Croft P, Coggon D, Cruddas M, Cooper C
ARC Epidemiology Research Unit, University of Manchester.
BMJ. 1992 May 16;304(6837):1269-72. doi: 10.1136/bmj.304.6837.1269.
To test the hypothesis that farmers are at high risk of hip osteoarthritis and to investigate possible causes for such a hazard.
Cross sectional survey.
Five rural general practices.
167 male farmers aged 60-76 and 83 controls from mainly sedentary jobs. All those without previous hip replacement underwent radiography of the hip.
Hip replacement for osteoarthritis or radiological evidence of hip osteoarthritis.
Prevalence of hip osteoarthritis was higher in farmers than controls and especially in those who had farmed for over 10 years (odds ratio 9.3, 95% confidence interval 1.9 to 44.5). The excess could not be attributed to any one type of farming, and heavy lifting seems the likely explanation.
Manual handling in agriculture should be limited where possible. Consideration should be given to making hip osteoarthritis a prescribed industrial disease in farmers. There may be wider implications for the prevention of hip osteoarthritis in the general population.
检验农民患髋骨关节炎风险高这一假设，并调查造成这种风险的可能原因。
横断面调查。
五个乡村全科医疗诊所。
167名年龄在60 - 76岁的男性农民以及83名主要从事久坐工作的对照者。所有未曾接受过髋关节置换手术的人都接受了髋部X光检查。
因骨关节炎进行的髋关节置换手术或髋骨关节炎的放射学证据。
农民中髋骨关节炎的患病率高于对照者，尤其是那些从事农业工作超过10年的人（比值比9.3，95%置信区间1.9至44.5）。这种差异不能归因于任何一种农业劳作类型，重物搬运似乎是可能的解释。
应尽可能限制农业中的体力劳动。应考虑将髋骨关节炎列为农民的法定职业病。这可能对普通人群髋骨关节炎的预防有更广泛的意义。
