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澳大利亚昆士兰地区牙医自我报告的肌肉骨骼疾病

Musculoskeletal disorders self-reported by dentists in Queensland, Australia.

作者信息

Leggat P A, Smith D R

机构信息

Anton Breinl Centre for Public Health and Tropical Medicine, James Cook University, Townsville, Queensland.

出版信息

Aust Dent J. 2006 Dec;51(4):324-7. doi: 10.1111/j.1834-7819.2006.tb00451.x.

Abstract

BACKGROUND

Musculoskeletal disorders (MSD) represent an important occupational health issue in dentistry. Given the significance of this topic, we considered it necessary to investigate the prevalence and impact of MSD among Australian dentists.

METHODS

In 2004, a self-reporting questionnaire was mailed to a random sample of 400 dentists registered with the Queensland Branch of the Australian Dental Association.

RESULTS

A total of 285 questionnaires (73.1 per cent) were completed and returned. Of the respondents, 73.3 per cent were male and 26.7 per cent female, with a mean age of 45.2 years (SD = 11.9 years). Most were general dentists (89.1 per cent), with the remainder being specialists (10.9 per cent). Most dentists (87.2 per cent) reported having experienced at least one MSD symptom in the past 12 months. The most prevalent MSD during the previous 12 months were reported at the neck (57.5 per cent), lower back (53.7 per cent) and shoulder (53.3 per cent). MSD which interfered with daily activities during the previous 12 months were reported at the neck (24.6 per cent), the lower back (22.1 per cent) and the shoulders (21.8 per cent). Over one-third (37.5 per cent) of dentists had sought medical advice or treatment for an MSD during the previous 12-month period. Almost 1 in 10 dentists (9.1 per cent) reported taking leave in the previous 12 months because of an MSD. Among those who took sick leave for an MSD, the mean time taken was 11.5 days (SD = 16.0 days).

CONCLUSIONS

Overall, this study suggests that MSD represents a major occupational health issue for Queensland dentists, the occurrence of which is similar to reports from other countries. MSD was shown to interfere with daily activities in some cases, while a considerable proportion of dentists had also sought medical attention for their symptoms. Further research is now needed to more carefully elucidate the impact of MSD in this particular occupational group, especially in relation to cessation or reduction of clinical practice, and also to help identify specific risk factors and effective measures for reducing MSD among dentists in Queensland and elsewhere.

摘要

背景

肌肉骨骼疾病(MSD)是牙科领域一个重要的职业健康问题。鉴于该主题的重要性,我们认为有必要调查澳大利亚牙医中MSD的患病率及其影响。

方法

2004年,一份自填式问卷被邮寄给随机抽取的400名在澳大利亚牙科协会昆士兰分会注册的牙医。

结果

共收回285份问卷(回复率73.1%)。在受访者中,男性占73.3%,女性占26.7%,平均年龄45.2岁(标准差=11.9岁)。大多数是普通牙医(89.1%),其余为专科医生(10.9%)。大多数牙医(87.2%)报告在过去12个月中至少经历过一种MSD症状。过去12个月中最常见的MSD部位是颈部(57.5%)、下背部(53.7%)和肩部(53.3%)。在过去12个月中,影响日常活动的MSD部位为颈部(24.6%)、下背部(22.1%)和肩部(21.8%)。超过三分之一(37.5%)的牙医在过去12个月中曾就MSD寻求过医疗建议或治疗。近十分之一的牙医(9.1%)报告在过去12个月中因MSD而请假。在因MSD请病假的人中,平均请假时间为11.5天(标准差=16.0天)。

结论

总体而言,本研究表明MSD是昆士兰牙医面临的一个主要职业健康问题,其发生率与其他国家的报告相似。MSD在某些情况下会干扰日常活动,同时相当一部分牙医也因其症状寻求过医疗帮助。现在需要进一步研究,以更仔细地阐明MSD对这一特定职业群体的影响,特别是与停止或减少临床工作的关系,同时也有助于确定昆士兰及其他地区牙医中MSD的具体风险因素和有效预防措施。

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