Waters Thomas R, Dick Robert B, Davis-Barkley Joi, Krieg Edward F
Division of Applied Research and Technology, National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention, Cincinnati, Ohio, USA.
J Occup Environ Med. 2007 Feb;49(2):172-84. doi: 10.1097/JOM.0b013e3180322559.
Assessments of potential risk factors for musculoskeletal disorders (MSDs) from large, national study populations using personal interviews are critical to our understanding of exposure-response relationships. To address this need, we analyzed two outcome measures--self-reported back pain and upper extremity pain--from the quality of work life (QWL) module of the General Social Survey (GSS). We investigated several individual, psychosocial, and physical factors for their relationship to these outcome measures.
The study population included US adults, noninstitutionalized, English-speaking, aged 18 years or older, and employed at least part time (>or=20 hr/wk). Final sample size was 1484 workers.
Variables of physical exposure significantly increased the risk of both low back pain and upper extremity pain. Multiple injuries and some psychosocial factors were associated with MSDs, and there was an additive effect on risk of MSDs with exposure to both physical exposure and work stress.
A relationship between physical loads and musculoskeletal disorders was indicated by the results, which will enable creating a database for tracking reports of MSDs in the US working population.
通过个人访谈对来自大型全国性研究人群的肌肉骨骼疾病(MSD)潜在风险因素进行评估,对于我们理解暴露-反应关系至关重要。为满足这一需求,我们分析了综合社会调查(GSS)工作生活质量(QWL)模块中的两项结果指标——自我报告的背痛和上肢疼痛。我们调查了若干个人、心理社会和身体因素与这些结果指标之间的关系。
研究人群包括18岁及以上、未被机构收容、说英语、至少兼职工作(≥20小时/周)的美国成年人。最终样本量为1484名工人。
身体暴露变量显著增加了腰痛和上肢疼痛的风险。多处受伤和一些心理社会因素与肌肉骨骼疾病相关,同时暴露于身体暴露和工作压力下会对肌肉骨骼疾病风险产生累加效应。
结果表明身体负荷与肌肉骨骼疾病之间存在关联,这将有助于创建一个用于跟踪美国工作人群肌肉骨骼疾病报告的数据库。