Olafsdóttir H, Rafnsson V
Administration of occupational safety and health, Bíldshœfða 16, 112 Reykjavík, Iceland.
Laeknabladid. 2000 Feb;86(2):121-5.
An earlier study of workers in fish-filleting plants in Iceland showed high prevalence of musculoskeletal symptoms. The prevalence of symptoms of the upper limbs is higher after introduction of the flow-line since the women have a longer duration with repetitive tasks. The overall aim of this study was to compare the prevalence of musculoskeletal symptoms among women working at the flow-line with symptoms among those who had ceased to work there and to throw some light on the selection process of workers from this industry.
The standardised Nordic Questionnaire was used. Lists of names and addresses of the plant workers were obtained from plant management. Questionnaires were mailed to the home addresses of the workers. The overall participation rate was 71%. Two hundred eighty two women aged 16-54 answered where 28 women had left the plants after answering the questionnaires and 254 were still working there. The Mantel-Haenszel test was used and stratified by age and odds ratio and 95% confidence intervals (CI) calculated.
The prevalence of musculoskeletal symptoms during the previous 12 months was higher among former than current workers. The Mantel-Haenszel odds ratio for symptoms of the fingers, ankles and wrists hindering normal work during the previous 12 months prior to the study was 7.1 (95% CI 2.8-18.0), 5.3 (95% CI 1.3-21.5) and 3.4 (95% CI 1.3-8.8) respectively.
The selection process of workers from the fish-processing plants may be determined by the high prevalence of musculoskeletal symptoms, a healthy worker selection. There may be a causal relationship between musculoskeletal symptoms and ceasing to work at fish-processing plants.
冰岛一项对鱼片加工厂工人的早期研究显示,肌肉骨骼症状的患病率很高。自流水线引入后,上肢症状的患病率更高,因为女性从事重复性任务的时间更长。本研究的总体目的是比较流水线工作的女性与已停止在流水线工作的女性之间肌肉骨骼症状的患病率,并对该行业工人的选拔过程有所了解。
使用标准化的北欧问卷。从工厂管理层获取工厂工人的姓名和地址清单。问卷邮寄到工人的家庭住址。总体参与率为71%。282名年龄在16 - 54岁的女性回答了问卷,其中28名女性在回答问卷后离开了工厂,254名仍在那里工作。采用Mantel-Haenszel检验,并按年龄分层,计算优势比和95%置信区间(CI)。
前12个月肌肉骨骼症状的患病率在以前的工人中高于目前的工人。在研究前的前12个月中,手指、脚踝和手腕症状妨碍正常工作的Mantel-Haenszel优势比分别为7.1(95%CI 2.8 - 18.0)、5.3(95%CI 1.3 - 21.5)和3.4(95%CI 1.3 - 8.8)。
鱼类加工厂工人的选拔过程可能由肌肉骨骼症状的高患病率决定,即健康工人选拔。肌肉骨骼症状与停止在鱼类加工厂工作之间可能存在因果关系。