscle strength were measured. Farmers reported more low back and hip problems than the referents. After adjustment for the influence of work exposure factors, farmers still had a significant excess rate of low back and hip symptoms compared to the referents, and a significantly lower rate of neck and shoulder problems. In conclusion, work exposure explained some but not all of the farmer-referent differences in musculoskeletal symptom rates.
为了评估体力工作暴露对瑞典农民和对照人群中报告的肌肉骨骼症状差异的影响，开展了一项基于人群的横断面队列研究。邀请男性农民（N = 1221）和匹配的非农民（N = 1130）参与一项调查，其中76%的人参与了调查。分析基于657对匹配对象。通过问卷调查和结构化访谈评估肌肉骨骼症状的终生发病率、工作暴露信息、体力工作量和休闲时间体力活动情况。测量了体力工作能力和肌肉力量。农民报告的腰背部和髋部问题比对照人群更多。在调整工作暴露因素的影响后，与对照人群相比，农民的腰背部和髋部症状发生率仍显著过高，而颈部和肩部问题的发生率则显著较低。总之，工作暴露解释了农民与对照人群在肌肉骨骼症状发生率上的部分而非全部差异。
